Risk for Cardiovascular Disease Early and Late After a Diagnosis of Giant-Cell Arteritis
Authors: Claude Bachmeyer, Milène Buffo, Bérénice Soyez
Journal: Annals of Internal Medicine (2014)

Letters5 August 2014Risk for Cardiovascular Disease Early and Late After a Diagnosis of Giant-Cell ArteritisClaude Bachmeyer, MD, Milène Buffo, MD, and Bérénice Soyez, MDClaude Bachmeyer, MDFrom Tenon Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France., Milène Buffo, MDFrom Tenon Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France., and Bérénice Soyez, MDFrom Tenon Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L14-5015 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Tomasson and colleagues (1) indicate a high risk for cardiovascular disease early after diagnosis of giant-cell arteritis (GCA). However, they acknowledge that major data on cardiovascular risk factors are missing. Indeed, these cardiovascular events, including myocardial infarction, cerebrovascular accident, and peripheral vascular disease, could be related to GCA and the delay of treatment but also to elderly patients with frequent preexisting cardiovascular risk factors receiving glucocorticoids with well-known adverse effects, such as diabetes mellitus, dyslipidemia, and hypertension.At our institution, patients diagnosed with GCA who have high risk for cardiovascular disease initially receive aspirin and statins as ...References1. Tomasson G, Peloquin C, Mohammad A, Love TJ, Zhang Y, Choi HK, et al. Risk for cardiovascular disease early and late after a diagnosis of giant-cell arteritis: a cohort study. Ann Intern Med. 2014;160:73-80. [PMID: 24592492] LinkGoogle Scholar2. Hennekens CH, Schneider WR. The need for wider and appropriate utilization of aspirin and statins in the treatment and prevention of cardiovascular disease. Expert Rev Cardiovasc Ther. 2008;6:95-107. [PMID: 18095910] CrossrefMedlineGoogle Scholar3. Spiera RF, Spiera H. Therapy for giant cell arteritis: can we do better? [Editorial]. Arthritis Rheum. 2006;54:3071-4. [PMID: 17009224] CrossrefMedlineGoogle Scholar4. Nesher G, Berkun Y, Mates M, Baras M, Rubinow A, Sonnenblick M. Low-dose aspirin and prevention of cranial ischemic complications in giant cell arteritis. Arthritis Rheum. 2004;50:1332-7. [PMID: 15077317] CrossrefMedlineGoogle Scholar5. Lee MS, Smith SD, Galor A, Hoffman GS. Antiplatelet and anticoagulant therapy in patients with giant cell arteritis. Arthritis Rheum. 2006;54:3306-9. [PMID: 17009265] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Claude Bachmeyer, MD; Milène Buffo, MD; Bérénice Soyez, MDAffiliations: From Tenon Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L14-0154. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoRisk for Cardiovascular Disease Early and Late After a Diagnosis of Giant-Cell Arteritis Gunnar Tomasson , Christine Peloquin , Aladdin Mohammad , Thorvardur J. Love , Yuqing Zhang , Hyon K. Choi , and Peter A. Merkel Risk for Cardiovascular Disease Early and Late After a Diagnosis of Giant-Cell Arteritis Gunnar Tomasson , Christine Peloquin , Aladdin Mohammad , Thorvardur J. Love , Yuqing Zhang , Hyon K. Choi , and Peter A. Merkel Risk for Cardiovascular Disease Early and Late After a Diagnosis of Giant-Cell Arteritis Gunnar Tomasson and Peter A. Merkel Risk for Cardiovascular Disease Early and Late After a Diagnosis of Giant-Cell Arteritis Gunnar Tomasson and Peter A. Merkel Metrics Cited byDoes smoking cessation increase risk of knee replacement? a general population-based cohort study 5 August 2014Volume 161, Issue 3Page: 230KeywordsAnticoagulant therapyAspirinAtherosclerosisCardiovascular disease riskCardiovascular diseasesDrugsGlucocorticoid therapyMedical risk factorsStatinsThrombosis ePublished: 5 August 2014 Issue Published: 5 August 2014 Copyright & PermissionsCopyright © 2014 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...