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Is ra deadly. Rheumatoid Arthritis: Exploring the Complications, Impact on Lifespan, and Comprehensive Management

What is the impact of rheumatoid arthritis on lifespan? Can rheumatoid arthritis be deadly? Discover the symptoms, causes, diagnosis, treatment options and prevention strategies for this chronic condition.

Rheumatoid Arthritis and Lifespan: Understanding the Risks

Rheumatoid arthritis (RA) is a chronic autoimmune condition that can have a significant impact on a person’s lifespan. While RA itself is not a direct cause of death, it can increase the risk of developing various life-threatening complications. Studies have shown that individuals with RA typically have a slightly reduced life expectancy, with an average reduction of 4.97 years compared to the general population.

Factors Influencing RA-Related Complications and Mortality

The severity and progression of RA, as well as the presence of other underlying health conditions, can greatly influence the risk of developing complications that may impact lifespan. Factors such as the type of RA (seropositive vs. seronegative), age at diagnosis, sex, lifestyle choices (e.g., smoking, alcohol consumption), and the effectiveness of treatment can all play a role in determining the potential complications and their impact on a person’s overall health and longevity.

Key Complications and Their Impact on Lifespan

Rheumatoid arthritis can increase the risk of several life-threatening complications, including:

  1. Cardiovascular Disease: RA can cause inflammation and damage to the arteries, heart muscles, and tissues surrounding the heart, leading to an increased risk of conditions like atherosclerosis, heart attacks, and strokes.
  2. Respiratory Problems: Inflammation associated with RA can affect the lungs, increasing the risk of conditions like interstitial lung disease and pulmonary hypertension.
  3. Infections: RA can weaken the immune system, making individuals more susceptible to severe infections that can be life-threatening.
  4. Musculoskeletal Complications: Joint damage and deformities caused by RA can lead to mobility issues and further complications.

Treatment and Management Strategies

While there is no cure for rheumatoid arthritis, effective treatment and management strategies can help reduce the risk of complications and improve the overall prognosis. These strategies include:

  • Disease-Modifying Antirheumatic Drugs (DMARDs): These medications, such as methotrexate, can help slow the progression of RA and reduce inflammation.
  • Biologic Agents: Newer biologic drugs, like TNF-alpha inhibitors, can also help control RA symptoms and reduce the risk of complications.
  • Lifestyle Modifications: Maintaining a healthy diet, regular exercise, and avoiding smoking and excessive alcohol consumption can help mitigate the impact of RA on overall health.
  • Comprehensive Care: A multidisciplinary approach involving rheumatologists, primary care providers, and other healthcare professionals can help manage RA and its associated complications effectively.

Early Diagnosis and Intervention: Improving Outcomes

Early diagnosis and prompt initiation of appropriate treatment are crucial in managing rheumatoid arthritis and reducing the risk of complications. The sooner treatment is started, the better the chances of slowing disease progression and preventing long-term joint damage and other life-threatening complications.

Monitoring and Adapting Treatment Strategies

Ongoing monitoring and regular follow-up with healthcare providers are essential for individuals with rheumatoid arthritis. As the condition progresses or new complications arise, treatment strategies may need to be adapted to ensure optimal management and to minimize the impact on the individual’s overall health and lifespan.

Empowering Patients: Promoting Self-Management and Collaboration

Engaging patients in their own care, providing education, and fostering collaborative decision-making between healthcare providers and patients can empower individuals with rheumatoid arthritis to actively participate in their treatment and management. This can lead to better adherence, improved outcomes, and a reduced risk of complications that may impact lifespan.

Can you die from rheumatoid arthritis? Lifespan and outlook

A person cannot die from rheumatoid arthritis (RA). However, RA can increase the risk of developing complications, such as heart disease. Some of these can be life threatening.

RA is a chronic medical condition that involves increased levels of inflammation in tissues throughout the body.

The condition can make a person more likely to develop health complications affecting the heart and lungs. The risk of complications depends on a range of factors, including age, disease progression, and a person’s lifestyle.

There is currently no cure for RA. However, effective treatment can slow down or stop the condition’s progression and help prevent complications. Treatments work best when a person starts them early in the disease progression.

In this article, we look at how RA may affect a person’s lifespan.

A note about sex and gender

Sex and gender exist on spectrums. This article will use the terms “male,” “female,” or both to refer to sex assigned at birth. Click here to learn more.

Was this helpful?

