Rheumatoid arthritis and cardiovascular disease: an update on treatment issues.

Abstract:

PURPOSE OF REVIEW:This review examines thresholds for treatment of traditional cardiovascular disease (CVD) risk factors among patients with rheumatoid arthritis (RA) and whether RA-specific treatment modulates cardiovascular risk. RECENT FINDINGS:There are substantial data demonstrating an increased CVD risk among patients with RA. Both traditional CVD risk factors and inflammation contribute to this risk. Recent epidemiologic studies strengthen the case that aggressive immunosuppression with biologic disease-modifying anti-rheumatic drugs (DMARDs), such as tumour necrosis factor (TNF) antagonists, is associated with a reduced risk of CVD events. However, to date, there are no randomized controlled trials published regarding the management of CVD in RA. SUMMARY:Epidemiologic evidence continues to accumulate regarding the relationship between the effects of traditional CVD risk factors and RA-specific treatments on cardiovascular outcomes in RA. The field needs randomized controlled trials to better guide management.

journal_name

Curr Opin Rheumatol

authors

Barbhaiya M,Solomon DH

doi

10.1097/BOR.0b013e32835fd7f8

subject

Has Abstract

pub_date

2013-05-01 00:00:00

pages

317-24

issue

3

eissn

1040-8711

issn

1531-6963

journal_volume

25

pub_type

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