Disease activity and hyperuricemia predict the development of cardiovascular events in patients with Psoriatic Arthritis: results of the 10-year prospective evaluation in the CARMA cohort

Objective: To identify predictors of cardiovascular (CV) events in psoriatic arthritis (PsA) patients from the CARdiovascular in RheuMAtology (CARMA) project during 10 years of prospective follow-up. Methods: Between July 2010 and January 2012, 725 PsA patients were enrolled from 67 Spanish hospital...

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Autores: Llorca, Javier, Ferraz-Amaro, Iván, Moreno-Martínez, María José, Plaza, Zulema, Sánchez-Alonso, Fernando, Moreno-Ramos, Manuel José, García-Gómez, Carmen, Castañeda, Santos, González-Juanatey, Carlos, González-Gay, Miguel Ángel, Sueiro, José L Fernández, Pinto-Tasende, José A., de Rábago, Eugenia González, Fernández, María J.González, Codina, Ramón Huguet, Yoldi, Beatriz, Ramentol, Mercedes, Marsal, Sara, Ávila, Gabriela, Alegre, Cayetano, Steiner, Martina, Cobo, Tatiana, Muñoz, Santiago, Gamero, Fernando, Torón, José García, Gil, María P.Moreno, Mas, Antonio J., Espiño, Pilar, Ros, Inmaculada, Ibáñez-Barceló, Mónica, Tornero, Jesús, Piqueras, José A., Sanmartí, Raimon, Berman, Horacio, Patón, Oscar Fontseré, Gutiérrez, Benjamín Fernández, Abasolo, Lydia, Salvador, José M.Pina, Fábregas, María D., Romera, Montserrat, Nolla, Joan M., Uriarte-Ecenarro, Miren, Arias, Miriam García, Vadillo, Jesús A.García, de Vicuña, Rosario García, Carmona, Eugenio Chamizo, Nebro, Antonio Fernández., Ureña, Inmaculada, Belmonte, María A., Irigoyen, María V., González, Olga Martínez, Gómez, Rebeca Belmonte, Bautista, Pastora Granados, Sanz, Azucena Hernández, Rey, José Santos, González, Carmen O.Sánchez, Bachiller, Javier, Zea, Antonio, Manero, Francisco J., Audera, Chesús Beltrán, Medrano, Marta, Pecondón, Ángela, Erausquin, Celia, Ojeda, Soledad, Rodríguez-Lozano, Carlos, BabíoHerraiz, Jesús, Longo, Francisco J.López, Monteagudo, Indalecio, del Pino, Javier, González, Ruth López, Corrales, Alfonso, Senabre, José M., Rosas, José C., Rotés, Isabel, Moreno, Estefanía, Erra, Alba, Calvo, Javier, Rueda, Amalia, Möller, Ingrid, Rodríguez, Isabel, Barbadillo, Carmen, Raya, Enrique, Morales, Pilar, Nieto, Ana, Escribano, Ana Ruibal, Gómez, Carmen García, Expósito, Sergio Ros, Nievas, Ginés Sánchez, Navarro, Enrique Júdez, Fernández, Manuela Sianes, Pardo, Silvia Martínez, Pujol, Manel, GónzálezAlvarez, Beatriz, Cantabrana, Alberto, Bustabad, Sagrario, Delgado, Esmeralda, Muñoz, Alejandro, Montero, Sergio Rodríguez, Redondo, Javier Rivera, Hernández, Teresa González, Polo, Francisco J.González., Almagro, Raúl Menor, Moreno, José M., Serret, Emilio Giner, Méndez, Laura Cebrián, Navío, María Teresa, Peñalva, Teresa Pedraz, Carballido, Cristina Fernández, Pagán, Encarnación, del Castillo, Pablo Mesa, Naredo, Esperanza, Cruz, Ana, Turrión, Ana, Gómez, Ana Pérez, Sánchez, Julio, Galindo, María, Collantes, Eduardo, Ruíz, Desireé, Font, Pilar, Bonilla, Gema, Meseguer, Antonio López, Moreno, Manuel J., Linares, Luis F., Morcillo, Mercedes, Gómez, María L.González, Aramburu, José M., Rivera, Natalia A., Berrizbeitia, Olaia Fernández., Park, HyeSang, Riera, Manel, León, Yolanda María, Pérez-García, Carolina, Maymó, Joan, Amirall, Miriam, Fiter, Jordi, Melón, Julia Fernández, Espadaler, Luis, Belzunegui, Joaquín, Bañegil, Inmaculada, Díaz, César, Valls, Ramón, Castellví, Iván, Bonet, María, Alen, Jaime Calvo, Sandoval, Trinidad Pérez, Evrard, Eva Revuelta, Godo, Javier R., Fernández, José Antonio González, Miranda-Filloy, José A.
