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    RA, Hypertension, and Vascular Disease: What's True?


    Answer: All statements are true.1,2,3

    RA has evolved into a prominent cardiovascular risk factor and is associated with accelerated disease in multiple vascular territories. In the specific context of hypertension, RA appears to accelerate target organ damage in those afflicted with elevated blood pressures.


    Which of the following statements is/are correct?

    A. The presence of asymptomatic cardiovascular damage in RA patients is associated more with hypertension than with inflammatory activity.

    B. Left ventricular diastolic function, but not systolic function, is affected by hypertension in RA patients.

    C. Blood pressure “dipping” (a normal drop in nocturnal blood pressure) is unaffected by RA.

    D. Hypertensive patients with RA have inappropriately increased left ventricular mass.

    Answer and discussion, next page>>

    Gregory W. Rutecki, MD
    Dr Rutecki is with the Cleveland Clinic National Consultation Service.


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