This clinical trial focuses on preventing cardiovascular disease in people who have chronic inflammatory rheumatic diseases such as rheumatoid arthritis, psoriatic arthritis, axial spondyloarthritis, or systemic lupus erythematosus. The study aims to evaluate whether using carotid ultrasound helps identify and treat patients who may be at high risk for heart and blood vessel problems.
The study uses several medications to help lower cholesterol and protect the heart, including combinations of amlodipine and atorvastatin, as well as rosuvastatin with ezetimibe. Another medication being tested is bempedoic acid. These medications are taken by mouth daily over a period of up to 48 months.
The researchers will monitor participants to see if they develop any serious heart or blood vessel problems, such as heart attacks, strokes, or other complications that require hospital treatment. This will help determine if using ultrasound scanning to guide treatment decisions leads to better outcomes compared to current standard treatment approaches.



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