Relationship between coronary arterial disease and rheumatoid arthritis
case report
DOI:
https://doi.org/10.56102/afmo.2023.253Keywords:
Rheumatoid arthritis, Inflammation, Coronary atherosclerosis, AngioplastyAbstract
Rheumatoid Arthritis (RA) is an inflammatory disease that affects the joints, leading to tissue destruction, pain and deformities. Inflammation accelerates the atherosclerosis process, leading to the development of coronary artery disease (CAD). We report the case of a 64-year-old patient, with RA for 25 years, who evolved with persistently active disease and with inflammation markers above the normal range, being diagnosed with luminal reduction in the left anterior descending artery and submitted to coronary angioplasty. The prevalence of CAD with risk of premature death is increased in these patients due to the chronicity of the inflammatory process. Therefore, annual cardiovascular assessment is essential in patients with RA.
References
Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, et al. Rheumatology. Vol. 2. Philadelphia: Elsevier, Cop; 2019. ISBN: 9780323680905;
Løgstrup BB, Olesen KKW, Masic D, Gyldenkerne C, Thrane PG, Ellingsen T, et al. Impact of rheumatoid arthritis on major cardiovascular events in patients with and without coronary artery disease. Annals of the Rheumatic Diseases [Internet]. 2020 Sep 1;79(9):1182–8. https://doi.org/10.1136/annrheumdis-2020-217154;
Lee TH, Song GG, Choi SJ, Seok H, Jung JH. Relationship of rheumatoid arthritis and coronary artery disease in the Korean population: a nationwide cross-sectional study. Adv Rheumatol. 2019;59(1):40. Published 2019 Aug 27. doi:10.1186/s42358-019-0084-6;
Tinggaard AB, de Thurah A, Andersen IT, et al. Rheumatoid Arthritis as a Risk Factor for Coronary Artery Calcification and Obstructive Coronary Artery Disease in Patients with Chest Pain: A Registry Based Cross-Sectional Study. Clin Epidemiol. 2020;12:679-689. Published 2020 Jun 24. doi:10.2147/CLEP.S251168;
Erre GL, Cacciapaglia F, Sakellariou G, Manfredi A, Bartoloni E, Viapiana O, et al. C-reactive protein and 10-year cardiovascular risk in rheumatoid arthritis. European Journal of Internal Medicine [Internet]. 2022 Oct (104):49–54. https://doi.org/10.1016/j.ejim.2022.07.001;
Kang S, Han K, Jung J-H, Eun Y, Kim IY, Hwang J, Koh E-M, Lee S, Cha H-S, Kim H, Lee J. Associations between Cardiovascular Outcomes and Rheumatoid Arthritis: A Nationwide Population-Based Cohort Study. Journal of Clinical Medicine. 2022; 11(22):6812. https://doi.org/10.3390/jcm11226812;
Daniel CM, Davila L, Makris UE, et al. Ethnic Disparities in Atherosclerotic Cardiovascular Disease Incidence and Prevalence Among Rheumatoid Arthritis Patients in the United States: a Systematic Review. ACR Open Rheumatol. 2020;2(9):525-532. doi:10.1002/acr2.11170;
Aviña-Zubieta JA, Choi HK, Sadatsafavi M, Etminan M, Esdaile JM, Lacaille D. Risk of cardiovascular mortality in patients with rheumatoid arthritis: a meta-analysis of observational studies. Arthritis Rheum. 2008 Dec 15;59(12):1690-7. doi: 10.1002/art.24092;
Kokkonen H, Johansson L, Stenlund H, Rantapää-Dahlqvist S. Cardiovascular Risk Factors before Onset of Rheumatoid Arthritis Are Associated with Cardiovascular Events after Disease Onset: A Case-Control Study. J Clin Med. 2022;11(21):6535. Published 2022 Nov 3. doi:10.3390/jcm11216535;
Mantel Ä, Holmqvist M, Jernberg T, Wållberg-Jonsson S, Askling J. Rheumatoid arthritis is associated with a more severe presentation of acute coronary syndrome and worse short-term outcome. Eur Heart J. 2015 Dec 21;36(48):3413-22. doi: 10.1093/eurheartj/ehv461. Epub 2015 Sep 23. PMID: 26400826;
Mota LMH da, Cruz BA, Brenol CV, Pereira IA, Rezende-Fronza LS, Bertolo MB, et al.. Diretrizes para o tratamento da artrite reumatoide. Rev Bras Reumatol [Internet]. 2013Mar;53(Rev. Bras. Reumatol., 2013 53(2)):158–83. doi: 10.1590/s0482-50042013000200004;
Solomon DH, Goodson NJ, Katz JN, Weinblatt ME, Avorn J, Setoguchi S, Canning C, Schneeweiss S. Patterns of cardiovascular risk in rheumatoid arthritis. Ann Rheum Dis. 2006 Dec;65(12):1608-12. doi: 10.1136/ard.2005.050377. Epub 2006 Jun 22. PMID: 16793844; PMCID: PMC1798453;
Jesson C, Bohbot Y, Soudet S, et al. Is the Calcium Score Useful for Rheumatoid Arthritis Patients at Low or Intermediate Cardiovascular Risk?. J Clin Med. 2022;11(16):4841. Published 2022 Aug 18. doi:10.3390/jcm11164841.
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Copyright (c) 2023 Dolly Brandão Lages, Fernando Augusto Pacífico, Michelle Alves de Farias, Antonia Raiane Silva Claudino, Giovanna Sherly de Sá Guedes Marins, Liliam de Souza Santos, Eduardo Lins Paixão
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