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Rheumatoid Arthritis Attacks the Heart Rheumatoid Arthritis Attacks the Heart -- Posted by Roman Bystrianyk on 02-03-05 09:14
http://www.healthsentinel.com/news.php?event=news_print_list_item&id=589
"Rheumatoid Arthritis Attacks the Heart", Atlanta Journal -
Constitution, February 3, 2005,
Link:
http://www.ajc.com/health/content/shared-auto/healthnews/rhar/523796.html
A new study confirms the strong link between rheumatoid arthritis and
life-endangering congestive heart failure.
The 165 Minnesota residents in the study with rheumatoid arthritis were
twice as likely to develop heart failure over a 15-year period than 116
residents of similar age and gender who did not have the autoimmune
disease.
The findings by Mayo Clinic researchers appear in the February issue of
Arthritis and Rheumatism.
Other studies have demonstrated the same link, said study author Dr.
Paulo Nicola, a Mayo research fellow. "This one followed patients from
the beginning of the disease, describing how the increase in
heart-failure risk was present in the early stages and throughout."
Rheumatoid arthritis is a disease in which the body mistakenly attacks
its own tissues, causing painful inflammation and loss of joint
function. While the study was not designed to address the reason for an
increase in heart failure -- a condition in which the heart
progressively loses its ability to pump blood -- "several studies in
the general population suggest that inflammation may be a direct cause
of heart failure," Nicola said.
The study did show the need for aggressive treatment of risk factors
for heart disease and stroke, such as high blood pressure and diabetes,
in people with rheumatoid arthritis, he said.
"The clinician should be aware of the higher risk of heart failure and
look for the early symptoms of heart failure even in people without
cardiovascular risk factors," Nicola said. "Treatment should be focused
not only on the rheumatoid condition, but also on control of those risk
factors."
The severity of arthritis in individual patients must also be taken
into account, said Dr. William S. Wilke, a rheumatologist at the
Cleveland Clinic.
"A more active rheumatoid disease is a sign of greater risk of heart
disease," he said. "If we treat people aggressively with medications
such as methotrexate and tumor necrosis factor, we can significantly
reduce the risk of heart disease."
While rheumatoid arthritis always requires constant treatment, "this
problem has a lot to do with how active the disease is," Wilke said.
"If we don't control arthritis aggressively from the start, it's going
to eventually show not only a bad outcome of the disease but also bad
outcomes all over the place."
The report "highlights rheumatoid arthritis as a potentially
life-threatening condition," said Dr. John H. Klippel, president and
CEO of the Arthritis Foundation.
"We've certainly become aware of cardiovascular disease as a risk
factor for premature death in rheumatoid arthritis," Klippel said.
"People with rheumatoid arthritis have a life expectancy of roughly a
decade less than those without the disease. At least one study has
suggested that if one can get inflammation under control, there is
increased survival."
The inflammation that attacks the joints in rheumatoid arthritis is
believed to foster the process in which fatty plaques in the walls of
arteries burst, releasing clots that can block the blood vessels.
Re: Rheumatoid Arthritis Attacks the Heart -- Posted by Harvey R. Stone on 02-03-05 09:50
Hi Roman,, That is a good article and something that people with RA like
myself have know for a long long time. Another type disease like RA is
called Lupus where a person organs are attacked much more than a person with
regular RA.
I am 65 and have had immune system problem since I was 38 and under a
RDs care since I was 45. There has been some improvement in life
expectancy. Back when,,, it was 15 years less than a normal person and only
10 less in your study. My reason for saying all this is that I am living
proof that a person can live a good, full life with today's medicine and a
good RD to control a persons immune system. A person does not have to live
each day in pain or in a wheelchair if they get the right help and use
today's medicine and doctors.
Harv
"Roman Bystrianyk" > "Rheumatoid Arthritis Attacks the Heart", Atlanta Journal -
> Constitution, February 3, 2005,
> Link:
> http://www.ajc.com/health/content/shared-auto/healthnews/rhar/523796.html
>
> A new study confirms the strong link between rheumatoid arthritis and
> life-endangering congestive heart failure.
>
> The 165 Minnesota residents in the study with rheumatoid arthritis were
> twice as likely to develop heart failure over a 15-year period than 116
> residents of similar age and gender who did not have the autoimmune
> disease.
>
> The findings by Mayo Clinic researchers appear in the February issue of
> Arthritis and Rheumatism.
>
> Other studies have demonstrated the same link, said study author Dr.
> Paulo Nicola, a Mayo research fellow. "This one followed patients from
> the beginning of the disease, describing how the increase in
> heart-failure risk was present in the early stages and throughout."
