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Inicio Medicina Clínica (English Edition) Assessment of an intervention on cardiovascular risk factors in patients with rh...
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Vol. 147. Issue 3.
Pages 109-112 (August 2016)
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Vol. 147. Issue 3.
Pages 109-112 (August 2016)
Brief report
DOI: 10.1016/j.medcle.2016.09.015
Assessment of an intervention on cardiovascular risk factors in patients with rheumatoid arthritis
Evaluación de una intervención sobre los factores de riesgo cardiovascular en pacientes con artritis reumatoide
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Andrea Zacarías, Javier Narváez, Jesús Rodríguez Moreno, Montserrat Jordana, Joan M. Nolla, Carmen Gómez Vaquero
Corresponding author
Servicio de Reumatología, Institut d’Investigació Biomèdica de Bellvitge (IDIBELL)-Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain
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Table 1. Demographic characteristics of patients and parameters related to rheumatoid arthritis, its activity and its treatment.
Table 2. Parameters related to cardiovascular risk in the population of patients with rheumatoid arthritis included in the study.
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Abstract
Objectives

To evaluate the effectiveness of an intervention on cardiovascular risk factors (CVRF) in patients with rheumatoid arthritis.

Methods

After determining their CVRF and cardiovascular risk (CVR) by modified SCORE, we gave the patients a letter for their general practitioners in which they were requested for their cooperation in controlling CVRF and where the therapeutic goal for LDL cholesterol was specified. Three months later, any therapeutic intervention was recorded as well as the results.

Results

We included 211 patients, 29% with a high CVR. There were new diagnoses of CVRF in 100 patients (47%). The general practitioner changed the treatment in 2/12 diabetes, 30/84 HBP, 74/167 with elevation of LDL cholesterol and 21/51 with hypertriglyceridemia. The percentage of patients with good control over CVRF was: (a) in HBP, 25–73%; (b) elevation of LDL cholesterol from 10 to 17%; and (c) in hypertriglyceridemia, 25–38%.

Conclusions

Through this intervention, a new CVRF was diagnosed in nearly half of the patients. The effectiveness of the intervention on CVRF was low.

Keywords:
Cardiovascular risk
Rheumatoid arthritis
SCORE
General practitioner
Letter
Resumen
Objetivos

Evaluar la efectividad de una intervención sobre los factores de riesgo cardiovascular (FRCV) en pacientes con artritis reumatoide.

Métodos

Tras determinar sus FRCV y su riesgo cardiovascular (RCV) mediante SCORE modificado, se entregó a los pacientes una carta dirigida a su médico de familia, en la que se solicitaba su colaboración en el control de los FRCV y se especificaba el objetivo respecto al colesterol LDL. Tres meses después se registraron las intervenciones terapéuticas realizadas y su resultado.

Resultados

Se incluyeron 211 pacientes, el 29% con un alto RCV. Se realizaron nuevos diagnósticos de FRCV en 100 (47%) casos. El médico de familia cambió el tratamiento en 2/12 diabetes, 30/84 HTA, 74/167 con elevación del colesterol LDL y 21/51 hipertrigliceridemias. El porcentaje de pacientes con buen control de cada FRCV pasó: a) en HTA, del 25 al 73%; b) en elevación del colesterol LDL, del 10 al 17%; y c) en hipertrigliceridemia, del 25 al 38%.

Conclusiones

Mediante esta intervención se diagnosticaron nuevos FRCV en casi la mitad de los pacientes. Su efectividad sobre el control de los FRCV fue baja.

Palabras clave:
Riesgo cardiovascular
Artritis reumatoide
SCORE
Médico de familia
Carta

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