Cardiovascular Co-morbidity and role of exercise in Rheumatoid Arthritis: A Review Shahnawaz Anwer1, Ameed Equebal2 1M.P.T. (Orthopaedics), Physiotherapist, Department of Physiotherapy, National Institute for the Orthopaedically Handicapped (NIOH), B.T.Road, Bonhoogly, Kolkata (WB) 2MD (PMR), Assistant Director (Training), Department of Physical Medicine & Rehabilitation, National Institute for the Orthopaedically Handicapped (NIOH), B.T.Road, Bonhoogly, Kolkata (WB) Correspondence Address: Shahnawaz Anwer, Indoor Physiotherapy department, National Institute for the Orthopaedically handicapped (NIOH) B.T. Road, Bonhoogly, kolkata (WB)-700090 Mobile no: 07890580612 E-mail: anwer_shahnawazphysio@rediffmail.com
Online published on 31 October, 2012. Abstract Patients with rheumatoid arthritis have an increased risk of cardiovascular disease (CVD). Cardiovascular event rates are markedly increased in rheumatoid arthritis (RA). Data from populationand clinic-based epidemiologic studies of rheumatoid arthritis patients suggest that individuals with rheumatoid arthritis are at risk for developing clinically evident congestive heart failure (CHF). The vasculature plays a crucial role in inflammation, angiogenesis, and atherosclerosis associated with the pathogenesis of inflammatory rheumatic diseases. There is overwhelming evidence that, in the general population and several at risk subpopulations, exercise provides significant physical and psychosocial benefits, and facilitates management and improvements of outcome in Rheumatic disease. There is increased recognition of the need for structured preventive strategies to reduce the risk of CVD in patients with RA. In this review, the research agenda for understanding and preventing CVD co-morbidity in patients with rheumatoid arthritis is discussed. Top Keywords Rheumatoid Arthritis, Cardiovascular Disease, Inflammation, Exercise. Top |