Publications

Authors:

Dalbeni, Andrea; Giollo, Alessandro; Bevilacqua, Michele; Cioffi, Giovanni; Tagetti, Angela; Cattazzo, Filippo; Orsolini, Giovanni; Ognibeni, Federica; Minuz, Pietro; Rossini, Maurizio; Fava, Cristiano; Viapiana, Ombretta

Title:

Traditional cardiovascular risk factors and residual disease activity are associated with atherosclerosis progression in rheumatoid arthritis patients

Year:

2020

Type of item:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Language:

Inglese

Referee:

No

Name of journal:

HYPERTENSION RESEARCH

ISSN of journal:

0916-9636

N° Volume:

43

Number or Folder:

9

Page numbers:

922-928

Keyword:

Residual disease activity; Rheumatoid arthritis; Subclinical atherosclerosis; Traditional cardiovascular risk factors

Short description of contents:

Patients with rheumatoid arthritis (RA) have an increased incidence of cardiovascular events. Ultrasound examination of the carotid arteries can show the presence of plaques and detect the atherosclerotic subclinical process through the evaluation of intima-media thickness (cIMT) and carotid segmental distensibility (cCD). The aim of the present study was to identify which factors could independently influence the evolution of atherosclerosis (plaques, cIMT, and cCD) after 1 year of follow-up in a sample of patients with RA. A total of 137 patients with RA without previous cardiovascular (CV) events were enrolled at baseline, and 105 (M/F: 21/84, age 59.34 +/- 11.65 years) were reassessed after one year using ultrasound of carotid arteries to detect atheromatous plaques and to measure cIMT and cCD. After one year, all the indices of subclinical atherosclerosis worsened with respect to baseline (Delta-cIMT = 0.030 +/- 0.10 mm, p = 0.005; Delta-cCD = -1.64 +/- 4.83, 10-3/KPa, p = 0.005; Delta-plaques = 8.6%, p = 0.035). Traditional CV risk factors (age, mean arterial pressure, and diabetes) and corticosteroid therapy were independently associated with the worsening of subclinical atherosclerosis. Interestingly, when considering RA patients divided according to the degree of disease activity score 28 with C-reactive protein (DAS28 [CRP] >= 2.6), the worsening of subclinical atherosclerosis indices was detectable exclusively in the group of patients with active disease. Our longitudinal study supports the hypothesis of a key role of both traditional CV risk factors and the inflammatory activity of arthritic disease in the progression of subclinical atherosclerosis in RA patients. In addition, corticosteroids might have a deleterious effect.

Product ID:

117834

Handle IRIS:

11562/1030328

Last Modified:

November 15, 2022

Bibliographic citation:

Dalbeni, Andrea; Giollo, Alessandro; Bevilacqua, Michele; Cioffi, Giovanni; Tagetti, Angela; Cattazzo, Filippo; Orsolini, Giovanni; Ognibeni, Federica; Minuz, Pietro; Rossini, Maurizio; Fava, Cristiano; Viapiana, Ombretta, Traditional cardiovascular risk factors and residual disease activity are associated with atherosclerosis progression in rheumatoid arthritis patients «HYPERTENSION RESEARCH» , vol. 43 , n. 9 , 2020 , pp. 922-928

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