Excess recurrent cardiac events in rheumatoid arthritis patients with acute coronary syndrome

Abstract

Recurrent ischaemic events and death occur more often after ACS in rheumatoid arthritis. Atypical presentation is commoner in rheumatoid arthritis. There is an urgent need to develop identification and intervention strategies for ACS specific to this high risk group.

Cardiac autonomic function in patients with rheumatoid arthritis: heart rate turbulence analysis

“…This is evidenced by a higher incidence of congestive heart failure, coronary artery disease and myocardial infarction (frequently silent), as well as sudden cardiac death (10,16). In contrast, only one study has shown that patients with RA did not have excess mortality due to acute myocardial infarction compared with general population (17).…”

Serum uric acid is independently associated with hypertension in patients with rheumatoid arthritis

“…1 Recent, mounting evidence, associates RA with excessive cardiovascular morbidity and mortality including acute coronary syndromes (ACS), heart failure and coronary death. 2,3 The causes for this are likely to be several and include a high prevalence of classical and non-traditional cardiovascular (CV) risk factors. [4][5][6][7] Hypertension (HT), the most important classical risk factor for ACS and stroke, 8 is particularly prevalent in RA.…”

Atypical Presentations of Rheumatoid Arthritis

“…Atypical presentation is commoner in rheumatoid arthritis. There is an urgent need to develop identification and intervention strategies for ACS specific to this high risk group 28 .…”