People living with rheumatoid arthritis (RA) have a higher risk of coronary heart disease (CHD), partly because both conditions involve inflammation in the body. Research shows that people with RA are about 47 – 48% more likely to develop CHD compared to those without RA. This is due to chronic inflammation and shared risk factors. Inflammation not only affects joints but can also harm blood vessels, leading to plaque build-up and restricted blood flow that contributes to CHD. Additional risks CHD and RA share are high blood pressure, metabolic syndrome, obesity, smoking, and raised cholesterol, which can contribute to the higher risk of CHD. 

In fact, heart disease is one of the leading causes of early death among people living with RA. The good news is that much of this increased risk can be managed or reduced with the right care and lifestyle changes. 

Reducing the risk of CHD 

Management plans for RA have changed dramatically over the last few decades. A better understanding of reducing inflammation, better ways of using existing medications and the development of new medications have been game-changers. Rheumatologists and patients can now develop personalised ‘treat to target’ plans that aim to reduce inflammation to the lowest levels possible to improve RA outcomes and heart health for people living with RA. In addition, there is now a better understanding of the commonalities between RA and heart health, enabling improved ways to prevent CHD.  

Tools for assessing heart health do not consider the added risk that comes with having RA because risk factors are different when compared with the general population. This means understanding CHD risk is even more important if you are living with RA. Making heart-healthy choices today reduces your risk of heart disease and increases your chances of a long and healthy life. Some ways to manage your risk are through lifestyle choices such as nutrition, exercise, stopping smoking and monitoring indicators of heart health. 

To find out more, join Jane Liggins, from the Heart Foundation New Zealand and Valerie Milne from Arthritis NZ to explore the connection between CHD and RA further in a free one-hour webinar on Tuesday, 22 July at 7 pm. They’ll share practical advice on how to support both your heart health and reduce your risk of CHD. There will be an opportunity to ask questions so make sure you tune in to ensure you can join in the discussion.