Tipo de recurso: artículo
Fecha de publicación:2026
País:España
Institución:Conselleria de Salut i Consum del Govern de les Illes Balears
Repositorio:Docusalut
Idioma:inglés
OAI Identifier:oai:docusalut.com:20.500.13003/26596
Acceso en línea:https://hdl.handle.net/20.500.13003/26596
Access Level:acceso abierto
Palabra clave:Cardiovascular risk
DAS28-ESR
Disease activity
PREVENT
Psoriatic arthritis
Urate
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repository_id_str
dc.title.none.fl_str_mv Disease activity and hyperuricemia predict the development of cardiovascular events in patients with Psoriatic Arthritis: results of the 10-year prospective evaluation in the CARMA cohort
title Disease activity and hyperuricemia predict the development of cardiovascular events in patients with Psoriatic Arthritis: results of the 10-year prospective evaluation in the CARMA cohort
spellingShingle Disease activity and hyperuricemia predict the development of cardiovascular events in patients with Psoriatic Arthritis: results of the 10-year prospective evaluation in the CARMA cohort
Llorca, Javier
Cardiovascular risk
DAS28-ESR
Disease activity
PREVENT
Psoriatic arthritis
Urate
title_short Disease activity and hyperuricemia predict the development of cardiovascular events in patients with Psoriatic Arthritis: results of the 10-year prospective evaluation in the CARMA cohort
title_full Disease activity and hyperuricemia predict the development of cardiovascular events in patients with Psoriatic Arthritis: results of the 10-year prospective evaluation in the CARMA cohort
title_fullStr Disease activity and hyperuricemia predict the development of cardiovascular events in patients with Psoriatic Arthritis: results of the 10-year prospective evaluation in the CARMA cohort
title_full_unstemmed Disease activity and hyperuricemia predict the development of cardiovascular events in patients with Psoriatic Arthritis: results of the 10-year prospective evaluation in the CARMA cohort
title_sort Disease activity and hyperuricemia predict the development of cardiovascular events in patients with Psoriatic Arthritis: results of the 10-year prospective evaluation in the CARMA cohort
dc.creator.none.fl_str_mv Llorca, Javier
Ferraz-Amaro, Iván
Moreno-Martínez, María José
Plaza, Zulema
Sánchez-Alonso, Fernando
Moreno-Ramos, Manuel José
García-Gómez, Carmen
Castañeda, Santos
González-Juanatey, Carlos
González-Gay, Miguel Ángel
Sueiro, José L Fernández
Pinto-Tasende, José A.
de Rábago, Eugenia González
Fernández, María J.González
Codina, Ramón Huguet
Yoldi, Beatriz
Ramentol, Mercedes
Marsal, Sara
Ávila, Gabriela
Alegre, Cayetano
Steiner, Martina
Cobo, Tatiana
Muñoz, Santiago
Gamero, Fernando
Torón, José García
Gil, María P.Moreno
Mas, Antonio J.
Espiño, Pilar
Ros, Inmaculada
Ibáñez-Barceló, Mónica
Tornero, Jesús
Piqueras, José A.
Sanmartí, Raimon
Berman, Horacio
Patón, Oscar Fontseré
Gutiérrez, Benjamín Fernández
Abasolo, Lydia
Salvador, José M.Pina
Fábregas, María D.
Romera, Montserrat
Nolla, Joan M.
Uriarte-Ecenarro, Miren
Arias, Miriam García
Vadillo, Jesús A.García
de Vicuña, Rosario García
Carmona, Eugenio Chamizo
Nebro, Antonio Fernández.
Ureña, Inmaculada
Belmonte, María A.
