PMID- 33227081 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201125 IS - 0034-6233 (Print) IS - 2084-9834 (Electronic) IS - 0034-6233 (Linking) VI - 58 IP - 5 DP - 2020 TI - The importance of homocysteine in the development of cardiovascular complications in patients with rheumatoid arthritis. PG - 282-288 LID - 10.5114/reum.2020.99732 [doi] AB - 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. CI - Copyright: (c) 2020 Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie. FAU - Gluszek, Jerzy AU - Gluszek J AD - The State Higher Vocational School in Kalisz, Poland. FAU - Wierzowiecka, Malgorzata AU - Wierzowiecka M AD - Department of Hypertension, Angiology and Internal Medicine, Poznan University of Medical Sciences, Poland. FAU - Niklas, Karolina AU - Niklas K AD - Department of Rheumatology, Rehabilitation and Internal Medicine, Poznan University of Medical Sciences, Poland. FAU - Niklas, Arkadiusz AU - Niklas A AD - Department of Hypertension, Angiology and Internal Medicine, Poznan University of Medical Sciences, Poland. LA - eng PT - Journal Article PT - Review DEP - 20201012 PL - Poland TA - Reumatologia JT - Reumatologia JID - 20130190R PMC - PMC7667944 OTO - NOTNLM OT - folic acid OT - homocysteine OT - rheumatoid arthritis OT - stroke COIS- The authors declare no conflict of interest. EDAT- 2020/11/24 06:00 MHDA- 2020/11/24 06:01 PMCR- 2020/01/01 CRDT- 2020/11/23 17:10 PHST- 2020/07/20 00:00 [received] PHST- 2020/09/16 00:00 [accepted] PHST- 2020/11/23 17:10 [entrez] PHST- 2020/11/24 06:00 [pubmed] PHST- 2020/11/24 06:01 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - 42008 [pii] AID - 10.5114/reum.2020.99732 [doi] PST - ppublish SO - Reumatologia. 2020;58(5):282-288. doi: 10.5114/reum.2020.99732. Epub 2020 Oct 12.