Patients with rheumatoid arthritis have impaired long-term outcomes after myocardial infarction - a nationwide case-control registry study.

To investigate the long-term outcomes of patients with rheumatoid arthritis (RA) after myocardial infarction (MI).All-comer, real-life MI patients with RA (n = 1614, mean age 74 years) were retrospectively compared to propensity score (1:5) matched MI patients without RA (n = 8070) in a multicenter, nationwide, cohort register study in Finland. The impact of RA duration and the usage of corticosteroids and antirheumatic drugs on RA patients' outcomes were also studied. The median follow-up was 7.3 years.RA was associated with an increased 14-year mortality risk after MI compared to patients without RA (80.4% vs. 72.3%; HR 1.25; CI 1.16-1.35; p 

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Authors: Antti Palomäki, Anne M Kerola, Markus Malmberg, Päivi Rautava, Ville Kytö