A person cannot die from RA. However, people with RA typically have a slightly reduced life expectancy. A study of almost 30,000 people with RA in Taiwan found that people with the condition have an average life expectancy reduction of 4.97 years.

However, with the correct management, many people with RA can have the same life expectancy as those without it.

People with seropositive RA are at a greater risk of developing severe forms of RA than those with seronegative RA. They also have a higher risk of developing physical complications such as rheumatoid nodules and vasculitis.

Widespread inflammation from RA can increase a person’s risk of developing other life threatening complications.

Share on PinterestThomas Stockhausen/Getty Images

RA causes inflammation throughout the body that, over time, can damage organ tissues. Having RA-related complications can affect a person’s lifespan.

Existing conditions

Findings of a 2017 study indicate that the following are more likely to cause death in people with RA than in the general population:

  • cardiovascular disease
  • respiratory disease
  • infection
  • musculoskeletal conditions

People with RA may be more likely to develop infections because of reduced immune system function. Some medications prescribed to treat RA can also increase the risk of infection.

Other risk factors

It is difficult to predict how complications of RA may affect a person’s lifespan. This is because their risk and severity depend on a wide range of factors.

Factors can include:

  • RA progression
  • sex, with females being more likely to develop severe RA, though males with and without RA have a higher risk of cardiovascular disease
  • age at diagnosis, with early diagnosis improving a person’s outlook
  • lifestyle factors such as smoking and drinking alcohol

Authors of a 2018 study report that overall mortality rates among people with RA have decreased in recent years. This may be at least partially due to improved treatment methods.

Medications such as disease-modifying antirheumatic drugs (DMARDs) and biologics can reduce the risk of RA-related complications.

Learn more about DMARDs and biologics here.

As RA progresses, long lasting or frequently occurring inflammation in the joints can lead to permanent joint damage. This can affect the cervical spine joints in the neck and may cause nodules to form under the skin.

RA can also increase the risk of certain health conditions. The following sections discuss three main complications: heart disease, respiratory problems, and infection.

Heart disease

RA can cause inflammation and damage to the arteries, the heart muscles, or tissues surrounding the heart.

Pericarditis, which is inflammation of the pericardium (the pouch surrounding the heart) and fluid buildup in this pouch, may be significant factors. Pericarditis is the most common cardiac complication of RA, though people rarely experience symptoms. Fewer than 10% of people with RA have symptomatic pericarditis.

While pericarditis is rarely a serious complication, any symptoms affecting the pericardium can be life threatening.

People with RA are also much more likely to develop atherosclerosis, which is a buildup of plaque in the arteries. In a person with RA, this plaque is more likely to be brittle and break away, leading to a higher risk of heart attack and stroke.

Some RA medications, including nonsteroidal anti-inflammatory drugs and corticosteroids, may also increase the risk of atherosclerosis. Other medications, including JAK inhibitors, can increase the risk of other major cardiac events.

The Arthritis Foundation notes that RA increases the risk of several other heart complications, including:

  • a nearly doubled risk of ischemic stroke
  • a tripled risk of deep vein thrombosis, which refers to blood clots in the legs
  • a more than quadrupled risk of a life threatening pulmonary embolism

Respiratory disease

According to the Arthritis Foundation, beyond complications that affect the joints, people with RA are most likely to experience complications involving the lungs.

RA increases the risk of respiratory issues, such as:

  • nodules in the lungs
  • pleural effusion
  • bronchiectasis
  • interstitial lung disease

The rate of interstitial lung disease is eight times higher in people with RA. It occurs when excessive inflammation from an overactive immune system causes scarring in lung tissue. This can make breathing difficult or impossible, and a person could eventually need a lung transplant.

People with RA may also have a higher risk of developing blockages in the small airways of the lungs. Sometimes, RA medications can also cause adverse reactions in the lungs and lung lining.

Infection

People with autoimmune conditions such as RA are more susceptible to potentially serious and even fatal infections.

In people with RA, it is still unclear whether this susceptibility results from the condition or a side effect of RA medications, including biologics and steroids.

Vaccinations, such as the COVID-19, flu, and pneumococcal vaccines, can help prevent some infections associated with RA.

For more advice on COVID-19 prevention and treatment, visit our coronavirus hub.

Was this helpful?

Other complications

Other complications from RA include:

  • inflammation in the eye
  • osteoporosis
  • anemia
  • type 2 diabetes
  • rheumatoid vasculitis
  • lymphoma
  • chronic kidney disease
  • depression

Learn more about the effects of RA on the body here.

