Prévenir les complications cardiovasculaires dans les rhumatismes inflammatoires chroniques

Adeline Ruyssen-Witrand
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Abstract

Cardiovascular disease is the main comorbidity of chronic inflammatory rheumatisms. This increase in prevalence is directly related to systemic inflammation, which increases athematosis processes, but also to the high prevalence of cardiovascular risk factors associated with chronic inflammatory rheumatisms. The rheumatologist has a central role in the management of patients with chronic inflammatory rheumatism and has to know how to assess the cardiovascular risk, to choose the most adapted disease modifying anti-rheumatic drug, to limit the use of long-term NSAIDs and to initiate corticosteroid withdrawal. He should be able to give lifestyle advices, adapted to the level of risk and the capacities of the patients and refer to the specialist high cardiovascular risk patients.

预防慢性炎症性风湿病的心血管并发症
心血管疾病是慢性炎症性风湿病的主要合并症。这种患病率的增加与全身炎症直接相关,这增加了血肿的进程,但也与慢性炎症性风湿病相关的心血管危险因素的高患病率有关。风湿病学家在慢性炎症性风湿病患者的管理中起着核心作用,必须知道如何评估心血管风险,选择最适合疾病的抗风湿药,限制长期使用非甾体抗炎药,并开始停用皮质类固醇。他应该能够给生活方式的建议,适应风险水平和病人的能力,并参考专科心血管高危患者。
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