Inflammation, endothelial function and atherosclerosis in rheumatoid arthritis
- PMID: 22808986
- PMCID: PMC3580546
- DOI: 10.1186/ar3891
Inflammation, endothelial function and atherosclerosis in rheumatoid arthritis
Abstract
Different techniques have proven to be useful in determining the presence of subclinical cardiovascular disease in patients with rheumatoid arthritis (RA). Doppler imaging with iontophoresis of acetylcholine and flow-mediated, endothelium-dependent vasodilation give information on endothelial dysfunction, an early step in the atherogenesis process. However, there is no good correlation between these two surrogate markers of cardiovascular disease in RA. A single determination of routine laboratory markers of inflammation does not seem to relate to endothelial function in RA. Further research is needed to determine whether microvascular endothelial function is a better predictor of cardiovascular outcome than macrovascular endothelial function in patients with RA.
Comment on
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The role of inflammation and cardiovascular disease risk on microvascular and macrovascular endothelial function in patients with rheumatoid arthritis: a cross-sectional and longitudinal study.Arthritis Res Ther. 2012 May 17;14(3):R117. doi: 10.1186/ar3847. Arthritis Res Ther. 2012. PMID: 22594788 Free PMC article. Clinical Trial.
References
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- Sandoo A, Kitas GD, Carroll D, Veldhuijzen van Zanten JJCS. The role of inflammation and cardiovascular disease risk on microvascular and macrovascular endothelial function in patients with rheumatoid arthritis: a crosssectional and longitudinal study. Arthritis Res Ther. 2012;14:R117. doi: 10.1186/ar3847. - DOI - PMC - PubMed
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- Gonzalez-Gay MA, Gonzalez-Juanatey C, Piñeiro A, Garcia-Porrua C, Testa A, Llorca J. High-grade C-reactive protein elevation correlates with accelerated atherogenesis in patients with rheumatoid arthritis. J Rheumatol. 2005;32:1219–1223. - PubMed
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