Abstract
Cardiovascular disease is the leading cause of premature mortality in patients with rheumatoid arthritis (RA). Pathophysiology of rheumatoid cardiovascular phenomenon is not fully understood, but systemic inflammation is thought to play a crucial role in the endothelial damage and accelerated course of atherosclerotic disease. Rheumatoid inflammation can also cause coronary pathology and heart failure. We present a case of transient cardiomyopathy in RA in the absence of occlusive coronary pathology, which mimics acute coronary syndrome.
This is a preview of subscription content, log in via an institution to check access.
References
Gabriel SE (2008) Cardiovascular morbidity and mortality in rheumatoid arthritis. Am J Med 121(10 Suppl 1):S9–S14
Gonzalez-Gay MA, Gonzalez-Juanatey C, Martin J (2005) Rheumatoid arthritis: a disease associated with accelerated atherogenesis. Semin Arthritis Rheum 35:8–17
Salmon JE, Roman MJ (2008) Subclinical atherosclerosis in rheumatoid arthritis and systemic lupus erythematosus. Am J Med 121(10 Suppl 1):S3–S8
Libby P (2008) Role of inflammation in atherosclerosis associated with rheumatoid arthritis. Am J Med 121(10 Suppl 1):S21–S31
Aubry MC, Maradit-Kremers H, Reinalda MS, Crowson CS, Edwards WD, Gabriel SE (2007) Differences in atherosclerotic coronary heart disease between subjects with and without rheumatoid arthritis. J Rheumatol 34:937–942
Koivuniemi R, Paimela L, Suomalainen R, Piirainen H, Karesoja M, Helve T, Leirisalo-Repo M (2008) Causes of death in patients with rheumatoid arthritis autopsied during a 40-year period. Rheumatol Int 28:1245–1252
Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS, Healey LA, Kaplan SR, Liang MH, Luthra HS et al (1988) The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 31:315–324
Cocco G, Chu D (2007) Stress-induced cardiomyopathy: a review. Eur J Intern Med 18:369–379
Prasad A, Lerman A, Rihal CS (2008) Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): a mimic of acute myocardial infarction. Am Heart J 155:408–417
Cocco G (2008) Vasculitis, left bundle branch block, and Raynaud’s phenomenon as a manifestation of familial mediterranean fever. Arch Med Sci 4:460–464
Gonzalez-Gay MA, Gonzalez-Juanatey C, Vazquez-Rodriguez TR, Martin J, Llorca J (2008) Endothelial dysfunction, carotid intima-media thickness, and accelerated atherosclerosis in rheumatoid arthritis. Semin Arthritis Rheum 38:67–70
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Gasparyan, A.Y., Cocco, G. & Pandolfi, S. Cardiac complications in rheumatoid arthritis in the absence of occlusive coronary pathology. Rheumatol Int 32, 461–464 (2012). https://doi.org/10.1007/s00296-009-1318-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00296-009-1318-4