Peculiarities of ischemic heart disease in patients with rheumatoid arthritis: the modern view on the problem (review of the literature)

Abstract

The purpose of the work is to analyze the literature data about the peculiarities of the course of the ischemic heart disease (IHD) with concomitant rheumatoid arthritis (RA).Material and methods. The main aspects of the etiology, pathogenesis and clinical and instrumental features of the IHD with concomitant RA are highlighted according to the scientific publications of Ukrainian and foreign researchers. Conclusions. According to the review of the literature, cardiac pathology is often masked in case of joints damage accompanied by a markedly reduced physical activity, so this situation requires more careful and thorough examination of the patient by a physician. In such case, clinical changes of the heart, as a rule, are minimal and rarely come to the fore in the general picture of the main pathology. Systemic manifestations of RA, including heart defects, determine the general prognosis of the disease; therefore their early recognition and targeted treatment are important.