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Med. Clin. North Am. · Mar 2021
ReviewManaging Cardiovascular Risk in Patients with Rheumatic Disease.
- Lyn D Ferguson, Naveed Sattar, and Iain B McInnes.
- Institute of Cardiovascular and Medical Sciences, University of Glasgow, 126 University Place, Glasgow G12 8TA, UK. Electronic address: Lyn.Ferguson@glasgow.ac.uk.
- Med. Clin. North Am. 2021 Mar 1; 105 (2): 247-262.
AbstractIndividuals with rheumatoid arthritis, systemic lupus erythematosus, or gout have increased risk of cardiovascular disease (CVD) compared with the general population. This risk relates to a combination of traditional cardiovascular risk factors and disease-specific factors. Screening for CVD is important because CVD contributes to significant morbidity and mortality. Management includes tight control of disease activity to reduce inflammation, but with care to minimize use of nonsteroidal anti-inflammatory drugs and prolonged courses of high-dose corticosteroids. Traditional cardiovascular risk factors should be managed with a combination of lifestyle interventions and pharmacotherapy. The decision to start antihypertensive and lipid-lowering therapy should be based on individual CVD risk.Copyright © 2020 Elsevier Inc. All rights reserved.
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