Palmer Deborah, El Miedany Yasser
Advanced Nurse Practitioner, North Middlesex University Hospital, London.
Br J Community Nurs. 2013 Sep;18(9):424-8. doi: 10.12968/bjcn.2013.18.9.424.
There exists significant evidence of increased risk of cardiovascular (CV) disease in rheumatoid arthritis (RA) patients in comparison with the general population. This finding has been supported by a number of guidelines recommending screening for CV disease risk in patients with the disease. However, the opportunity to identify and manage those patients at risk has been missed in both primary and secondary care. The success of CV risk management in diabetes patients provides a clear incentive to identify and actively manage CV risk in all RA patients as part of routine practice. This article provides an approach that shows how to assess for CV risk in standard clinical practice.
与普通人群相比，有大量证据表明类风湿关节炎（RA）患者患心血管（CV）疾病的风险增加。这一发现得到了多项指南的支持，这些指南建议对患有该疾病的患者进行心血管疾病风险筛查。然而，在初级和二级护理中，识别和管理这些有风险的患者的机会都被错过了。糖尿病患者心血管风险管理的成功为在所有类风湿关节炎患者中识别和积极管理心血管风险提供了明确的激励，这应成为常规诊疗的一部分。本文提供了一种方法，展示了如何在标准临床实践中评估心血管风险。
