Rheumatoid disease and ischaemic heart disease: insights from pathophysiology and vascular biology

GS Bhatia, MD Sosin, Fazal Khattak, Russell Davis, Gregory Lip

Research output: Contribution to journalArticle

7 Citations (Scopus)


Rheumatoid disease (RD) is a multisystem inflammatory disorder, which is associated with an increased cardiovascular mortality, thought to be due to ischaemic heart disease (IHD). The precise mechanisms causing increased IHD in RD are unclear. However, there is increasing recognition that atherosclerosis is another chronic inflammatory condition, which shares several pathophysiological features with RD. For example, endothelial damage/dysfunction, platelet activation, hypercoagulability and angiogenesis are well-recognised in both disease processes. Furthermore, RD may influence traditional risk factors such as dyslipidaemia. Although the exact reasons for the increased ischaemic burden are unclear, physicians should place a high priority upon reducing cardiovascular risk in sufferers of RD. This review summarises factors that might contribute to the pathogenesis of IHD in RD. Discussion will focus upon features shared by atherosclerotic and rheumatoid processes, as well as possible interactions between RD and conventional IHD risk factors.
Original languageEnglish
Pages (from-to)1-10
Number of pages10
JournalInternational Journal of Cardiology
Issue number1
Publication statusPublished - 20 Oct 2005


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