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RA CV Risk Modification — SCE Rheumatology MCQ

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HardRheumatoid ArthritisRA CV Risk ModificationSCE Rheumatology

A 62-year-old woman with rheumatoid arthritis has a QRISK3 score of 12%. Her blood pressure is 148/86 mmHg and she smokes. What is the best cardiovascular-risk approach?

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Correct answer: D — Use QRISK3 and address each modifiable cardiovascular risk

The best answer is “Use QRISK3 and address each modifiable cardiovascular risk”. QRISK3 already includes rheumatoid arthritis as a predictor, so adding an automatic rheumatoid-arthritis multiplier would double-count that factor. Smoking, hypertension and lipid treatment should be addressed through current UK cardiovascular-prevention guidance. A fixed addition is not validated, inflammatory disease does not make risk assessment useless, and prevention should not wait for prolonged remission.

Reference: NICE NG238 cardiovascular risk assessment and lipid modification: https://www.nice.org.uk/guidance/ng238/chapter/Recommendations