Clinical Scorecard: New EULAR Recommendations on CV Risk Management
At a Glance
| Category | Detail |
|---|---|
| Condition | Cardiovascular Risk Management in Rheumatic Diseases |
| Key Mechanisms | Regular screening, management of modifiable CVR factors, patient education, increased awareness of elevated CVR. |
| Target Population | Patients with gout, vasculitis, systemic sclerosis, myositis, mixed connective tissue disease, Sjögren's syndrome, systemic lupus erythematosus, and antiphospholipid syndrome. |
| Care Setting | Clinical practice and future research in rheumatology. |
Key Highlights
- Endorsed four overarching principles for CVR management.
- Developed nineteen specific recommendations for CVR prediction and intervention.
- Emphasized the importance of managing traditional and disease-related CVR factors.
- Highlighted the need for further research on disease-specific CVR prediction tools.
- Recommendations applicable to both high-resource and low-resource countries.
Guideline-Based Recommendations
Diagnosis
- Use of generic CVR prediction tools.
- Supplementary use of the European Vasculitis Society model in ANCA-associated vasculitis.
Management
- Blood pressure management with lower targets for SLE patients.
- Lipid management and avoidance of diuretics in gout.
- Low-dose aspirin for primary prevention not routinely recommended.
Monitoring & Follow-up
- Regular screening for cardiovascular risk factors.
- Disease activity control and glucocorticoid dose minimization in SLE and vasculitis.
Risks
- No specific immunosuppressive treatment in SLE for CVR reduction.
- No specific urate-lowering therapy in gout for CVR reduction.
Patient & Prescribing Data
Patients with rheumatic and musculoskeletal diseases at risk for cardiovascular events.
Focus on managing traditional CVR factors and disease-related factors.
Clinical Best Practices
- Engage patients in a long-term care pathway tailored to their needs.
- Update guidelines as new evidence emerges.
Related Resources & Content
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