Irigoyen, María V.
González, Olga Martínez
Gómez, Rebeca Belmonte
Bautista, Pastora Granados
Sanz, Azucena Hernández
Rey, José Santos
González, Carmen O.Sánchez
Bachiller, Javier
Zea, Antonio
Manero, Francisco J.
Audera, Chesús Beltrán
Medrano, Marta
Pecondón, Ángela
Erausquin, Celia
Ojeda, Soledad
Rodríguez-Lozano, Carlos
BabíoHerraiz, Jesús
Longo, Francisco J.López
Monteagudo, Indalecio
del Pino, Javier
González, Ruth López
Corrales, Alfonso
Senabre, José M.
Rosas, José C.
Rotés, Isabel
Moreno, Estefanía
Erra, Alba
Calvo, Javier
Rueda, Amalia
Möller, Ingrid
Rodríguez, Isabel
Barbadillo, Carmen
Raya, Enrique
Morales, Pilar
Nieto, Ana
Escribano, Ana Ruibal
Gómez, Carmen García
Expósito, Sergio Ros
Nievas, Ginés Sánchez
Navarro, Enrique Júdez
Fernández, Manuela Sianes
Pardo, Silvia Martínez
Pujol, Manel
GónzálezAlvarez, Beatriz
Cantabrana, Alberto
Bustabad, Sagrario
Delgado, Esmeralda
Muñoz, Alejandro
Montero, Sergio Rodríguez
Redondo, Javier Rivera
Hernández, Teresa González
Polo, Francisco J.González.
Almagro, Raúl Menor
Moreno, José M.
Serret, Emilio Giner
Méndez, Laura Cebrián
Navío, María Teresa
Peñalva, Teresa Pedraz
Carballido, Cristina Fernández
Pagán, Encarnación
del Castillo, Pablo Mesa
Naredo, Esperanza
Cruz, Ana
Turrión, Ana
Gómez, Ana Pérez
Sánchez, Julio
Galindo, María
Collantes, Eduardo
Ruíz, Desireé
Font, Pilar
Bonilla, Gema
Meseguer, Antonio López
Moreno, Manuel J.
Linares, Luis F.
Morcillo, Mercedes
Gómez, María L.González
Aramburu, José M.
Rivera, Natalia A.
Berrizbeitia, Olaia Fernández.
Park, HyeSang
Riera, Manel
León, Yolanda María
Pérez-García, Carolina
Maymó, Joan
Amirall, Miriam
Fiter, Jordi
Melón, Julia Fernández
Espadaler, Luis
Belzunegui, Joaquín
Bañegil, Inmaculada
Díaz, César
Valls, Ramón
Castellví, Iván
Bonet, María
Alen, Jaime Calvo
Sandoval, Trinidad Pérez
Evrard, Eva Revuelta
Godo, Javier R.
Fernández, José Antonio González
Miranda-Filloy, José A.
author Llorca, Javier
author_facet Llorca, Javier
Ferraz-Amaro, Iván
Moreno-Martínez, María José
Plaza, Zulema
Sánchez-Alonso, Fernando
Moreno-Ramos, Manuel José
García-Gómez, Carmen
Castañeda, Santos
González-Juanatey, Carlos
González-Gay, Miguel Ángel
Sueiro, José L Fernández
Pinto-Tasende, José A.
de Rábago, Eugenia González
Fernández, María J.González
Codina, Ramón Huguet
Yoldi, Beatriz
Ramentol, Mercedes
Marsal, Sara
Ávila, Gabriela
Alegre, Cayetano
Steiner, Martina
Cobo, Tatiana
Muñoz, Santiago
Gamero, Fernando
Torón, José García
Gil, María P.Moreno
Mas, Antonio J.
Espiño, Pilar
Ros, Inmaculada
Ibáñez-Barceló, Mónica
Tornero, Jesús
Piqueras, José A.
Sanmartí, Raimon
Berman, Horacio
Patón, Oscar Fontseré
Gutiérrez, Benjamín Fernández
Abasolo, Lydia
Salvador, José M.Pina
Fábregas, María D.
Romera, Montserrat
Nolla, Joan M.
