Correspondence on 'Impact of rheumatoid arthritis on major cardiovascular events in patients with and without coronary artery disease'.

Globally, coronary artery disease (CAD) is one of the leading causes of mortality in patients with rheumatoid arthritis (RA).1 2 The major pathological changes in RA-associated CAD are high rate of unstable coronary plaque and increased local inflammation, as inferred from autopsy reports.3 Recently, Logstrup et al 4 reported that RA was significantly associated with a 10-year risk of myocardial infarction, major adverse cardiovascular events and all-cause mortality regardless of the presence of CAD in patients undergoing coronary angiography (CAG). While the patients with RA associated CAD carry the largest risk, the additive risk of RA in patients without CAD is minor. These findings were published in the September 2020 issue of the Annals of the Rheumatic Diseases . Certainly, the findings …