作者： S Chandrashekara , ChanRe Rheumatology
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摘要: Managing any chronic disease is always a challenge to the specialist as well as to the primary care or family physician (PCFP). The challenges include the problems related to the disease parse, the associated co-morbidity and the influence of the disease and drugs on other related diseases. One of the common areas which a PCFP may encounter in his/her day to day practice is rheumatic disease. Having a prevalence of approximately 1-5% in a population, a PCFP may encounter a substantial number of patients in his/her care. The quote from the masterly article by M. Matucci-Cerinic and PM Seferovic is worthwhile to mention that–" Cardiovascular (CV) manifestations in autoimmune rheumatic diseases (ARD) have been infrequently recognized and mainly neglected in the medical community, despite the very clear evidence of the high death toll due to extra-articular involvement in patients affected by ARD" …