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Report from the Scientific Poster Session at the 13th Annual Cardiometabolic Health Congress in Boston, USA, 24–27 October 2018
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Assessment of Cardiovascular Disease Risk and Therapeutic Patterns among Urban Black Rheumatoid Arthritis Patients

1
Department of Medicine, Division of Rheumatology SUNY Downstate Medical Center/Health + Hospitals Kings County, Brooklyn, NY 11201, USA
2
Samaritan Medical Center Department of Rheumatology, Watertown, NY 13601, USA
3
Department of Medicine, Division of Pulmonary and Critical Care State, SUNY Downstate Medical Center/Health + Hospitals Kings County, Brooklyn, NY 11201, USA
4
Department of Radiology SUNY Downstate Medical Center/Health + Hospitals Kings County, Brooklyn, NY 11201, USA
5
Department of Geriatrics, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY 11201, USA
6
Department of Rheumatology, Hahnemann Hospital, Philadelphia, PA 19019, USA
7
Department of Family and Social Medicine, Montefiore Medical Center Albert Einstein College of Medicine, Bronx, NY 10468, USA
8
Sheba Medical Center, Tel Aviv 6100000, Israel
*
Author to whom correspondence should be addressed.
Med. Sci. 2019, 7(2), 31; https://doi.org/10.3390/medsci7020031
Received: 26 December 2018 / Revised: 27 January 2019 / Accepted: 27 January 2019 / Published: 20 February 2019
(This article belongs to the Special Issue Cardiometabolic Health: Current Developments)
Rheumatoid arthritis (RA) patients have nearly twice the risk of cardiovascular disease (CVD) compared to the general population. We aimed to assess, in a predominantly Black population, the prevalence of traditional and RA-specific CVD risk factors and therapeutic patterns. Utilizing ICD codes, we identified 503 RA patients ≥18 years old who were seen from 2010 to 2017. Of them, 88.5% were Black, 87.9% were women and 29.4% were smokers. CVD risk factors (obesity, diabetes, hypertension, dyslipidemia) were higher than in previously reported White RA cohorts. Eighty-seven percent of the patients had at least one traditional CVD risk factor, 37% had three or more traditional CVD risk factors and 58% had RA-specific risk factors (seropositive RA, >10 years of disease, joint erosions, elevated inflammatory markers, extra-articular disease, body mass index (BMI) < 20). CV outcomes (coronary artery disease/myocardial infarction, heart failure, atrial fibrillation and stroke) were comparable to published reports. Higher steroid use, which increases CVD risk, and lesser utilization of biologics (decrease CV risk) were also observed. Our Black RA cohort had higher rates of traditional CVD risk factors, in addition to chronic inflammation from aggressive RA, which places our patients at a higher risk for CVD outcomes, calling for revised risk stratification strategies and effective interventions to address comorbidities in this vulnerable population. View Full-Text
Keywords: rheumatoid arthritis; traditional risk factors; rheumatoid arthritis specific risk factors; seropositive rheumatoid arthritis; erosive disease; extra-articular manifestations; cardiovascular outcomes; therapeutic patterns rheumatoid arthritis; traditional risk factors; rheumatoid arthritis specific risk factors; seropositive rheumatoid arthritis; erosive disease; extra-articular manifestations; cardiovascular outcomes; therapeutic patterns
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McFarlane, I.M.; Leon, S.Y.Z.; Bhamra, M.S.; Burza, A.; Waite, S.A.; Rodriguez Alvarez, M.; Koci, K.; Taklalsingh, N.; Kaplan, I.; Pathiparampil, J.; Kabani, N.; Watler, E.; Sorrento, C.S.; Frefer, M.; Vaitkus, V.; Green, J.; Matthew, K.; Arroyo-Mercado, F.; Lyo, H.; Soliman, F.; Sanchez, R.A.; Reyes, F.M.; Ozeri, D.J.; Dronamraju, V.; Trevisonno, M.; Grant, C.; Clerger, G.; Amin, K.; Freeman, L.; Dawkins, M.; Lenis Lopez, D.; Smerling, J.; Gondal, I.; Dellinger, E.; Paltoo, K.; Bhat, H.; Kolla, S. Assessment of Cardiovascular Disease Risk and Therapeutic Patterns among Urban Black Rheumatoid Arthritis Patients. Med. Sci. 2019, 7, 31.

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