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当前临床实践中的心血管疾病风险评分:类风湿关节炎该使用哪一种?

Cardiovascular disease risk scores in the current practice: which to use in rheumatoid arthritis?

作者信息

Purcarea A, Sovaila S, Gheorghe A, Udrea G, Stoica V

机构信息

Strasbourg Medical University; Internal Medicine Department, Civil Hospital, Strasbourg, France.

Internal Medicine Department, Civil Hospital, Strasbourg, France.

出版信息

J Med Life. 2014 Oct-Dec;7(4):461-7.

Abstract

Cardiovascular disease (CVD) is the highest prevalence disease in the general population (GP) and it accounts for 20 million deaths worldwide each year. Its prevalence is even higher in rheumatoid arthritis. Early detection of subclinical disease is critical and the use of cardiovascular risk prediction models and calculators is widely spread. The impact of such techniques in the GP was previously studied. Despite their common background and similarities, some disagreement exists between most scores and their importance in special high-risk populations like rheumatoid arthritis (RA), having a low level of evidence. The current article aims to single out those predictive models (models) that could be most useful in the care of rheumatoid arthritis patients.

摘要

心血管疾病(CVD)是普通人群中患病率最高的疾病,每年在全球导致2000万人死亡。其在类风湿关节炎患者中的患病率更高。亚临床疾病的早期检测至关重要,心血管风险预测模型和计算器的使用已广泛普及。此前已对这类技术在普通人群中的影响进行了研究。尽管这些模型有共同的背景和相似之处,但大多数评分之间仍存在分歧,且在类风湿关节炎(RA)等特殊高危人群中的重要性证据水平较低。本文旨在挑选出那些对类风湿关节炎患者护理可能最有用的预测模型。

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