Abstract :
To study early cardiovascular risk in patients with rheumatoid arthritis (RA). We examined 140 RA patients aged 35 to 60 years. The diagnosis of rheumatoid arthritis was made on the basis of the ACR (1987) and ACR / EULAR (2010) criteria. The mSCORE scale (SCORE / EULAR) was used for early detection and prediction of cardiovascular risk. Doppler ultrasound was used to determine the thickness of the intima-media complex (IMC) in the carotid arteries as an early sign of the development of cardiovascular diseases. In patients with RA, hereditary risk factors (RF) for cardiovascular diseases were detected in 31.4%, abdominal obesity in 35%, arterial hypertension (AH) in 63.6%, hypercholesterolemia hypercholesterolemia in 25.7%, and hypodynamia in 37.9% of patients. Smoking accounted for 10.8% of patients in the study, as the majority (82%) of the surveyed were women. At the same time, AH was observed 1.5 times, hypercholesterolemia 2.1 times more often in men than in women. According to the results of the study on the mSCORE scale, 52 (37.1%) had low risk, 64 (45, 7%), a high risk was in 14 (10%), and a very high risk was in 10 (7.2%) patients. Parameters of common carotid artery IMC in patients with RA are associated with the age of patients, the number of risk factors (RF) encounters, disease activity and have a great prognostic value in the early detection of cardiovascular risk. In RA patients, the use of the mSCORE scale enables early diagnosis of cardiovascular risk and timely correction of risk factors. The index of IMC is associated with the age of patients and with the degree of CVD risk, determined by the mSCORE scale.
