Abstract

The article presents data on clinically significant heart impairment in pa- tients with rheumatoid arthritis (RA), as well as features of the development of ischemic and non-ischemic heart disease with a significant increase in the risk of adverse cardiovascular events. Patients with RA are characterized by an increased risk of developing myocardial infarction, heart failure, rhythm disturbances, sudden cardiac death, and general cardiovascular death. The paper emphasizes the possibility of a fairly rapid development of myocardial dysfunction in patients with RA from the moment of manifestation of the disease, the develop- ment and progression of atherosclerosis of the coronary arteries. Besides, in case of the development of a coronary artery disease in RApatients, theworst survival rate after aheart attack wasestablished. The available findings suggest that rheumatoid arthritis is adisease that makesa significant contribution to cardiovascular morbidity andmortality.

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