Системное воспаление как фактор риска сердечно-сосудистых заболеваний: обзор литературы
Системное воспаление как фактор риска сердечно-сосудистых заболеваний: обзор литературы
Марусенко И.М., Польская И.И. Системное воспаление как фактор риска сердечно-сосудистых заболеваний: обзор литературы. CardioСоматика. 2018; 9 (1): 40–46. DOI: 10.26442/2221-7185/_2018.1.40-46
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Marusenko I.M., Polskaya I.I. Systemic inflammation as a risk factor for cardiovascular disease: review of the literature. Cardiosomatics. 2018; 9 (1): 40–46. DOI: 10.26442/2221-7185/_2018.1.40-46
Системное воспаление как фактор риска сердечно-сосудистых заболеваний: обзор литературы
Марусенко И.М., Польская И.И. Системное воспаление как фактор риска сердечно-сосудистых заболеваний: обзор литературы. CardioСоматика. 2018; 9 (1): 40–46. DOI: 10.26442/2221-7185/_2018.1.40-46
________________________________________________
Marusenko I.M., Polskaya I.I. Systemic inflammation as a risk factor for cardiovascular disease: review of the literature. Cardiosomatics. 2018; 9 (1): 40–46. DOI: 10.26442/2221-7185/_2018.1.40-46
В обзоре рассматривается проблема системного воспаления как ключевого фактора, влияющего на сердечно-сосудистую заболеваемость и смертность у пациентов с аутоиммунными ревматическими заболеваниями. Представлены литературные данные о роли воспаления в патофизиологии сердечно-сосудистых заболеваний при ревматоидном артрите, его влиянии на ускоренное развитие атеросклероза. Отдельный раздел посвящен проблеме липидного парадокса. Представлены данные о влиянии традиционных базисных противовоспалительных препаратов и генно-инженерных биологических препаратов на риск сердечно-сосудистых заболеваний при ревматоидном артрите, а также рекомендации EULAR по оценке риска сердечно-сосудистых заболеваний при ревматоидном артрите.
The review shows the problem of systemic inflammation as a key factor influencing the cardiovascular morbidity and mortality in patients with autoimmune rheumatic diseases. Represented literature data on the role of inflammation in the pathophysiology of cardiovascular disease in rheumatoid arthritis, its impact on the accelerated development of atherosclerosis. A separate section is devoted to the problem of lipid paradox. Review shows data on the influence of the traditional basic anti-inflammatory drugs and genetically engineered biological agents on the risk of cardiovascular disease in rheumatoid arthritis. Also, EULAR recommendations for assessing the risk of cardiovascular disease in rheumatoid arthritis.
Key words: rheumatoid arthritis, systemic inflammation, lipid paradox, the risk of cardiovascular events, atherosclerosis.
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1. Peters MJ, Symmons DP, McCarey D et al. EULARevidence-based recommendations for cardiovascular risk management in patients with rheumatoid arthritis and other forms of inflammatory arthritis. Ann Rheum Dis 2010; 69: 325–31.
2. Solomon DH, Karlson EW, Rimm EB et al. Cardiovascular morbidity and mortality in women diagnosed with rheumatoid arthritis. Circulation 2003; 107: 1303–7.
3. De Groot L, Posthumus MD, Kallenberg CG, Bijl M. Risk factors and early detection of atherosclerosis in rheumatoid arthritis. Eur J Clin Invest 2010; 40: 835–42.
4. Gullick NJ, Scott DL. Co-morbidities in established rheumatoid arthritis. Best Pract Res Clin Rheumatol 2011; 25: 469–83.
5. Meune C, Touze E, Trinquart L, Allanore Y. High risk of clinical cardiovascular events in rheumatoid arthritis: levels of associations of myocardial infarction and stroke through a systematic review and meta-analysis. Arch Cardiovasc Dis 2010; 103: 253–61.
6. Gremese E, Ferraccioli G. The metabolic syndrome: the crossroads between rheumatoid arthritis and cardiovascular risk. Autoimmun Rev 2011; 10: 582–9.
7. Gabriel SE. Cardiovascular morbidity and mortality in rheumatoid arthritis. Am J Med 2008; 121 (Suppl. 1): S9–14.
8. Peters MJ, van Halm VP, Voskuyl AE et al. Does rheumatoid arthritis equal diabetes mellitus as an independent risk factor for cardiovascular disease? A prospective study. Arthritis Rheum 2009; 61: 1571–9.
9. Lindhardsen J, Ahlehoff O, Gislason GH et al. The risk of myocardial infarction in rheumatoid arthritis and diabetes mellitus: a Danish nationwide cohort study. Ann Rheum Dis 2011; 70: 929–34.
10. Dessein PH, Joffe BI, Veller MG et al. Traditional and nontraditional cardiovascular risk factors are associated with atherosclerosis in rheumatoid arthritis. J Rheumatol 2005; 32: 435–42.
