Relationship between corticotherapy and increased cardiac risk in patients with rheumatoid arthritis

Rheumatoid arthritis is an autoimmune inflammatory joint disease with global prevalence of 0.4% to 1.0%. Extra-articular manifestations increase its morbidity and severity, and cardiovascular diseases present the greatest risk. Therapeutic approaches have been used to treat rheumatoid arthritis, oft...

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Detalles Bibliográficos
Autores: Gueiber Montes, Elisangela, Postiglione Mansani, Fabiana, Derbli Schafranski, Marcelo, de Oliveira Toledo Júnior, Alceu, de Freitas Calixto, Lorena, Lopes da Costa, Rômulo, Luiz Staichak, Rodrigo, Marques Pinto, Francine, de Lara Berso, Juliane, Guimarães, Nicole, Noris Bernardes de Souza, Marcos, Queiroz Zardo, Bruno, Rebuglio Vellosa, José Carlos
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:Brasil
Institución:Universidade de São Paulo (USP)
Repositorio:Brazilian Journal of Pharmaceutical Sciences
Idioma:inglés
OAI Identifier:oai:revistas.usp.br:article/204122
Acceso en línea:https://www.revistas.usp.br/bjps/article/view/204122
Access Level:acceso abierto
Palabra clave:Cardiovascular risk. Glucocorticoids. Rheumatoid arthritis.
Descripción
Sumario:Rheumatoid arthritis is an autoimmune inflammatory joint disease with global prevalence of 0.4% to 1.0%. Extra-articular manifestations increase its morbidity and severity, and cardiovascular diseases present the greatest risk. Therapeutic approaches have been used to treat rheumatoid arthritis, often involving the use of multiple classes of drugs with different mechanisms and forms of action. Corticosteroid therapy is widely used in this therapeutic combination; however, its use has been widely questioned because of its high toxicity and some negative effects, including the possibility of increased cardiovascular risk, depending on the dosage. Some studies have provided important insights into how glucocorticoids have an impact on cardiac complications in patients with rheumatoid arthritis. Most of these studies have concluded that exposure to these drugs at high or cumulative doses is associated with increased risk of death, as well as possibly being associated with the presence of a positive rheumatoid factor.

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