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Gender Differences in Cardiovascular Risk Profile in Rheumatoid Arthritis Patients with Low Disease Activity

OBJECTIVE: Patients with rheumatoid arthritis (RA) have an excess risk of cardiovascular (CV) disease (CVD). The objective of the study was to compare CV risk profile in female and male RA patients with low disease activity. MATERIALS AND METHODS: The study group consisted of 70 RA patients with con...

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Autores principales: Targońska-Stępniak, Bożena, Biskup, Małgorzata, Biskup, Wojciech, Majdan, Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458929/
https://www.ncbi.nlm.nih.gov/pubmed/31032342
http://dx.doi.org/10.1155/2019/3265847
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author Targońska-Stępniak, Bożena
Biskup, Małgorzata
Biskup, Wojciech
Majdan, Maria
author_facet Targońska-Stępniak, Bożena
Biskup, Małgorzata
Biskup, Wojciech
Majdan, Maria
author_sort Targońska-Stępniak, Bożena
collection PubMed
description OBJECTIVE: Patients with rheumatoid arthritis (RA) have an excess risk of cardiovascular (CV) disease (CVD). The objective of the study was to compare CV risk profile in female and male RA patients with low disease activity. MATERIALS AND METHODS: The study group consisted of 70 RA patients with continuous low disease activity and no CVD (54 women, 16 men) and 33 healthy controls of comparable age. The groups were assessed for blood pressure, serum amino-terminal pro-brain natriuretic peptide (NT-proBNP), carotid intima media thickness (cIMT), electrocardiography, ejection fraction (EF), and diastolic dysfunction (DD). RESULTS: Significantly higher burden of atherosclerosis, as revealed by higher cIMT, was found in males [0.93 (0.2) mm] vs females [0.80 (0.2) mm]. The risk of 10-year CVD was significantly higher in men than in women with RA. High/very high risk of fatal CVD was found in 62.5% of male patients. Males were significantly more often current/ex-smokers and had lower HDL-cholesterol and higher atherogenic index. There were no significant differences in NT-proBNP, QTc duration, and parameters of EF and DD. CONCLUSIONS: In RA patients with continued low disease activity, a higher burden of atherosclerosis was found in males than in females. The data suggest a significant impact of traditional CV risk factors.
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spelling pubmed-64589292019-04-28 Gender Differences in Cardiovascular Risk Profile in Rheumatoid Arthritis Patients with Low Disease Activity Targońska-Stępniak, Bożena Biskup, Małgorzata Biskup, Wojciech Majdan, Maria Biomed Res Int Research Article OBJECTIVE: Patients with rheumatoid arthritis (RA) have an excess risk of cardiovascular (CV) disease (CVD). The objective of the study was to compare CV risk profile in female and male RA patients with low disease activity. MATERIALS AND METHODS: The study group consisted of 70 RA patients with continuous low disease activity and no CVD (54 women, 16 men) and 33 healthy controls of comparable age. The groups were assessed for blood pressure, serum amino-terminal pro-brain natriuretic peptide (NT-proBNP), carotid intima media thickness (cIMT), electrocardiography, ejection fraction (EF), and diastolic dysfunction (DD). RESULTS: Significantly higher burden of atherosclerosis, as revealed by higher cIMT, was found in males [0.93 (0.2) mm] vs females [0.80 (0.2) mm]. The risk of 10-year CVD was significantly higher in men than in women with RA. High/very high risk of fatal CVD was found in 62.5% of male patients. Males were significantly more often current/ex-smokers and had lower HDL-cholesterol and higher atherogenic index. There were no significant differences in NT-proBNP, QTc duration, and parameters of EF and DD. CONCLUSIONS: In RA patients with continued low disease activity, a higher burden of atherosclerosis was found in males than in females. The data suggest a significant impact of traditional CV risk factors. Hindawi 2019-03-28 /pmc/articles/PMC6458929/ /pubmed/31032342 http://dx.doi.org/10.1155/2019/3265847 Text en Copyright © 2019 Bożena Targońska-Stępniak et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Targońska-Stępniak, Bożena
Biskup, Małgorzata
Biskup, Wojciech
Majdan, Maria
Gender Differences in Cardiovascular Risk Profile in Rheumatoid Arthritis Patients with Low Disease Activity
title Gender Differences in Cardiovascular Risk Profile in Rheumatoid Arthritis Patients with Low Disease Activity
title_full Gender Differences in Cardiovascular Risk Profile in Rheumatoid Arthritis Patients with Low Disease Activity
title_fullStr Gender Differences in Cardiovascular Risk Profile in Rheumatoid Arthritis Patients with Low Disease Activity
title_full_unstemmed Gender Differences in Cardiovascular Risk Profile in Rheumatoid Arthritis Patients with Low Disease Activity
title_short Gender Differences in Cardiovascular Risk Profile in Rheumatoid Arthritis Patients with Low Disease Activity
title_sort gender differences in cardiovascular risk profile in rheumatoid arthritis patients with low disease activity
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458929/
https://www.ncbi.nlm.nih.gov/pubmed/31032342
http://dx.doi.org/10.1155/2019/3265847
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