11. Boyer JF, Gourraud PA, Cantagrel A et al. Traditional cardiovascular risk factors in rheumatoid arthritis: a meta-analysis. Joint Bone Spine 2011; 78: 179–83.
12. Ku IA, Imboden JB, Hsue PY, Ganz P. Rheumatoid arthritis: model of systemic inflammation driving atherosclerosis. Circ J 2009; 73: 977–85.
13. National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation 2002; 106: 3143–421.
14. Myasoedova E, Crowson CS, Kremers HM et al. Lipid paradox in rheumatoid arthritis: the impact of serum lipid measures and systemic inflammation on the risk of cardiovascular disease. Ann Rheum Dis 2011; 70: 482–7.
15. Steiner G, Urowitz MB. Lipid profiles in patients with rheumatoid arthritis: mechanisms and the impact of treatment. Semin Arthritis Rheum 2009; 38: 372–81.
16. Peters MJ, Vis M, van Halm VP et al. Changes in lipid profile during infliximab and corticosteroid treatment in rheumatoid arthritis. Ann Rheum Dis 2007; 66: 958–61.
17. Schimmel EK, Yazici Y. Increased lipid levels but unchanged atherogenic index in rheumatoid arthritis patients treated with biologic disease modifying antirheumatic drugs: published experience. Clin Exp Rheumatol 2009; 27: 446–51.
18. Gossec L, Salejan F, Nataf H et al. Challenges of cardiovascular risk assessment in the routine rheumatology outpatient setting: an observational study of 110 rheumatoid arthritis patients. Arthritis Care Res 2013; 65: 712–7.
19. Jellinger PS, Smith DA, Mehta AE et al. American Association of Clinical Endocrinologists' guidelines for management of dyslipidemia and prevention of atherosclerosis. Endocr Pract 2012; 18: 1–78.
20. Libby P, Ridker PM, Hansson GK. Progress and challenges in translating the biology of atherosclerosis. Nature 2011; 473: 317–25.
21. Hansson GK, Hermansson A. The immune system in atherosclerosis. Nat Immunol 2011; 12: 204–12.
22. Innala L, Moller B, Ljung L et al. Cardiovascular events in early RA are a result of inflammatory burden and traditional risk factors: a five year prospective study. Arthritis Res Ther 2011; 13: R131.
23. Book C, Saxne T, Jacobsson LT. Prediction of mortality in rheumatoid arthritis based on disease activity markers. J Rheumatol 2005; 32: 430–4.
24. Crilly MA, Kumar V, Clark HJ et al. Arterial stiffness and cumulative inflammatory burden in rheumatoid arthritis: a dose-response relationship independent of established cardiovascular risk factors. Rheumatology 2009; 48: 1606–12.
25. Graf J, Scherzer R, Grunfeld C, Imboden J. Levels of C-reactive protein associated with high and very high cardiovascular risk are prevalent in patients with rheumatoid arthritis. PLoS One 2009; 4: e6242.
26. Del Rincon I, Freeman GL, Haas RW et al. Relative contribution of cardiovascular risk factors and rheumatoid arthritis clinical manifestations to atherosclerosis. Arthritis Rheum 2005; 52: 3413–23.
27. Gonzalez-Gay MA, Gonzalez-Juanatey C, Pineiro A et al. High-grade C-reactive protein elevation correlates with accelerated atherogenesis in patients with rheumatoid arthritis. J Rheumatol 2005; 32: 1219–23.
28. Maradit-Kremers H, Nicola PJ, Crowson CS et al. Cardiovascular death in rheumatoid arthritis: a population-based study. Arthritis Rheum 2005; 52: 722–32.
29. Wallberg-Jonsson S, Johansson H, Ohman ML, Rantapaa-Dahlqvist S. Extent of inflammation predicts cardiovascular disease and overall mortality in seropositive rheumatoid arthritis. A retrospective cohort study from disease onset. J Rheumatol 1999; 26: 2562–71.
30. Crowson CS, Gabriel SE. Towards improving cardiovascular risk management in patients with rheumatoid arthritis: the need for accurate risk assessment. Ann Rheum Dis 2011; 70: 719–21.
31. Dessein PH, Semb AG. Could cardiovascular disease risk stratification and management in rheumatoid arthritis be enhanced? Ann Rheum Dis 2013; 72: 1743–6.
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Авторы
И.М.Марусенко*, И.И.Польская
ФГБОУ ВО «Петрозаводский государственный университет». 185910, Россия, Петрозаводск, пр. Ленина, д. 33 *imarusenko@yandex.ru
________________________________________________
I.M.Marusenko*, I.I.Polskaya
Petrozavodsk State University. 185910, Russian Federation, Petrozavodsk, pr. Lenina, d. 33 *imarusenko@yandex.ru