Rheumatoid arthritis (RA) is a chronic autoimmune disease with an especially articular involvement that is associated with an exponential increase in cardiovascular risk (CVR). Disease activity can be measured with clinimetric scores, such as Disease Activity Score 28 (DAS 28), and CVR with scales such as Framingham and SCORE, available as an electronic application for mobile devices. Adequate disease control decreases CVR. Achieving this goal requires the very important participation of the first level health centers, for whom this review presents a practical approach on specific aspects of RA treatment and CVR approach.