RISK FACTORS AND FEATURES OF CORONARY HEART DISEASE IN PATIENTS WITH RHEUMATOID ARTHRITIS

Аннотация

Objective: Study risk factors and peculiarities of the course of coronary heart disease in patients with rheumatoid arthritis. Methods: 84 patients with a diagnosis of RA examined, according to the criteria of ACR, who treated in the Department of Cardiorheumatology of Samarkand City Medical Association for the period from 2020 to 2022. Results: The diagnosis of coronary heart disease (CHD) established in 32 patients (38%). Of these, 4 (12.5%) had a confirmed diagnosis of CHD diagnosed previously (before the debut of RA), with typical angina in 15 (46.8%) patients, ischemia without pain in 7 (25.4%), and rhythm disturbances in 9 (28.2%). Two (6.25%) patients with CHD had a history of myocardial infarction. Conclusions. CHD established in 38% of RA patients. Almost 30% of RA patients had cardiac rhythm disturbances and painless ischemia, which related to the constant intake of NSAIDs, which have analgesic effect.