Assessment of Cardiovascular Risk in a Patient with Rheumatoid Arthritis
Keywords:rheumatoid arthritis, cardiovascular risk, mSCORE scale
Purpose: to study cardiovascular risk on the mSCORE scale in patients with rheumatoid arthritis (RA).
Methods: We examined 140 RA patients aged 35 to 60 years. The diagnosis of rheumatoid arthritis was
made on the basis of the ACR (1987) and ACR / EULAR (2010) criteria. The mSCOREscale (SCORE /
EULAR) was used for early detection and prediction of cardiovascular risk.
Results: In patients with RA, hereditary risk factors (RF) for cardiovascular diseases were detected
in 31.4%, abdominal obesity in 35%, arterial hypertension (AH) in 63.6%, hypercholesterolemia
hypercholesterolemiain 25.7%, and hypodynamia in 37.9% of patients. Smoking accounted for 10.8% of
patients in the study, as the majority (82%) of the surveyed were women. At the same time, AH was observed
1.5 times, hypercholesterolemia 2.1 times more often in men than in women. According to the results of the
study on the mSCORE scale, 52 (37.1%) had low risk, 64 (45, 7%), a high risk was in 14 (10%), and a very
high risk was in 10 (7.2%) patients.
Conclusion: In RA patients, the use of the mSCORE scale enables early diagnosis of cardiovascular risk
and timely correction of risk factors.
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