Assessment of cardiovascular risk factors in patients with idiopathic inflammatory myopathies: a systematic review
- 16 May 2023
- journal article
- review article
- Published by Springer Nature in Clinical Rheumatology
- Vol. 42 (11) , 2943-2950
Abstract
We performed a systematic review of cardiovascular risk factors in idiopathic inflammatory myopathies (IIMs) and their cardiovascular outcomes, including acute coronary syndrome and stroke. A qualitative systematic review was conducted from January 1956 to December 2022 according to the PRISMA protocol using three electronic databases: PubMed, Web of Science, and Scopus. The studies were analyzed based on the following eligibility criteria: at least one combination of the terms described in the search strategy appeared in the title, written in English, Portuguese, or Spanish, and addressed risk factors for cardiovascular diseases in IIMs. Brief reports, reviews, papers addressing juvenile IIMs, congress proceedings, monographs, and dissertations were excluded. Twenty articles were included. According to the literature, most patients with IIMs are middle-aged North American or Asian women, with dyslipidemia and hypertension. The prevalence of the cardiovascular risk factors was generally low in IIMs, but with a high incidence of acute myocardial infarction. Further theoretical and prospective studies are needed to define the actual impact of each variable (e.g., hypertension, diabetes, smoking, alcoholism, obesity, and dyslipidemia) on the cardiovascular risk of patients with IIMs.Keywords
This publication has 28 references indexed in Scilit:
- Subclinical Cardiac Dysfunction in Polymyositis and Dermatomyositis: A Speckle-tracking Case-control StudyThe Journal of Rheumatology, 2017
- Cardiac Abnormalities in Adult Patients With Polymyositis or Dermatomyositis as Assessed by Noninvasive ModalitiesArthritis Care & Research, 2015
- Risk of myocardial infarction and ischaemic stroke in adults with polymyositis and dermatomyositis: a general population-based studyRheumatology, 2015
- Increased subsequent risk of acute coronary syndrome for patients with dermatomyositis/polymyositis: a nationwide population-based retrospective cohort studyScandinavian Journal of Rheumatology, 2014
- Altered Lipid Levels in Untreated Patients with Early PolymyositisPLOS ONE, 2014
- Atherosclerotic cardiovascular disease and dermatomyositis: an analysis of the Nationwide Inpatient Sample surveyArthritis Research & Therapy, 2013
- Analysis of Metabolic Syndrome in Adult Dermatomyositis With a Focus on Cardiovascular DiseaseArthritis Care & Research, 2012
- Incidence, cancer risk and mortality of dermatomyositis and polymyositis in Taiwan: a nationwide population studyBritish Journal of Dermatology, 2011
- Autoantibodies against 3-hydroxy-3-methylglutaryl-coenzyme A reductase in patients with statin-associated autoimmune myopathyArthritis & Rheumatism, 2010
- Arterial Events in Persons with Dermatomyositis and PolymyositisThe Journal of Rheumatology, 2009