Uriarte-Ecenarro, Miren
Arias, Miriam García
Vadillo, Jesús A.García
de Vicuña, Rosario García
Carmona, Eugenio Chamizo
Nebro, Antonio Fernández.
Ureña, Inmaculada
Belmonte, María A.
Irigoyen, María V.
González, Olga Martínez
Gómez, Rebeca Belmonte
Bautista, Pastora Granados
Sanz, Azucena Hernández
Rey, José Santos
González, Carmen O.Sánchez
Bachiller, Javier
Zea, Antonio
Manero, Francisco J.
Audera, Chesús Beltrán
Medrano, Marta
Pecondón, Ángela
Erausquin, Celia
Ojeda, Soledad
Rodríguez-Lozano, Carlos
BabíoHerraiz, Jesús
Longo, Francisco J.López
Monteagudo, Indalecio
del Pino, Javier
González, Ruth López
Corrales, Alfonso
Senabre, José M.
Rosas, José C.
Rotés, Isabel
Moreno, Estefanía
Erra, Alba
Calvo, Javier
Rueda, Amalia
Möller, Ingrid
Rodríguez, Isabel
Barbadillo, Carmen
Raya, Enrique
Morales, Pilar
Nieto, Ana
Escribano, Ana Ruibal
Gómez, Carmen García
Expósito, Sergio Ros
Nievas, Ginés Sánchez
Navarro, Enrique Júdez
Fernández, Manuela Sianes
Pardo, Silvia Martínez
Pujol, Manel
GónzálezAlvarez, Beatriz
Cantabrana, Alberto
Bustabad, Sagrario
Delgado, Esmeralda
Muñoz, Alejandro
Montero, Sergio Rodríguez
Redondo, Javier Rivera
Hernández, Teresa González
Polo, Francisco J.González.
Almagro, Raúl Menor
Moreno, José M.
Serret, Emilio Giner
Méndez, Laura Cebrián
Navío, María Teresa
Peñalva, Teresa Pedraz
Carballido, Cristina Fernández
Pagán, Encarnación
del Castillo, Pablo Mesa
Naredo, Esperanza
Cruz, Ana
Turrión, Ana
Gómez, Ana Pérez
Sánchez, Julio
Galindo, María
Collantes, Eduardo
Ruíz, Desireé
Font, Pilar
Bonilla, Gema
Meseguer, Antonio López
Moreno, Manuel J.
Linares, Luis F.
Morcillo, Mercedes
Gómez, María L.González
Aramburu, José M.
Rivera, Natalia A.
Berrizbeitia, Olaia Fernández.
Park, HyeSang
Riera, Manel
León, Yolanda María
Pérez-García, Carolina
Maymó, Joan
Amirall, Miriam
Fiter, Jordi
Melón, Julia Fernández
Espadaler, Luis
Belzunegui, Joaquín
Bañegil, Inmaculada
Díaz, César
Valls, Ramón
Castellví, Iván
Bonet, María
Alen, Jaime Calvo
Sandoval, Trinidad Pérez
Evrard, Eva Revuelta
Godo, Javier R.
Fernández, José Antonio González
Miranda-Filloy, José A.
author_role author
author2 Ferraz-Amaro, Iván
Moreno-Martínez, María José
Plaza, Zulema
Sánchez-Alonso, Fernando
Moreno-Ramos, Manuel José
García-Gómez, Carmen
Castañeda, Santos
González-Juanatey, Carlos
González-Gay, Miguel Ángel
Sueiro, José L Fernández
Pinto-Tasende, José A.
de Rábago, Eugenia González
Fernández, María J.González
Codina, Ramón Huguet
Yoldi, Beatriz
Ramentol, Mercedes
Marsal, Sara
Ávila, Gabriela
Alegre, Cayetano
Steiner, Martina
Cobo, Tatiana
Muñoz, Santiago
Gamero, Fernando
Torón, José García
Gil, María P.Moreno
Mas, Antonio J.
Espiño, Pilar
Ros, Inmaculada
Ibáñez-Barceló, Mónica
Tornero, Jesús
Piqueras, José A.
Sanmartí, Raimon
Berman, Horacio
Patón, Oscar Fontseré
Gutiérrez, Benjamín Fernández
Abasolo, Lydia
Salvador, José M.Pina
Fábregas, María D.
