Across rheumatic diseases

Carotid-femoral pulse wave velocity improves cardiovascular risk prediction beyond SCORE2 in autoimmune rheumatic diseases: a 7-year follow-up study

RMD OpenPublished Retrospective cohort study

Main finding · Prediction of CVEsResult — go to the resultHazard ratio (age-adjusted Cox) 1.19 95% CI 1.00–1.39

Authors' conclusion

cfPWV is an independent predictor of future CVEs in patients with ARDs and outperforms SCORE2 in long-term risk prediction.

Study context

Population
Patients with RA, SSc and SpA with clinically indicated baseline non-invasive carotid-femoral pulse wave velocity (cfPWV) assessment 2012–2017 because of at least one additional CV risk factor
Participants
143 patients20 cardiovascular events (CVEs)
Exposure
cfPWV vs SCORE2 for prediction of cardiovascular events
Outcome
Incident cardiovascular events (prognostic value of cfPWV vs SCORE2)
Follow-up
median 7-year follow-up
Methodological detailsmedian 7-year follow-up, Cox proportional hazards models, ROC analysis
  • Median 7-year follow-up
  • Cox proportional hazards models
  • ROC analysis

Main finding

Prediction of CVEs

Hazard ratio (age-adjusted Cox)

1.19

95% CI 1.00–1.39

P = 0.047

By group

cfPWV
HR (age-adjusted Cox) 1.19 (95% CI 1.00–1.39); P = 0.047

As reported in the abstract

cfPWV AUC
0.84 (95% CI 0.73 to 0.93); sensitivity 0.87, specificity 0.73
SCORE2 AUC
0.56 (95% CI 0.41 to 0.72); sensitivity 0.60, specificity 0.69

Observational data: associations, not effects.

Further findings

Baseline SCORE2 · did not differ

P = 0.35

Correlates of cfPWV · baseline

Age
P < 0.001
Mean arterial pressure
P = 0.013
CRP
P = 0.011

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Carotid-femoral pulse wave velocity improves cardiovascular risk prediction beyond SCORE2 in autoimmune rheumatic diseases: a 7-year follow-up study. RMD Open. Published 16 June 2026. doi:10.1136/rmdopen-2026-006847

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