Most people with RA can lead a full and active life. It is important for a person to follow a healthy lifestyle to reduce the risks of other illnesses associated with RA.

There is no cure for RA. Treatments aim to slow the progression of the condition and manage symptoms such as inflammation and pain.

An effective treatment plan can help prevent complications of RA. Some home remedies may also help manage RA symptoms and protect against complications.

Doctors may recommend that people with RA make changes to their diet and lifestyle, such as:

  • quitting smoking
  • doing regular low impact exercises, such as swimming and light muscle training
  • eating a balanced diet and avoiding processed foods
  • going to counseling or engaging with a support group
  • taking plenty of time to rest throughout the day

People with RA should work directly with a doctor to create and adapt their treatment plan.

Regular appointments with a rheumatologist may also help. The specialist can monitor the progression of the disease and recommend any necessary treatment changes.

Complementary therapies — such as massage, meditation, and acupuncture — may also benefit people with the condition. Results can vary, so it may help to try a few different techniques.

Following an anti-inflammatory diet for RA can also help.

Learn about 11 home remedies for RA here.

RA is a chronic condition with no known cure. People do not die from RA. However, it can lead to serious complications that can compromise overall health.

A person with RA may have a reduced life expectancy. However, the condition affects each person differently, and it can be difficult for doctors to predict an individual’s outlook.

Receiving treatment and making recommended lifestyle changes early on can help manage symptoms and improve a person’s outlook.

A person with RA should work directly with a doctor and rheumatologist to set and modify treatments. Doing this can help manage symptoms and slow the progression of the disease.

Can you die from rheumatoid arthritis? Lifespan and outlook

A person cannot die from rheumatoid arthritis (RA). However, RA can increase the risk of developing complications, such as heart disease. Some of these can be life threatening.

RA is a chronic medical condition that involves increased levels of inflammation in tissues throughout the body.

The condition can make a person more likely to develop health complications affecting the heart and lungs. The risk of complications depends on a range of factors, including age, disease progression, and a person’s lifestyle.

There is currently no cure for RA. However, effective treatment can slow down or stop the condition’s progression and help prevent complications. Treatments work best when a person starts them early in the disease progression.

In this article, we look at how RA may affect a person’s lifespan.

A note about sex and gender

Sex and gender exist on spectrums. This article will use the terms “male,” “female,” or both to refer to sex assigned at birth. Click here to learn more.

Was this helpful?

A person cannot die from RA. However, people with RA typically have a slightly reduced life expectancy. A study of almost 30,000 people with RA in Taiwan found that people with the condition have an average life expectancy reduction of 4.97 years.

However, with the correct management, many people with RA can have the same life expectancy as those without it.

People with seropositive RA are at a greater risk of developing severe forms of RA than those with seronegative RA. They also have a higher risk of developing physical complications such as rheumatoid nodules and vasculitis.

Widespread inflammation from RA can increase a person’s risk of developing other life threatening complications.

Share on PinterestThomas Stockhausen/Getty Images

RA causes inflammation throughout the body that, over time, can damage organ tissues. Having RA-related complications can affect a person’s lifespan.

Existing conditions

Findings of a 2017 study indicate that the following are more likely to cause death in people with RA than in the general population:

  • cardiovascular disease
  • respiratory disease
  • infection
  • musculoskeletal conditions

People with RA may be more likely to develop infections because of reduced immune system function. Some medications prescribed to treat RA can also increase the risk of infection.

Other risk factors

It is difficult to predict how complications of RA may affect a person’s lifespan. This is because their risk and severity depend on a wide range of factors.

Factors can include:

  • RA progression
  • sex, with females being more likely to develop severe RA, though males with and without RA have a higher risk of cardiovascular disease
  • age at diagnosis, with early diagnosis improving a person’s outlook
  • lifestyle factors such as smoking and drinking alcohol

Authors of a 2018 study report that overall mortality rates among people with RA have decreased in recent years. This may be at least partially due to improved treatment methods.

Medications such as disease-modifying antirheumatic drugs (DMARDs) and biologics can reduce the risk of RA-related complications.

Learn more about DMARDs and biologics here.

As RA progresses, long lasting or frequently occurring inflammation in the joints can lead to permanent joint damage. This can affect the cervical spine joints in the neck and may cause nodules to form under the skin.

RA can also increase the risk of certain health conditions. The following sections discuss three main complications: heart disease, respiratory problems, and infection.