>
> Rheumatoid arthritis is a disease in which the body mistakenly attacks
> its own tissues, causing painful inflammation and loss of joint
> function. While the study was not designed to address the reason for an
> increase in heart failure -- a condition in which the heart
> progressively loses its ability to pump blood -- "several studies in
> the general population suggest that inflammation may be a direct cause
> of heart failure," Nicola said.
>
> The study did show the need for aggressive treatment of risk factors
> for heart disease and stroke, such as high blood pressure and diabetes,
> in people with rheumatoid arthritis, he said.
>
> "The clinician should be aware of the higher risk of heart failure and
> look for the early symptoms of heart failure even in people without
> cardiovascular risk factors," Nicola said. "Treatment should be focused
> not only on the rheumatoid condition, but also on control of those risk
> factors."
>
> The severity of arthritis in individual patients must also be taken
> into account, said Dr. William S. Wilke, a rheumatologist at the
> Cleveland Clinic.
>
> "A more active rheumatoid disease is a sign of greater risk of heart
> disease," he said. "If we treat people aggressively with medications
> such as methotrexate and tumor necrosis factor, we can significantly
> reduce the risk of heart disease."
>
> While rheumatoid arthritis always requires constant treatment, "this
> problem has a lot to do with how active the disease is," Wilke said.
> "If we don't control arthritis aggressively from the start, it's going
> to eventually show not only a bad outcome of the disease but also bad
> outcomes all over the place."
>
> The report "highlights rheumatoid arthritis as a potentially
> life-threatening condition," said Dr. John H. Klippel, president and
> CEO of the Arthritis Foundation.
>
> "We've certainly become aware of cardiovascular disease as a risk
> factor for premature death in rheumatoid arthritis," Klippel said.
> "People with rheumatoid arthritis have a life expectancy of roughly a
> decade less than those without the disease. At least one study has
> suggested that if one can get inflammation under control, there is
> increased survival."
>
> The inflammation that attacks the joints in rheumatoid arthritis is
> believed to foster the process in which fatty plaques in the walls of
> arteries burst, releasing clots that can block the blood vessels.
>
Re: Rheumatoid Arthritis Attacks the Heart -- Posted by arthur wouk on 02-03-05 11:29
you shouldn't top post! please! see my comments below bout the
content.
i did this to emphasize usenet style.
In article ,
Harvey R. Stone wrote:
:Hi Roman,, That is a good article and something that people with RA like
:myself have know for a long long time. Another type disease like RA is
:called Lupus where a person organs are attacked much more than a person with
:regular RA.
: I am 65 and have had immune system problem since I was 38 and under a
:RDs care since I was 45. There has been some improvement in life
:expectancy. Back when,,, it was 15 years less than a normal person and only
:10 less in your study. My reason for saying all this is that I am living
:proof that a person can live a good, full life with today's medicine and a
:good RD to control a persons immune system. A person does not have to live
:each day in pain or in a wheelchair if they get the right help and use
:today's medicine and doctors.
:Harv
:
i believe that those of us who have been on nsaids since our diagnosis
of ra class disease have a strong benefit from the anti-inflammatory
nature of these drugs. there have been many studies showing that aspirin
in small quantities is good for the heart and cardio-vascular problems
in general. i have long felt that those of us on at least some nsaids
gain the same protection as the aspirin takers. inflamation is
inflamation, no matter where and how it occurs.
so, although both my parents died at 77 of cardio-vascular problems, i
am approaching 81 with 27 years of nsaid treatment behind me (tolmetin
for ankylosing spondylitis and recently indomethycin for gout). i
can't be sure that it is not genetics, but, with my parent's
experience, it seems likely. tests showed for instance that the brain
circulation via the carotid artery passes through arteries which are
free of all plaque. seems unlikely that this is due to heredity, and
possibly it is due to the nsaid treatments. no one has been willing
to pay for the studies which would validate this hypothesis.
i started treatment before the dmards came to medical practice, so i
didn't ever use them. can't hypothesize about their possible benefit
in this direction.
--
getting out of bed in the morning is an act of false confidence
- jules feifer
to email me, delete blackhole. from my return address
Re: Rheumatoid Arthritis Attacks the Heart -- Posted by Harvey R. Stone on 02-03-05 11:45
"arthur wouk" wrote in message
news:1107458940.424687@irys.nyx.net... > you shouldn't top post! please! see my comments below bout the
> content.
>
> i did this to emphasize usenet style.
>
Hi AW,,,,, LOLOL It may be your usenet style but I will do both every now
and then and what I had to say,,,, I believe in and the way it was for me.
It is good to see your post and I am glad you are still kicking around. It
has been quite awhile since I have seen one of your posts in MHA.
Harv
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