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首页> 外文期刊>International journal of rheumatology >Relative Risk Chart Score for the Assessment of the Cardiovascular Risk in Young Patients with Ankylosing Spondylitis
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Relative Risk Chart Score for the Assessment of the Cardiovascular Risk in Young Patients with Ankylosing Spondylitis

机译：相对风险图评分评估年轻强直性脊柱炎患者的心血管风险

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Objective. To determine if the use of the relative risk (RR) chart score may help to identify young ankylosing spondylitis (AS) patients at high risk of cardiovascular (CV) disease. Methods. 73 AS patients younger than 50 years were assessed. CV risk was calculated according to the total cholesterol systematic coronary risk evaluation (TC-SCORE) and the RR chart score. C-reactive protein (CRP) value at disease diagnosis and carotid ultrasound data were also analyzed. Results. Twenty (27.4%) patients exhibited carotid plaques being classified into the category of very high CV risk. None of them was found to have a high/very high TC-SCORE. CRP 3?mg/L at disease diagnosis was associated with the presence of carotid plaques (odds ratio 5.66, ). Whereas only 5 (14.2%) of the 35 patients with RR = 1 had carotid plaques, 15 (39.5%) of 38 with RR 1 showed plaques. A model that included the performance of carotid US in patients with RR 1 who had CRP 3?mg/L allowed us to identify 60% of very high risk patients, with a specificity of 77.4%. Conclusions. RR chart score assessment may help to identify young AS patients at high risk of CV disease.
机译：目的。要确定是否使用相对危险度（RR）图表评分可能有助于确定患有心血管（CV）疾病高风险的年轻强直性脊柱炎（AS）患者。方法。评估了73名50岁以下的AS患者。根据总胆固醇系统性冠心病风险评估（TC-SCORE）和RR图表评分计算CV风险。还分析了疾病诊断中的C反应蛋白（CRP）值和颈动脉超声数据。结果。二十名（27.4％）患者的颈动脉斑块被分类为非常高的CV风险类别。没有发现它们具有高/非常高的TC-SCORE。疾病诊断时CRP> 3？mg / L与颈动脉斑块的存在相关（比值比为5.66，）。 35例RR = 1的患者中只有5例（14.2％）有颈动脉斑块，而RR> 1的38例中有15例（39.5％）有斑块。一个包含RR> 1且CRP> 3？mg / L的患者的颈动脉超声表现的模型使我们能够识别60％的极高风险患者，特异性为77.4％。结论。 RR图表评分评估可能有助于识别处于CV疾病高风险的年轻AS患者。

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