Rheumatoid arthritis (RA) is a chronic inflammatory disorder with wide-ranging effects on the body, extending beyond joint inflammation to impact vital systems such as the skin, eyes, lungs, heart, and blood vessels. A significant health concern for people with RA is the heightened risk of developing high blood pressure, also known as hypertension. This comorbidity is common, with studies indicating that 52% to 73% of people with RA also suffer from hypertension.
High blood pressure in RA patients can be attributed to various factors, including a sedentary lifestyle and the medications used for RA treatment, such as nonsteroidal anti-inflammatory drugs (NSAIDs) and steroids. Additionally, RA leads to less elastic arteries, causing them to narrow and restrict blood flow, subsequently elevating blood pressure levels.
It’s crucial for individuals with RA to communicate their complete medical history, including high blood pressure, to their rheumatologist. Since high blood pressure is not uncommon among RA patients, rheumatologists play a key role in devising appropriate treatment strategies that address both conditions.
Patients with RA typically exhibit higher blood pressure due to factors like limited physical activity, RA-specific medications, and the reduced elasticity of their arteries. Furthermore, research has shown that hypertensive patients with RA are generally older, have a longer disease duration, and exhibit higher homocysteine levels compared to those without hypertension.
RA, an autoimmune and inflammatory disease, mistakenly targets healthy cells, leading to inflammation in various body parts, predominantly affecting joints in the hands, wrists, and knees. Understanding and managing the interconnectedness of RA and high blood pressure is essential for the overall health and well-being of those affected.
For more detailed information, visit the following resources:
Mayo Clinic
myRAteam
Arthritis Foundation
Johns Hopkins Arthritis Center
Healthline
PubMed Central (PMC)
Centers for Disease Control and Prevention (CDC)
