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Erschienen in: Clinical Reviews in Allergy & Immunology 1/2020

26.09.2018

Atherosclerosis in Rheumatoid Arthritis: Promoters and Opponents

verfasst von: Federico Carbone, Aldo Bonaventura, Luca Liberale, Sabrina Paolino, Francesco Torre, Franco Dallegri, Fabrizio Montecucco, Maurizio Cutolo

Erschienen in: Clinical Reviews in Allergy & Immunology | Ausgabe 1/2020

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Abstract

Substantial epidemiological data identified cardiovascular (CV) diseases as a main cause of mortality in patients with rheumatoid arthritis (RA). In light of this, RA patients may benefit from additional CV risk screening and more intensive prevention strategies. Nevertheless, current algorithms for CV risk stratification still remain tailored on general population and are burdened by a significant underestimation of CV risk in RA patients. Acute CV events in patients with RA are largely related to an accelerated atherosclerosis. As pathophysiological features of atherosclerosis overlap those occurring in the inflamed RA synovium, the understanding of those common pathways represents an urgent need and a leading challenge for CV prevention in patients with RA. Genetic background, metabolic status, gut microbiome, and systemic inflammation have been also suggested as additional key pro-atherosclerotic factors. The aim of this narrative review is to update the current knowledge about pathophysiology of atherogenesis in RA patients and potential anti-atherosclerotic effects of disease-modifying anti-rheumatic drugs.
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Metadaten
Titel
Atherosclerosis in Rheumatoid Arthritis: Promoters and Opponents
verfasst von
Federico Carbone
Aldo Bonaventura
Luca Liberale
Sabrina Paolino
Francesco Torre
Franco Dallegri
Fabrizio Montecucco
Maurizio Cutolo
Publikationsdatum
26.09.2018
Verlag
Springer US
Erschienen in
Clinical Reviews in Allergy & Immunology / Ausgabe 1/2020
Print ISSN: 1080-0549
Elektronische ISSN: 1559-0267
DOI
https://doi.org/10.1007/s12016-018-8714-z

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