The importance of homocysteine in the development of cardiovascular complications in patients with rheumatoid arthritis
Rheumatoid arthritis (RA) not only leads to disability due to joint changes, but also significantly shortens the life expectancy of patients, mainly due to more frequent occurrence of heart attacks and strokes. Accelerated atherosclerosis in these patients is caused, among other factors, by high hom...
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2020
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oai:doaj.org-article:98ae8f064e704f5b90e6bb55112fbbc12021-12-02T17:46:04ZThe importance of homocysteine in the development of cardiovascular complications in patients with rheumatoid arthritis0034-62332084-983410.5114/reum.2020.99732https://doaj.org/article/98ae8f064e704f5b90e6bb55112fbbc12020-10-01T00:00:00Zhttps://www.termedia.pl/The-importance-of-homocysteine-in-the-development-of-cardiovascular-complications-in-patients-with-rheumatoid-arthritis,18,42008,1,1.htmlhttps://doaj.org/toc/0034-6233https://doaj.org/toc/2084-9834Rheumatoid arthritis (RA) not only leads to disability due to joint changes, but also significantly shortens the life expectancy of patients, mainly due to more frequent occurrence of heart attacks and strokes. Accelerated atherosclerosis in these patients is caused, among other factors, by high homocysteine (HCY) concentration in blood. Numerous studies have shown that treatment with vitamin B significantly reduces the concentration of HCY in blood, but does not reduce the risk of heart diseases. Recent studies have shown, however, that folic acid (FA) administration reduces the risk of stroke by 10–20%. Due to the fact that in patients with RA strokes are more frequent than in the general population and hyperhomocysteinemia (HHCY) is often found, determination of HCY concentration in blood is advisable, and in persons with HHCY it is recommended to use FA in primary and secondary stroke prevention.Jerzy GłuszekMałgorzata WierzowieckaKarolina NiklasArkadiusz NiklasTermedia Publishing Housearticlerheumatoid arthritis stroke homocysteine folic acid.MedicineRENRheumatology, Vol 58, Iss 5, Pp 282-288 (2020) |
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rheumatoid arthritis stroke homocysteine folic acid. Medicine R |
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rheumatoid arthritis stroke homocysteine folic acid. Medicine R Jerzy Głuszek Małgorzata Wierzowiecka Karolina Niklas Arkadiusz Niklas The importance of homocysteine in the development of cardiovascular complications in patients with rheumatoid arthritis |
description |
Rheumatoid arthritis (RA) not only leads to disability due to joint changes, but also significantly shortens the life expectancy of patients, mainly due to more frequent occurrence of heart attacks and strokes. Accelerated atherosclerosis in these patients is caused, among other factors, by high homocysteine (HCY) concentration in blood. Numerous studies have shown that treatment with vitamin B significantly reduces the concentration of HCY in blood, but does not reduce the risk of heart diseases. Recent studies have shown, however, that folic acid (FA) administration reduces the risk of stroke by 10–20%. Due to the fact that in patients with RA strokes are more frequent than in the general population and hyperhomocysteinemia (HHCY) is often found, determination of HCY concentration in blood is advisable, and in persons with HHCY it is recommended to use FA in primary and secondary stroke prevention. |
format |
article |
author |
Jerzy Głuszek Małgorzata Wierzowiecka Karolina Niklas Arkadiusz Niklas |
author_facet |
Jerzy Głuszek Małgorzata Wierzowiecka Karolina Niklas Arkadiusz Niklas |
author_sort |
Jerzy Głuszek |
title |
The importance of homocysteine in the development of cardiovascular complications in patients with rheumatoid arthritis |
title_short |
The importance of homocysteine in the development of cardiovascular complications in patients with rheumatoid arthritis |
title_full |
The importance of homocysteine in the development of cardiovascular complications in patients with rheumatoid arthritis |
title_fullStr |
The importance of homocysteine in the development of cardiovascular complications in patients with rheumatoid arthritis |
title_full_unstemmed |
The importance of homocysteine in the development of cardiovascular complications in patients with rheumatoid arthritis |
title_sort |
importance of homocysteine in the development of cardiovascular complications in patients with rheumatoid arthritis |
publisher |
Termedia Publishing House |
publishDate |
2020 |
url |
https://doaj.org/article/98ae8f064e704f5b90e6bb55112fbbc1 |
work_keys_str_mv |
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