Arthritis and Heart Health
August 2022
Learn how having arthritis can affect heart health and what you can do to protect yourself.
Introduction:
Arthritis may increase your risk of developing heart disease.
Rheumatoid Arthritis (RA), Gout, Lupus, Scleroderma, Sjögren’s Syndrome and Psoriatic Arthritis are particularly significant risk factors
for heart disease. These can include heart attack, stroke, atrial fibrillation (irregular heartbeat), high blood pressure, and heart
failure, and atherosclerosis (plaque in the arteries).
Chronic inflammation and your heart:
Inflammatory arthritis is sometimes called 'auto-immune arthritis', 'auto-inflammatory arthritis', and used to be called 'rheumatism’. In
autoimmune diseases, the body sends wrong messages to immune cells, such as white blood cells, instructing them to attack the body’s own
tissues.
These conditions are very complex and are the result of our immune system malfunctioning, causing our body to attack itself. Often, our
body will mistakenly send large amounts of inflammation to our joints.
This inflammation then starts to attack the healthy parts of our joints causing them to become swollen and painful. Inflammatory forms of
arthritis are systemic conditions, meaning if they are left untreated, they may spread around the body causing inflammation in other joints
and organs.
Rheumatoid arthritis (RA):
RA is one of the most common types of inflammatory
arthritis and has the most research into its relationships with heart disease. People with RA are 50-70% more likely to develop heart
disease than the general population.
Patients with RA may develop inflammation in the heart muscles, especially during disease flares. This can often be symptomless. Chronic
inflammation from RA can damage the blood vessels and may cause plaque to build in the arteries. This plaque can narrow the blood vessels
and block blood flow, leading to heart attack or stroke.
Patients with inflammatory joint diseases may have arrhythmias (irregular heartbeat). Other forms of inflammatory arthritis, such as lupus,
Sjögren’s syndrome, scleroderma,
inflammatory myositis, and psoriatic arthritis can also be
linked with chronic inflammation in various body systems.
This chronic inflammation can be typically seen in the joints, eyes, skin, lungs, and kidneys, but also in the heart and vascular system.
Lifestyle Behaviours and Your Heart:
Having arthritis does not mean you will get heart disease. Obesity, high blood pressure, diabetes, and high cholesterol are all risk
factors for heart disease. These factors may overlap in arthritis patients.
Another major lifestyle risk factor for heart disease is smoking. It raises blood pressure, lowers HDL (good
cholesterol), and accelerates plaque build-up in arteries.
Healthy diet and exercise can help us to maintain a health weight, manage blood pressure and cholesterol levels, and conditions like
diabetes. However, exercise can be challenging for some people with arthritis as it is difficult to exercise when you are in pain.
The best way to overcome the barrier that prevents you from exercising is to find a fitness program that suits your abilities, seek advice
from your doctor, and start slowly.
Also, aerobic
and resistance
exercise
training for arthritis patients is effective in improving overall wellbeing, the muscle mass loss associated with arthritis, and
significantly improving physical function without worsening disease activity. It is likely to reduce cardiovascular risk and should be part
of a healthy lifestyle.
How arthritis drugs can be beneficial for your heart:
Medication is one of the most effective ways to manage arthritis and related health problems. Disease-modifying anti-rheumatic drugs
(DMARDs) reduce joint pain and may protect the heart by reducing inflammation.
Whether that’s methotrexate, a biologic, or another medication your rheumatologist has prescribed, DMARDs may also help protect your
heart.
Methotrexate, the first-line treatment for RA, has been associated with a lower cardiovascular risk, with evidence indicating a 21%
reduction in cardiovascular events.
DMARDs aid in the control of RA inflammation while it may also lower the risk of heart attack, stroke, and other cardiovascular events.
For more information, read our free
infosheet on Medicines and Arthritis
How Arthritis Queensland can help
JOIN OUR 12-WEEK ONLINE 'ARTHRITIS
MOVES' EXERCISE PROGRAM.
Always talk to your doctor and/or health professional before starting an exercise program. A physiotherapist or exercise physiologist
can suggest safe exercises and make sure you are doing your exercises correctly
Sources
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Arthritis Foundation. Learn about the Connection of Arthritis and Heart Disease Now. [Internet]. www.arthritis.org. Arthritis
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https://www.arthritis.org/health-wellness/about-arthritis/related-conditions/other-diseases/arthritis-and-heart-disease
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Cooper G. Inflammatory Arthritis [Internet]. Arthritis-health. Arthritis Health; 2011 [cited 2022 Aug 11]. Available from: https://www.arthritis-health.com/types/general/inflammatory-arthritis
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Australian Institute of Health and Welfare. Rheumatoid arthritis, Who Gets Rheumatoid arthritis? - Australian Institute of Health
and Welfare [Internet]. Australian Institute of Health and Welfare. Australian Institute of Health and Welfare; 2017 [cited 2022 Aug 11].
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Crowson CS, Liao KP, Davis JM, Solomon DH, Matteson EL, Knutson KL, et al. Rheumatoid Arthritis and Cardiovascular Disease.
American Heart Journal. 2013 Oct;166(4):622-628.e1.
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Chodara AM, Wattiaux A, Bartels CM. Managing Cardiovascular Disease Risk in Rheumatoid Arthritis: Clinical Updates and Three
Strategic Approaches. Current Rheumatology Reports [Internet]. 2017 Mar 30 [cited 2022 Aug 11];19(4):16. Available from:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5789778/
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Arthritis Foundation. Rheumatoid Arthritis and Heart Disease. [Internet]. www.arthritis.org. Arthritis Foundation; 2022 [cited 2022
Aug 15]. Available from:
https://www.arthritis.org/health-wellness/about-arthritis/related-conditions/other-diseases/rheumatoid-arthritis-heart-disease#:~:text=One%20of%20the%20best%20ways,stroke%20and%20other%20CVD%20events.