Romera, Montserrat
Nolla, Joan M.
Uriarte-Ecenarro, Miren
Arias, Miriam García
Vadillo, Jesús A.García
de Vicuña, Rosario García
Carmona, Eugenio Chamizo
Nebro, Antonio Fernández.
Ureña, Inmaculada
Belmonte, María A.
Irigoyen, María V.
González, Olga Martínez
Gómez, Rebeca Belmonte
Bautista, Pastora Granados
Sanz, Azucena Hernández
Rey, José Santos
González, Carmen O.Sánchez
Bachiller, Javier
Zea, Antonio
Manero, Francisco J.
Audera, Chesús Beltrán
Medrano, Marta
Pecondón, Ángela
Erausquin, Celia
Ojeda, Soledad
Rodríguez-Lozano, Carlos
BabíoHerraiz, Jesús
Longo, Francisco J.López
Monteagudo, Indalecio
del Pino, Javier
González, Ruth López
Corrales, Alfonso
Senabre, José M.
Rosas, José C.
Rotés, Isabel
Moreno, Estefanía
Erra, Alba
Calvo, Javier
Rueda, Amalia
Möller, Ingrid
Rodríguez, Isabel
Barbadillo, Carmen
Raya, Enrique
Morales, Pilar
Nieto, Ana
Escribano, Ana Ruibal
Gómez, Carmen García
Expósito, Sergio Ros
Nievas, Ginés Sánchez
Navarro, Enrique Júdez
Fernández, Manuela Sianes
Pardo, Silvia Martínez
Pujol, Manel
GónzálezAlvarez, Beatriz
Cantabrana, Alberto
Bustabad, Sagrario
Delgado, Esmeralda
Muñoz, Alejandro
Montero, Sergio Rodríguez
Redondo, Javier Rivera
Hernández, Teresa González
Polo, Francisco J.González.
Almagro, Raúl Menor
Moreno, José M.
Serret, Emilio Giner
Méndez, Laura Cebrián
Navío, María Teresa
Peñalva, Teresa Pedraz
Carballido, Cristina Fernández
Pagán, Encarnación
del Castillo, Pablo Mesa
Naredo, Esperanza
Cruz, Ana
Turrión, Ana
Gómez, Ana Pérez
Sánchez, Julio
Galindo, María
Collantes, Eduardo
Ruíz, Desireé
Font, Pilar
Bonilla, Gema
Meseguer, Antonio López
Moreno, Manuel J.
Linares, Luis F.
Morcillo, Mercedes
Gómez, María L.González
Aramburu, José M.
Rivera, Natalia A.
Berrizbeitia, Olaia Fernández.
Park, HyeSang
Riera, Manel
León, Yolanda María
Pérez-García, Carolina
Maymó, Joan
Amirall, Miriam
Fiter, Jordi
Melón, Julia Fernández
Espadaler, Luis
Belzunegui, Joaquín
Bañegil, Inmaculada
Díaz, César
Valls, Ramón
Castellví, Iván
Bonet, María
Alen, Jaime Calvo
Sandoval, Trinidad Pérez
Evrard, Eva Revuelta
Godo, Javier R.
Fernández, José Antonio González
Miranda-Filloy, José A.
