Men with RA at increased risk for heart trouble | Arthritis Information

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Men older than age 50 with rheumatoid arthritis (RA) are at increased risk of suffering major heart-related events, research shows, and the level of RA disease activity predicts these events independent of traditional cardiovascular risk factors, such as high blood pressure, diabetes and high cholesterol, researchers found.

In 282 men, Dr. Subhash Banerjee, of the University of Texas Southwestern Medical Center, Dallas, and colleagues examined the association between RA and various heart-related events such as heart attack and other "acute coronary syndromes", heart failure, stroke, death and need for a heart procedure such as angioplasty or surgery.

Overall, 92 men (about 33 percent) experienced a major cardiac event during an average follow-up of 4.4 years.

Results showed that 54 percent of men with high disease activity had cardiovascular events, compared to 26 percent of those with low disease activity, a significant difference. Patients with high disease activity also had a lower average event-free period compared to those with low or moderate disease activity (19 years versus 35 and 30 years, respectively).

A high RA disease activity score was a significant predictor of cardiovascular events independent of such traditional risk factors as age, gender, diabetes, smoking, high blood pressure, high cholesterol and history of blood vessel disease, Banerjee and colleagues report.

Based on these findings and others, the researchers conclude that "it is possible to speculate that early aggressive control of chronic inflammation and primary and secondary modification of traditional cardiovascular risk factors in patients with RA may result in improved survival and lower cardiovascular event rates."

SOURCE: American Journal of Cardiology, April 15, 2008.

Reaches in draw and pulls out medical equipment.

BP 124 65 Pulse 91



Sits down feeling better after reading that.
Ouch, thats all I can say.  It is a well known risk that is also true for women..."Rheumatoid arthritis, a chronic inflammatory disease that affects 1% of the general population, is associated with increased mortality, which is predominantly due to accelerated coronary artery and cerebrovascular atherosclerosis.[1,2] Indeed, women with rheumatoid arthritis are twice as likely to suffer a myocardial infarction compared with women without rheumatoid arthritis, and this increased risk is also seen in men" (from a medscape article 2006)

 
I think it's an important fact to remember when considering the risk of RA meds.  The drug risks should be balanced against the risk of doing nothing or an ineffective treatment plan.  I sometimes get a bit frustrated when people talk about the terrible risks of the more powerful meds when the risks are in fact small compared to the risk of chronic, systemic inflammation from RA.  Also it motivates me to do everything I can to reduce the other risk factors for cardiovascular disease...things we can control via diet, exercise, etc.  I do believe I can do things to significantly reduce risk in these areas which compensates for the increased risk due to RA.
 
Alan
All this puts a bit of a different spin on things when people go aghast at the drugs I take. I'M 72 WITH BLOODPRESSURE OF 122 OVER 70 AND A RESTING HEART RATE OF 53. I EXERCISE EVERY DAY AND I HAVE FEW LIMITATIONS. I TAKE PLAQENIL AND METHOTREXATE AND HAVE SOME FOGGY DAY AND A MILD HEADACHE ONCE IN AWHILE.
THE DOCS JUST TELL ME TO JUST KEEP SHOWING UP!!!!

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