• Roxana González Mazarío, Jorge Juan Fragío Gil, Pablo Martínez Calabuig, Elena Grau García, Antonio José Cañada Martínez, and Román IvorraJosé AndrésJAServicio de Reumatología, Hospital Universitari i Politècnic La Fe, Valencia, Spain; Escuela de Doctorado, Universidad Católica de Valencia San Vicente Mártir, Valencia, Spain; Universidad Católica de Valencia San Vicente Mártir, .
• Servicio de Reumatología, Hospital Universitari i Politècnic La Fe, Valencia, Spain; Escuela de Doctorado, Universidad Católica de Valencia San Vicente Mártir, Valencia, Spain.
• Med Clin (Barc). 2022 Nov 25; 159 (10): 470474470-474.

Background/ObjectiveTo assess the Cardiovascular Risk (CV) in Rheumatoid Arthritis (RA) patients using carotid ultrasound additionally to the traditional CV risk factors.MethodsA cross-sectional case control study was performed including RA patients and matched controls. This study was performed from July-2019 to January-2020. Population over 75 years old, established CV disease and/or chronic kidney disease (from III Stage) were excluded. Statistical analysis included a multivariate variance analysis (Manova) and a negative binomial regression adjusted by confounding factors.ResultsOverall, a total of 200 cases and 111 controls were included in the study. Demographical and clinical variables were comparable between groups. A relationship between age, BMI and high blood pressure was detected in both groups. RA patients showed higher intima-media thickness and higher plaque account compared to controls and it was related to the disease duration and DAS28 score.ConclusionRA leads to a higher intima-media thickness, and this is related to the disease duration and DAS28 score. These findings support that RA acts as an independent cardiovascular risk factor.Copyright © 2022 Elsevier España, S.L.U. All rights reserved.

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