Heart disease

RA can cause inflammation and damage to the arteries, the heart muscles, or tissues surrounding the heart.

Pericarditis, which is inflammation of the pericardium (the pouch surrounding the heart) and fluid buildup in this pouch, may be significant factors. Pericarditis is the most common cardiac complication of RA, though people rarely experience symptoms. Fewer than 10% of people with RA have symptomatic pericarditis.

While pericarditis is rarely a serious complication, any symptoms affecting the pericardium can be life threatening.

People with RA are also much more likely to develop atherosclerosis, which is a buildup of plaque in the arteries. In a person with RA, this plaque is more likely to be brittle and break away, leading to a higher risk of heart attack and stroke.

Some RA medications, including nonsteroidal anti-inflammatory drugs and corticosteroids, may also increase the risk of atherosclerosis. Other medications, including JAK inhibitors, can increase the risk of other major cardiac events.

The Arthritis Foundation notes that RA increases the risk of several other heart complications, including:

  • a nearly doubled risk of ischemic stroke
  • a tripled risk of deep vein thrombosis, which refers to blood clots in the legs
  • a more than quadrupled risk of a life threatening pulmonary embolism

Respiratory disease

According to the Arthritis Foundation, beyond complications that affect the joints, people with RA are most likely to experience complications involving the lungs.

RA increases the risk of respiratory issues, such as:

  • nodules in the lungs
  • pleural effusion
  • bronchiectasis
  • interstitial lung disease

The rate of interstitial lung disease is eight times higher in people with RA. It occurs when excessive inflammation from an overactive immune system causes scarring in lung tissue. This can make breathing difficult or impossible, and a person could eventually need a lung transplant.

People with RA may also have a higher risk of developing blockages in the small airways of the lungs. Sometimes, RA medications can also cause adverse reactions in the lungs and lung lining.

Infection

People with autoimmune conditions such as RA are more susceptible to potentially serious and even fatal infections.

In people with RA, it is still unclear whether this susceptibility results from the condition or a side effect of RA medications, including biologics and steroids.

Vaccinations, such as the COVID-19, flu, and pneumococcal vaccines, can help prevent some infections associated with RA.

For more advice on COVID-19 prevention and treatment, visit our coronavirus hub.

Was this helpful?

Other complications

Other complications from RA include:

  • inflammation in the eye
  • osteoporosis
  • anemia
  • type 2 diabetes
  • rheumatoid vasculitis
  • lymphoma
  • chronic kidney disease
  • depression

Learn more about the effects of RA on the body here.

Most people with RA can lead a full and active life. It is important for a person to follow a healthy lifestyle to reduce the risks of other illnesses associated with RA.

There is no cure for RA. Treatments aim to slow the progression of the condition and manage symptoms such as inflammation and pain.

An effective treatment plan can help prevent complications of RA. Some home remedies may also help manage RA symptoms and protect against complications.

Doctors may recommend that people with RA make changes to their diet and lifestyle, such as:

  • quitting smoking
  • doing regular low impact exercises, such as swimming and light muscle training
  • eating a balanced diet and avoiding processed foods
  • going to counseling or engaging with a support group
  • taking plenty of time to rest throughout the day

People with RA should work directly with a doctor to create and adapt their treatment plan.

Regular appointments with a rheumatologist may also help. The specialist can monitor the progression of the disease and recommend any necessary treatment changes.

Complementary therapies — such as massage, meditation, and acupuncture — may also benefit people with the condition. Results can vary, so it may help to try a few different techniques.

Following an anti-inflammatory diet for RA can also help.

Learn about 11 home remedies for RA here.

RA is a chronic condition with no known cure. People do not die from RA. However, it can lead to serious complications that can compromise overall health.

A person with RA may have a reduced life expectancy. However, the condition affects each person differently, and it can be difficult for doctors to predict an individual’s outlook.

Receiving treatment and making recommended lifestyle changes early on can help manage symptoms and improve a person’s outlook.

A person with RA should work directly with a doctor and rheumatologist to set and modify treatments. Doing this can help manage symptoms and slow the progression of the disease.

Film Especially dangerous (USA, Germany, 2008) – Afisha-Kino

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  • Bekmambetov’s fighter “Especially Dangerous” with Jolie and Khabensky after 14 years in the top Netflix – how did the film turn out, where Russian and world stars together

    #Wanted #Angelina Jolie #James McAvoy #Timur Bekmambetov

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    Dmitry Proskurin

    The sixth most-watched movie in July on Netflix is ​​the 2008 action thriller “Wanted” by director Timur Bekmambetov. The film reached this status 10 days after the appearance on the service.

