Management of Atherosclerotic Cardiovascular Risk in Inflammatory Bowel Disease: Current Perspectives

IF 4 3区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Advances in Therapy Pub Date : 2025-03-27 DOI:10.1007/s12325-025-03154-2
Walter Masson, Gonzalo Fernández-Villar, Solange Martinez-Elhelou
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Abstract

Inflammatory bowel disease (IBD) is a complex condition characterized by inflammation of the gastrointestinal system, encompassing Crohn’s disease and ulcerative colitis. Patients diagnosed with IBD have an increased risk of atherosclerotic cardiovascular disease. This heightened risk can be attributed to a combination of mechanisms, including traditional risk factors, chronic inflammation, intestinal dysbiosis, increased risk of thrombosis, and the use of certain medications such as corticosteroids. There are significant gaps in current knowledge, particularly regarding the management of risk factors and the use of medications for cardiovascular disease prevention. Similarly, the cardiovascular effects of specific IBD therapies, particularly the newer ones, are not yet fully understood. This review focuses on the epidemiological evidence linking IBD with cardiovascular risk factors and cardiovascular disease. It describes the potential pathophysiological mechanisms underlying this association and examines the challenges involved in accurately assessing cardiovascular risk in these patients, including the utility of complementary tools such as subclinical atherosclerosis detection. Additionally, we consider the potential therapeutic implications for managing these patients. Finally, this review also underscores the importance of multidisciplinary collaboration. Effective teamwork among gastroenterologists, cardiologists, and general practitioners is essential for providing comprehensive care to patients with IBD.

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炎症性肠病中动脉粥样硬化性心血管风险的管理:当前观点。
炎症性肠病(IBD)是一种以胃肠道系统炎症为特征的复杂疾病,包括克罗恩病和溃疡性结肠炎。诊断为IBD的患者患动脉粥样硬化性心血管疾病的风险增加。这种高风险可归因于多种机制,包括传统风险因素、慢性炎症、肠道生态失调、血栓形成风险增加以及使用某些药物(如皮质类固醇)。在目前的知识方面,特别是在管理风险因素和使用预防心血管疾病的药物方面存在重大差距。同样,特定IBD治疗的心血管效应,特别是较新的治疗,尚未完全了解。本文综述了IBD与心血管危险因素和心血管疾病相关的流行病学证据。它描述了这种关联的潜在病理生理机制,并研究了准确评估这些患者心血管风险所涉及的挑战,包括亚临床动脉粥样硬化检测等补充工具的效用。此外,我们考虑潜在的治疗意义,以管理这些患者。最后,本文还强调了多学科合作的重要性。胃肠病学家、心脏病专家和全科医生之间有效的团队合作对于为IBD患者提供全面的护理至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Advances in Therapy
Advances in Therapy 医学-药学
CiteScore
7.20
自引率
2.60%
发文量
353
审稿时长
6-12 weeks
期刊介绍: Advances in Therapy is an international, peer reviewed, rapid-publication (peer review in 2 weeks, published 3–4 weeks from acceptance) journal dedicated to the publication of high-quality clinical (all phases), observational, real-world, and health outcomes research around the discovery, development, and use of therapeutics and interventions (including devices) across all therapeutic areas. Studies relating to diagnostics and diagnosis, pharmacoeconomics, public health, epidemiology, quality of life, and patient care, management, and education are also encouraged. The journal is of interest to a broad audience of healthcare professionals and publishes original research, reviews, communications and letters. The journal is read by a global audience and receives submissions from all over the world. Advances in Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an international and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of all scientifically and ethically sound research.
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