Features of acute myocardial infarction with rheumatoid arthritis
Shkodkin I.V., Yagashkina S.I.
S.M. Kirov Military Medical Academy, Saint Petersburg, Russia
Rheumatoid arthritis (RA) increases the level of cardiovascular mortality in this pathology by 60% compared with the general population, and over the past 50 years there has been no tendency to reduce it. High risk of cardiovascular complications in rheumatoid arthritis is registered 10 years earlier than in individuals without rheumatic diseases. cute myocardial infarction (AMI) in RA has features associated not only with clinical symptoms, but also with treatment. In the first 2-10 days of AMI with RA, dose adjustment of NSAIDs, withdrawal of glucocorticoids and cytostatics is necessary. The clinical case shows the features of AMI in rheumatoid arthritis.
6. EULAR evidence-based recommendations for cardiovascular risk management in patients with rheumatoid arthritis and other forms of inflammatory arthritis /Peters MJ [et al.] //AnnRheum Dis. - 2009. - doi. - ?10. - P. 1136 -1146.
7. Ocenka porajeniya miokarda pri razlichnih variantah revmatoidnogo artrita na fone bazisnoi i biologicheskoi terapii (infliksimabom) /Mazyrov V.I. [i dr.] // Naychno-prakticheskaya revmatologiya. - 2010. - ?6 (25). - C. 10-16.
8. Increased unrecognized coronary heart disease and sudden deaths in rheumatoid arthritis: a population-based cohort study /Maradit-Kremers H, [et al.] //ArthrRheum. - 2005. - ? 52. - P. 402-411.