    Wanted has previously appeared on Netflix (in 2018 and 2019), but has been available in the library for a total of seven months. Success in 2022 came as a surprise to the creators: “Sudden reason for pride! Subscribers rushed to reacquaint themselves with the insane superhero action movie,” Bazelevs, Bekmambetov’s company, rejoices.

    What is “Wanted” about? And how Jolie, McAvoy and Morgan Freeman ended up in Bekmambetov’s film

    The film is based on a comic book by Mark Millar. His plot – a boring clerk becomes a killer in the Brotherhood of Weavers sect, where assassins are trained.

    Universal Studios adapted the comic book script – they wanted to make a violent action movie with a high age rating. But the producers did not like the first script – it turned out to be a standard Hollywood movie. Then, for the sake of an experiment, Universal called Timur Bekmambetov, who had not made films in English before.

    Bekmambetov explained that he never aspired to Hollywood and became the director of “Wanted” “by coincidence.” He believes that he was called because of the success of the movie Night Watch. The film was shot in Prague, so Bekmambetov did not feel what a Hollywood project was doing.

    And the bosses of Universal did not put pressure on Bekmambetov. He said that on the contrary, he received complete freedom and considers it a myth that Hollywood puts pressure on authors. Bekmambetov spent a year refining the script (tripled it) and believes that he made it deeper. All the special effects in the film (there are more than a hundred of them) were also made by Bekmambetov’s studio.

    The main question – why so many stars in the project? James McAvoy said he liked the script and The Night’s Watch. McEvoy even called Bekmambetov a genius: “He thinks as if his head is in another room.” For the sake of the role, McAvoy rocked a lot, refused alcohol and overcame the fear of kissing Jolie. How did she get into the movie?

    Bekmambetov said that negotiations with Jolie were difficult. She agreed, but subject to a modified script – Jolie wanted her character to die at the end of the film. Bekmambetov also talked about Jolie’s looseness – she wanted “the director to do everything with her.” For example, her make-up artists did not paint over her tattoos, but only added new ones – with the Russian words “determination” and “pain”.

    How “Wanted” was promoted in Russia through the writer Lukyanenko, Urgant, Bezrukov and public opinion polls

    In the Russian media, the film was presented as a great success – because never before had a director from Russia made such a budget blockbuster with Hollywood stars. A poll was even conducted by the Public Opinion Foundation – more than half of the viewers said that “Especially Dangerous” is a breakthrough in Russian cinema.

    The film’s main marketing driver in Russia is Konstantin Khabensky, who plays a small role, but still among world stars. He said that he agreed to the role for this reason – he was interested in being side by side with great actors.

    And it is important that Khabensky did not have a kiss with Jolie. She gave him artificial respiration. And with McAvoy everything was real.

    Russian stars also participated in dubbing: Sergey Bezrukov, Gosha Kutsenko, Ivan Urgant. But at the same time, the last word of the film, even in the Russian version, is pronounced by McEvoy – “I hit”. The science fiction writer Sergei Lukyanenko was responsible for the replicas in Russian.

    The success of “Wanted”: paid for itself several times over, two Oscar nominations, a failed sequel

    “Wanted” received moderately positive reviews from viewers and critics.

    • Kinopoisk – 6.8;
    • IMDb – 6.7;
    • Rotten Tomatoes – 69%

    What they praise for. “Especially Dangerous” is a driving and inventive action movie that keeps you in suspense and does not slide down to the clichés of the genre. Bekmambetov added an oriental originality and cruelty to the film, which is unusual for sleek Hollywood.

    What they criticize for. A complicated script, a lot of slow-mo scenes, Hollywood stars play weak characters. It is also noticeable that McAvoy is voiced by Bezrukov. And it is not clear why the film needs Khabensky, who is beaten in the script through jokes about a typical Russian with vodka.

    But financially the film turned out to be successful. With a budget of $75 million, it grossed $341 million at the global box office, with about a third of the profit coming from viewers in the United States. Also, “Wanted” has two Oscar nominations – for work with sound.

    Due to the success of the film, over the last 14 years there has been talk that the film needs a sequel. In 2009, Bekmambetov talked about the start of work on it, the studio found screenwriters, and Jolie abandoned the project. But the film was never put into production.

    The last time Bekmambetov spoke about the continuation of “Especially Dangerous” was in 2020.