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A rare cause of non-atherosclerotic myocardial infarction: Rheumatoid arthritis

Year 2013, , - , 01.12.2013
https://doi.org/10.5799/ahinjs.01.2013.04.0348

Abstract

4. Aviña-Zubieta JA, Abrahamowicz M, De Vera MA, et al. Immediate and past cumulative effects of oral gluco- corticoids on the risk of acute myocardial infarction in rheumatoid arthritis: a population-based study. Rheu- matology (Oxford) 2013;52:68-75

References

  • Liao KP, Solomon DH. Traditional cardiovascular risk factors, inflammation and cardiovascular risk in rheu- matoid arthritis. Rheumatology (Oxford) 2013;52:45- 52.
  • Koivuniemi R, Paimela L, Suomalainen R, et al. Cardio- vascular diseases in patients with rheumatoid arthri- tis. Scand J Rheumatol 2013;42:131-135.
  • Hürlimann D, Enseleit F, Ruschitzka F. Rheumatoid arthritis, inflammation, and atherosclerosis. Herz 2004;29:760-768.
  • Aviña-Zubieta JA, Abrahamowicz M, De Vera MA, et al. Immediate and past cumulative effects of oral gluco- corticoids on the risk of acute myocardial infarction in rheumatoid arthritis: a population-based study. Rheu- matology (Oxford) 2013;52:68-75.
  • Trementino L, Arnaldi G, Appolloni G, et al. Coagu- lopathy in Cushing’s syndrome. Neuroendocrinology 2010;92(Suppl 1):55-59.

A rare cause of non-atherosclerotic myocardial infarction: Rheumatoid arthritis

Year 2013, , - , 01.12.2013
https://doi.org/10.5799/ahinjs.01.2013.04.0348

Abstract

Cardiovascular involvement is common in rheumatoid arthritis [1]. Pericarditis, cardiomyopathy, myocarditis, cardiac amyloidosis, coronary vasculitis, arrhythmias, valvular heart disease and congestive heart failure due to ischemia can be seen in addition to the classical extra-articular involvement [2]. Patients with rheumatoid arthritis are under risk of accelerated atherosclerosis and myocardial infarction due to increased inflammation. Endothelial dysfunction is an important mechanism for thrombosis in these patients [3]. Pro-inflammatory cytokines (interleukin-1 beta and tumor necrosis factor alpha, C-reactive protein), activated coagulation factors (tissue factor, von Willebrand factor and plasminogen activator inhibitor-1), increased activity of cell adhesion molecules (selectins, vascular adhesion molecule-1, intercellular adhesion molecule-1) and matrix metalloproteinases are responsible for this endothelial dysfunction leading thrombosis [3]. The risk is especially higher in patients who have used or are using glucocorticoids [4]. In patients with Cushing\'s syndrome due to chronic steroid use, accumulation of cardio-metabolic risk factors like visceral obesity, hypertension, hyperglycemia and hyperlipidemia results in acceleration of cardiovascular disease [4]. Additionally, a hypercoagulability state was also detected in patients with endogenous Cushing\'s syndrome [5]. Herein we present a patient with rheumatoid arthritis who had extensive coronary thrombosis and was given steroid therapy for a long time. J Clin Exp Invest 2013; 4 (4): 568-569

References

  • Liao KP, Solomon DH. Traditional cardiovascular risk factors, inflammation and cardiovascular risk in rheu- matoid arthritis. Rheumatology (Oxford) 2013;52:45- 52.
  • Koivuniemi R, Paimela L, Suomalainen R, et al. Cardio- vascular diseases in patients with rheumatoid arthri- tis. Scand J Rheumatol 2013;42:131-135.
  • Hürlimann D, Enseleit F, Ruschitzka F. Rheumatoid arthritis, inflammation, and atherosclerosis. Herz 2004;29:760-768.
  • Aviña-Zubieta JA, Abrahamowicz M, De Vera MA, et al. Immediate and past cumulative effects of oral gluco- corticoids on the risk of acute myocardial infarction in rheumatoid arthritis: a population-based study. Rheu- matology (Oxford) 2013;52:68-75.
  • Trementino L, Arnaldi G, Appolloni G, et al. Coagu- lopathy in Cushing’s syndrome. Neuroendocrinology 2010;92(Suppl 1):55-59.
There are 5 citations in total.

Details

Primary Language Turkish
Journal Section Letter to the Editor
Authors

Ziya Şimşek This is me

M. Hakan Taş This is me

Emrah İpek This is me

Publication Date December 1, 2013
Published in Issue Year 2013

Cite

APA Şimşek, Z., Taş, M. H., & İpek, E. (2013). A rare cause of non-atherosclerotic myocardial infarction: Rheumatoid arthritis. Journal of Clinical and Experimental Investigations, 4(4). https://doi.org/10.5799/ahinjs.01.2013.04.0348
AMA Şimşek Z, Taş MH, İpek E. A rare cause of non-atherosclerotic myocardial infarction: Rheumatoid arthritis. J Clin Exp Invest. December 2013;4(4). doi:10.5799/ahinjs.01.2013.04.0348
Chicago Şimşek, Ziya, M. Hakan Taş, and Emrah İpek. “A Rare Cause of Non-Atherosclerotic Myocardial Infarction: Rheumatoid Arthritis”. Journal of Clinical and Experimental Investigations 4, no. 4 (December 2013). https://doi.org/10.5799/ahinjs.01.2013.04.0348.
EndNote Şimşek Z, Taş MH, İpek E (December 1, 2013) A rare cause of non-atherosclerotic myocardial infarction: Rheumatoid arthritis. Journal of Clinical and Experimental Investigations 4 4
IEEE Z. Şimşek, M. H. Taş, and E. İpek, “A rare cause of non-atherosclerotic myocardial infarction: Rheumatoid arthritis”, J Clin Exp Invest, vol. 4, no. 4, 2013, doi: 10.5799/ahinjs.01.2013.04.0348.
ISNAD Şimşek, Ziya et al. “A Rare Cause of Non-Atherosclerotic Myocardial Infarction: Rheumatoid Arthritis”. Journal of Clinical and Experimental Investigations 4/4 (December 2013). https://doi.org/10.5799/ahinjs.01.2013.04.0348.
JAMA Şimşek Z, Taş MH, İpek E. A rare cause of non-atherosclerotic myocardial infarction: Rheumatoid arthritis. J Clin Exp Invest. 2013;4. doi:10.5799/ahinjs.01.2013.04.0348.
MLA Şimşek, Ziya et al. “A Rare Cause of Non-Atherosclerotic Myocardial Infarction: Rheumatoid Arthritis”. Journal of Clinical and Experimental Investigations, vol. 4, no. 4, 2013, doi:10.5799/ahinjs.01.2013.04.0348.
Vancouver Şimşek Z, Taş MH, İpek E. A rare cause of non-atherosclerotic myocardial infarction: Rheumatoid arthritis. J Clin Exp Invest. 2013;4(4).