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dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Cardiovascular risk
DAS28-ESR
Disease activity
PREVENT
Psoriatic arthritis
Urate
topic Cardiovascular risk
DAS28-ESR
Disease activity
PREVENT
Psoriatic arthritis
Urate
description Objective: To identify predictors of cardiovascular (CV) events in psoriatic arthritis (PsA) patients from the CARdiovascular in RheuMAtology (CARMA) project during 10 years of prospective follow-up. Methods: Between July 2010 and January 2012, 725 PsA patients were enrolled from 67 Spanish hospitals. Analyses focused on 682 patients without prior CV events at baseline. At 10-year follow-up, CV event occurrence, patient-years, and linearized event rates were evaluated. Cox regression analyses were performed, both crude and adjusted for the PREVENT-CVD score. Results: Over 6397 patient-years, 85 patients (12.46%) experienced CV events, yielding a rate of 1.33 per 100 patient-years. Patients with CV events were older (67.1 ± 11.1 vs. 56.7 ± 11.8 years, p < 0.001), more often male (68.2% vs. 51.9%, p = 0.005), and had higher frequencies of hypertension (60.0% vs. 21.8%, p < 0.001), diabetes (18.8% vs. 6.0%, p = 0.001), and dyslipidemia (56.5% vs. 29.8%, p < 0.001). They also showed greater abdominal perimeter and body mass index (p < 0.05 for both). After adjusting for PREVENT-CVD, the highest tertile of DAS28-ESR remained a significant predictor of CV events (HR 1.79; 95%CI: 1.03-3.14; p = 0.04). Urate in the highest tertile was also independently associated in the crude model (HR 1.88; 95%CI: 1.11-3.20; p = 0.02). When stratified (<6.5, 6.5-8.9, and ≥9.0 mg/dl), urate≥9.0 mg/dl was also associated with increased risk of CV events in the adjusted model (HR 3.50; 95%CI: 1.10-11.2; p = 0.02). While HAQ score in the third tertile was associated with increased CV risk in the crude analysis (HR 1.70; p = 0.04), this association did not persist after adjustment. Conclusions: Disease activity and elevated urate levels independently predict CV events in PsA, highlighting their value as markers of CV risk beyond traditional factors captured by the PREVENT-CVD score.
publishDate 2026
dc.date.none.fl_str_mv 2026
2026-04-01
2026
2026-04-01
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.13003/26596
url https://hdl.handle.net/20.500.13003/26596
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier BV
publisher.none.fl_str_mv Elsevier BV
dc.source.none.fl_str_mv reponame:Docusalut
instname:Conselleria de Salut i Consum del Govern de les Illes Balears
instname_str Conselleria de Salut i Consum del Govern de les Illes Balears
reponame_str Docusalut
collection Docusalut
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling Disease activity and hyperuricemia predict the development of cardiovascular events in patients with Psoriatic Arthritis: results of the 10-year prospective evaluation in the CARMA cohortLlorca, JavierFerraz-Amaro, IvánMoreno-Martínez, María JoséPlaza, ZulemaSánchez-Alonso, FernandoMoreno-Ramos, Manuel JoséGarcía-Gómez, CarmenCastañeda, SantosGonzález-Juanatey, CarlosGonzález-Gay, Miguel ÁngelSueiro, José L FernándezPinto-Tasende, José A.de Rábago, Eugenia GonzálezFernández, María J.GonzálezCodina, Ramón HuguetYoldi, BeatrizRamentol, MercedesMarsal, SaraÁvila, GabrielaAlegre, CayetanoSteiner, MartinaCobo, TatianaMuñoz, SantiagoGamero, FernandoTorón, José GarcíaGil, María P.MorenoMas, Antonio J.Espiño, PilarRos, InmaculadaIbáñez-Barceló, MónicaTornero, JesúsPiqueras, José A.Sanmartí, RaimonBerman, HoracioPatón, Oscar FontseréGutiérrez, Benjamín FernándezAbasolo, LydiaSalvador, José M.PinaFábregas, María D.Romera, MontserratNolla, Joan M.Uriarte-Ecenarro, MirenArias, Miriam GarcíaVadillo, Jesús A.Garcíade Vicuña, Rosario GarcíaCarmona, Eugenio ChamizoNebro, Antonio Fernández.Ureña, InmaculadaBelmonte, María A.Irigoyen, María V.González, Olga MartínezGómez, Rebeca BelmonteBautista, Pastora GranadosSanz, Azucena HernándezRey, José