Cross-sectional analysis of cardiovascular disease and risk factors in patients with spondyloarthritis : a real-life evidence from biostar nationwide registry

© 2024. The Author(s)..

The association between spondyloarthritis and cardiovascular (CV) diseases is complex with variable outcomes. This study aimed to assess the prevalence rates of CV diseases and to analyze the impact of CV risk factors on CV disease in patients with spondyloarthritis. A multi-center cross-sectional study using the BioSTAR (Biological and Targeted Synthetic Disease-Modifying Antirheumatic Drugs Registry) database was performed on patients with spondyloarthritis. Socio-demographic, laboratory, and clinical data were collected. Patients with and without major adverse cardiovascular events (MACE) were grouped as Group 1 and Group 2. The primary outcome was the overall group's prevalence rates of CV disease and CV risk factors. The secondary outcome was the difference in socio-demographic and clinical characteristics between the groups and predictive risk factors for CV disease. There were 1457 patients with a mean age of 45.7 ± 10.9 years. The prevalence rate for CV disease was 3% (n = 44). The distribution of these diseases was coronary artery disease (n = 42), congestive heart failure (n = 4), peripheral vascular disorders (n = 6), and cerebrovascular events (n = 4). Patients in Group 1 were significantly male (p = 0.014) and older than those in Group 2 (p < 0.001). There were significantly more patients with hypertension, diabetes mellitus, chronic renal failure, dyslipidemia, and malignancy in Group 1 than in Group 2 (p < 0.05). Smoking (36.7%), obesity (24.4%), and hypertension (13.8%) were the most prevalent traditional CV risk factors. Hypertension (HR = 3.147, 95% CI 1.461-6.778, p = 0.003), dyslipidemia (HR = 3.476, 95% CI 1.631-7.406, p = 0.001), and cancer history (HR = 5.852, 95% CI 1.189-28.810, p = 0.030) were the independent predictors for CV disease. A multi-center cross-sectional study using the BioSTAR (Biological and Targeted Synthetic Disease-Modifying Antirheumatic Drugs Registry) database was performed on patients with spondyloarthritis. Socio-demographic, laboratory, and clinical data were collected. Patients with and without major adverse cardiovascular events (MACE) were grouped as Group 1 and Group 2. The primary outcome was the overall group's prevalence rates of CV disease and CV risk factors. The secondary outcome was the difference in socio-demographic and clinical characteristics between the groups and predictive risk factors for CV disease. There were 1457 patients with a mean age of 45.7 ± 10.9 years. The prevalence rate for CV disease was 3% (n = 44). The distribution of these diseases was coronary artery disease (n = 42), congestive heart failure (n = 4), peripheral vascular disorders (n = 6), and cerebrovascular events (n = 4). Patients in Group 1 were significantly male (p = 0.014) and older than those in Group 2 (p < 0.001). There were significantly more patients with hypertension, diabetes mellitus, chronic renal failure, dyslipidemia, and malignancy in Group 1 than in Group 2 (p < 0.05). Smoking (36.7%), obesity (24.4%), and hypertension (13.8%) were the most prevalent traditional CV risk factors. Hypertension (HR = 3.147, 95% CI 1.461-6.778, p = 0.003), dyslipidemia (HR = 3.476, 95% CI 1.631-7.406, p = 0.001), and cancer history (HR = 5.852, 95% CI 1.189-28.810, p = 0.030) were the independent predictors for CV disease. The prevalence rate of CV disease was 3.0% in patients with spondyloarthritis. Hypertension, dyslipidemia, and cancer history were the independent CV risk factors for CV disease in patients with spondyloarthritis.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:44

Enthalten in:

Rheumatology international - 44(2024), 4 vom: 06. März, Seite 631-642

Sprache:

Englisch

Beteiligte Personen:

Duruöz, Mehmet Tuncay [VerfasserIn]
Bodur, Hatice [VerfasserIn]
Ataman, Şebnem [VerfasserIn]
Gürer, Gülcan [VerfasserIn]
Akgül, Özgür [VerfasserIn]
Çay, Hasan Fatih [VerfasserIn]
Çapkın, Erhan [VerfasserIn]
Sezer, İlhan [VerfasserIn]
Rezvani, Aylin [VerfasserIn]
Melikoğlu, Meltem Alkan [VerfasserIn]
Yağcı, İlker [VerfasserIn]
Yurdakul, Fatma Gül [VerfasserIn]
Göğüş, Feride Nur [VerfasserIn]
Kamanlı, Ayhan [VerfasserIn]
Çevik, Remzi [VerfasserIn]
Altan, Lale [VerfasserIn]

Links:

Volltext

Themen:

Antirheumatic Agents
Axial
Cardiovascular risk
Journal Article
Prevalence
Psoriatic arthritis
Spondyloarthritis

Anmerkungen:

Date Completed 06.03.2024

Date Revised 08.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00296-023-05523-y

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368086453