Severe RA Doubles the Risk of Heart Disease1
In the last few decades, researchers discovered that the burden autoimmune diseases like rheumatoid arthritis (RA) puts on the joints during the first year of diagnosis is a strong predictor of heart disease.2 In fact, it is recommended that doctors who diagnose patients with RA should also be addressing potential heart risks.
There have been several new studies from the Mayo Clinic that show a strong connection between inflammation and heart health. Therefore, it is important to address both conditions at the same time.
Dr. Eric Matteson, chair of rheumatology at the Mayo Clinic, says that people with rheumatoid arthritis and other chronic inflammatory conditions are at a much higher risk of heart disease. In fact, people with severe RA are twice as likely to develop heart disease. Matteson believes that the inflammatory process of arthritis plays a key role in maintaining a healthy heart.
Therefore, if you have been diagnosed with an autoimmune disease such as rheumatoid arthritis, it is imperative that you meet with a cardiologist. Autoimmune diseases are known to not only affect the joints in your body by causing painful stiffness and inflammation, but also negatively affect major organs such as the heart.
One symptom that can develop from an autoimmune disease diagnosis such as RA is vasculitis, or inflammation of the blood vessels that move blood throughout the body. “As the blood vessels become inflamed, their walls thicken, limiting how much blood can pass through them. As a result, if blood flow is restricted, this could cause significant damage to tissues and organs.” 3
Because rheumatoid vasculitis (RV) is a non-joint-related inflammatory complication of RA, it can affect anyone.4 If you or a loved one have been suffering with RA for many years and developed severe joint damage and deformity, it is important to make an appointment to get your heart checked.
What causes vasculitis?
Researchers are not sure exactly what causes rheumatoid vasculitis. Like RA itself, most cases of RV can be considered autoimmune diseases. An autoimmune disorder occurs when the body’s immune system mistakenly attacks healthy tissues.
Several factors are thought to play a role in whether a person with RA will go on to develop RV, including whether you have:
- Severe, long-standing RA for 10 or more years
- Seropositive RA (a high concentration of rheumatoid factor antibodies and certain proteins in the blood)
- A history of smoking cigarettes, which can damage the blood vessels’ lining
- Felty syndrome, a complication of rheumatoid arthritis that results in low white blood cell levels and an enlarged spleen
- Rheumatoid nodules, firm lumps under the skin that form around the joints
The Facts
According to the CDC:
- One out of every four people in the United States dies from heart disease.
- Heart disease is the leading cause of death for men, women and people of most racial and ethnic.
- One person dies every 36 seconds in the United States from cardiovascular disease.
- People with autoimmune diseases are at a much greater risk for heart disease.
- Making lifestyle changes to your diet, exercise, sleep and stress greatly reduces risk.
- In some cases, medicine reduces risk.5
Therefore, if you or a loved one suffer from an autoimmune disease, be sure to schedule an appointment with a trusted cardiologist for a check-up. The most important step you can take to reduce your risk for developing heart disease is taking action.
Christine M. Conti, M.Ed, BA is and international fitness educator and presenter. She currently sits on the MedFit Education Advisory Board and has been nominated to be the 2020 MedFit Network Professional of the Year. She is the author of the MedFit Classroom Arthritis Fitness Specialist Course and is the CEO and founder of ContiFit.com and Let’s FACE It Together™ Facial Fitness & Rehabilitation. Christine is also the co-host of Two Fit Crazies & A Microphone Podcast and the co-owner of TFC Podcast Production Co.
References
- Krans, B. (2013, October 27). Mayo Clinic: Ra can drastically impact heart health. Healthline. Retrieved June 6, 2022, from https://www.healthline.com/health-news/arthritis-ra-raises-your-risk-of-heart-disease-102713
- Krans, B. (2013, October 27). Mayo Clinic: Ra can drastically impact heart health. Healthline. Retrieved June 6, 2022, from https://www.healthline.com/health-news/arthritis-ra-raises-your-risk-of-heart-disease-102713
- Menard, V., & Teitel, A. D. (2021, May 6). Vasculitis: The risks of ra inflammation. myRAteam. Retrieved June 6, 2022, from https://www.myrateam.com/resources/vasculitis-the-risks-of-ra-inflammation
- Menard, V., & Teitel, A. D. (2021, May 6). Vasculitis: The risks of ra inflammation. myRAteam. Retrieved June 6, 2022, from https://www.myrateam.com/resources/vasculitis-the-risks-of-ra-inflammation
- Centers for Disease Control and Prevention. (2022, February 7). Heart disease facts. Centers for Disease Control and Prevention. Retrieved June 6, 2022, from https://www.cdc.gov/heartdisease/facts.htm