SantosGonzález, Carmen O.SánchezBachiller, JavierZea, AntonioManero, Francisco J.Audera, Chesús BeltránMedrano, MartaPecondón, ÁngelaErausquin, CeliaOjeda, SoledadRodríguez-Lozano, CarlosBabíoHerraiz, JesúsLongo, Francisco J.LópezMonteagudo, Indaleciodel Pino, JavierGonzález, Ruth LópezCorrales, AlfonsoSenabre, José M.Rosas, José C.Rotés, IsabelMoreno, EstefaníaErra, AlbaCalvo, JavierRueda, AmaliaMöller, IngridRodríguez, IsabelBarbadillo, CarmenRaya, EnriqueMorales, PilarNieto, AnaEscribano, Ana RuibalGómez, Carmen GarcíaExpósito, Sergio RosNievas, Ginés SánchezNavarro, Enrique JúdezFernández, Manuela SianesPardo, Silvia MartínezPujol, ManelGónzálezAlvarez, BeatrizCantabrana, AlbertoBustabad, SagrarioDelgado, EsmeraldaMuñoz, AlejandroMontero, Sergio RodríguezRedondo, Javier RiveraHernández, Teresa GonzálezPolo, Francisco J.González.Almagro, Raúl MenorMoreno, José M.Serret, Emilio GinerMéndez, Laura CebriánNavío, María TeresaPeñalva, Teresa PedrazCarballido, Cristina FernándezPagán, Encarnacióndel Castillo, Pablo MesaNaredo, EsperanzaCruz, AnaTurrión, AnaGómez, Ana PérezSánchez, JulioGalindo, MaríaCollantes, EduardoRuíz, DesireéFont, PilarBonilla, GemaMeseguer, Antonio LópezMoreno, Manuel J.Linares, Luis F.Morcillo, MercedesGómez, María L.GonzálezAramburu, José M.Rivera, Natalia A.Berrizbeitia, Olaia Fernández.Park, HyeSangRiera, ManelLeón, Yolanda MaríaPérez-García, CarolinaMaymó, JoanAmirall, MiriamFiter, JordiMelón, Julia FernándezEspadaler, LuisBelzunegui, JoaquínBañegil, InmaculadaDíaz, CésarValls, RamónCastellví, IvánBonet, MaríaAlen, Jaime CalvoSandoval, Trinidad PérezEvrard, Eva RevueltaGodo, Javier R.Fernández, José Antonio GonzálezMiranda-Filloy, José A.Cardiovascular riskDAS28-ESRDisease activityPREVENTPsoriatic arthritisUrateObjective: To identify predictors of cardiovascular (CV) events in psoriatic arthritis (PsA) patients from the CARdiovascular in RheuMAtology (CARMA) project during 10 years of prospective follow-up. Methods: Between July 2010 and January 2012, 725 PsA patients were enrolled from 67 Spanish hospitals. Analyses focused on 682 patients without prior CV events at baseline. At 10-year follow-up, CV event occurrence, patient-years, and linearized event rates were evaluated. Cox regression analyses were performed, both crude and adjusted for the PREVENT-CVD score. Results: Over 6397 patient-years, 85 patients (12.46%) experienced CV events, yielding a rate of 1.33 per 100 patient-years. Patients with CV events were older (67.1 ± 11.1 vs. 56.7 ± 11.8 years, p < 0.001), more often male (68.2% vs. 51.9%, p = 0.005), and had higher frequencies of hypertension (60.0% vs. 21.8%, p < 0.001), diabetes (18.8% vs. 6.0%, p = 0.001), and dyslipidemia (56.5% vs. 29.8%, p < 0.001). They also showed greater abdominal perimeter and body mass index (p < 0.05 for both). After adjusting for PREVENT-CVD, the highest tertile of DAS28-ESR remained a significant predictor of CV events (HR 1.79; 95%CI: 1.03-3.14; p = 0.04). Urate in the highest tertile was also independently associated in the crude model (HR 1.88; 95%CI: 1.11-3.20; p = 0.02). When stratified (<6.5, 6.5-8.9, and ≥9.0 mg/dl), urate≥9.0 mg/dl was also associated with increased risk of CV events in the adjusted model (HR 3.50; 95%CI: 1.10-11.2; p = 0.02). While HAQ score in the third tertile was associated with increased CV risk in the crude analysis (HR 1.70; p = 0.04), this association did not persist after adjustment. Conclusions: Disease activity and elevated urate levels independently predict CV events in PsA, highlighting their value as markers of CV risk beyond traditional factors captured by the PREVENT-CVD score.Elsevier BV20262026-04-0120262026-04-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.13003/26596reponame:Docusalutinstname:Conselleria de Salut i Consum del Govern de les Illes BalearsInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:docusalut.com:20.500.13003/265962026-06-22T12:44:07Z
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