
Heart issues can cause muscle and joint pain. Chest pain is the most common symptom of a heart attack, but pain can also occur in the arms, back, neck, jaw, or abdomen. This is called musculoskeletal chest pain and can be caused by injuries, arthritis, rheumatic diseases, or muscle strains. Heart disease is also associated with rheumatoid arthritis (RA), which can lead to inflammation that affects not only the joints but also the heart. This inflammation increases the risk of atrial fibrillation and other heart health concerns. Other symptoms of heart trouble that are not obvious include fatigue, unexplained aches and pains, swollen feet or ankles, and heart palpitations.
| Characteristics | Values |
|---|---|
| Joint pain linked to heart disease | Rheumatoid arthritis (RA) is associated with an increased risk of heart disease and cardiac events such as a heart attack. RA causes inflammation that can damage the cartilage in joints and also affect the heart. |
| Muscle pain and heart issues | Muscle pain may be related to heart problems, especially when it occurs with exercise and disappears with rest. This could be a sign of heart disease or peripheral artery disease (PAD). Chest pain is a common symptom of a heart attack, but it can also be musculoskeletal in origin. |
| Common symptoms of heart issues | Chest pain, fatigue, shortness of breath, swollen feet or ankles, palpitations, nausea, dizziness, and leg pain. |
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What You'll Learn

Rheumatoid arthritis (RA) and heart disease
Rheumatoid arthritis (RA) is an autoimmune disease that causes progressive inflammatory joint disease. RA typically affects smaller joints, such as those in the hands and feet. The inflammation associated with RA can damage the cartilage within these joints, leading to pain and swelling. If left uncontrolled, RA can even cause deformities that destabilize joints.
RA is associated with an increased risk of heart disease. People with RA are almost twice as likely to develop heart disease and experience serious cardiovascular events, such as heart attacks or strokes. The link between RA and heart disease is due to shared risk factors and chronic inflammation.
One of the shared risk factors is high blood pressure, which is more common in people with RA due to a lack of exercise and certain medications, such as NSAIDs and steroids. RA patients also have less elastic arteries, which can narrow and increase blood pressure. Metabolic syndrome, which includes obesity, high cholesterol, and high blood sugar, is another shared risk factor, doubling the risk of cardiovascular disease. Obesity, in particular, can be a result of sore joints making it difficult to exercise, leading to a sedentary lifestyle, which is another risk factor for heart disease.
Chronic inflammation, a characteristic of RA, is also a significant risk factor for heart disease. Inflammatory substances called cytokines contribute to joint destruction in RA and blood vessel damage in cardiovascular disease. This inflammation causes plaque build-up in the arteries, leading to narrowed blood vessels and blocked blood flow, which can result in a heart attack. Additionally, inflammatory cells can enter blood vessel walls and promote further inflammation, making plaques more prone to rupture, which can also trigger a heart attack.
It is essential for individuals with RA to be aware of the link between their condition and heart disease. Regular cardiovascular risk assessments and management are critical. Lifestyle interventions, such as staying active and eating healthily, can help reduce the risk of heart disease in people with RA. Disease-modifying antirheumatic drugs (DMARDs) can also be prescribed to control inflammation and reduce the risk of cardiovascular events.
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Muscle strain and heart disease
While muscle strain and heart disease are distinct conditions, they can sometimes be related. Left-sided chest pain is associated with heart disease or heart attacks, but it can also be caused by a pulled muscle. A pulled muscle in the chest can result in mild discomfort or severe symptoms, including sharp pains when moving or breathing. Strains can be graded according to severity, from mild damage to the complete rupture of a muscle.
A pulled chest muscle is a common cause of chest pain and is often less serious than heart problems, but it can be quite painful. It can be caused by overstretching, pressure, or strain on the muscles, and is commonly seen in athletes. Nearly half of all chest muscle strains occur in the intercostal muscles, which are responsible for helping with breathing. Other causes of a pulled chest muscle include impact injuries, overuse, or chronic illnesses such as a chest cold or bronchitis.
Heart disease, on the other hand, can also cause muscle and joint pain. People with rheumatoid arthritis (RA), an autoimmune disease that causes inflammatory joint disease, have higher rates of cardiovascular disease and an elevated risk of serious cardiac events. The inflammation associated with RA can damage the heart and increase the risk of atrial fibrillation. Additionally, people with RA often have accompanying health issues such as high blood pressure, high cholesterol, and smoking habits, which further increase the risk of heart disease.
It is important to note that unexplained aches and pains, fatigue, shortness of breath, swollen feet or ankles, and heart palpitations may indicate heart trouble. While most palpitations are harmless, they can sometimes be a sign of an underlying heart problem, especially when they occur at rest. Therefore, it is crucial to pay attention to any persistent or unusual symptoms and consult a doctor if concerned.
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Chest pain and heart disease
Chest pain is a common symptom of heart disease and can indicate a serious underlying issue. It is important to seek medical advice if you are experiencing any chest pain to rule out critical or life-threatening causes. Angina, for example, is a type of chest pain or discomfort caused by the heart muscle not getting enough oxygen-rich blood. It can feel like pressure or squeezing in the chest and may spread to other parts of the body, including the shoulders, arms, neck, jaw, abdomen, or back. Angina is not a disease but a symptom of a heart problem, usually coronary heart disease or coronary microvascular disease, and it can increase the risk of a heart attack.
People with rheumatoid arthritis (RA) are also at a higher risk of heart disease and serious cardiac events such as a heart attack. RA is an autoimmune and inflammatory joint disease that can lead to uncontrolled inflammation, causing damage to the cartilage within joints. This inflammation can also affect other areas of the body, including the heart. RA is associated with an increased risk of atrial fibrillation and other cardiovascular issues, such as high blood pressure and high cholesterol. Smoking is a leading risk factor for both RA and heart disease.
In addition to chest pain, other symptoms that may indicate heart trouble include unexplained aches and pains, shortness of breath, swollen feet or ankles, and heart palpitations. Palpitations are a rapid or irregular heartbeat and, while they can be caused by anxiety, caffeine intake, or dehydration, they can sometimes indicate a heart problem. It is important to note the frequency and circumstances of palpitations and report them to a doctor. Fatigue is another possible symptom of heart issues, as it can be a sign of heart failure or coronary artery disease, where the blockage of blood supply to the heart muscle causes pain.
Overall, chest pain can be a critical indicator of heart disease and should not be ignored. It is important to be aware of other accompanying symptoms and to seek medical advice to rule out any serious underlying causes. Heart disease risk can be lowered through early detection and proper management of conditions such as RA, as well as addressing lifestyle factors that contribute to risk, such as smoking.
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Joint pain and inflammation
While joint pain and heart issues may co-occur, it is important to understand the underlying causes and risk factors that contribute to these symptoms. Joint pain and inflammation can be caused by various conditions, including rheumatoid arthritis (RA), an autoimmune disease that causes progressive inflammatory joint disease. RA typically affects smaller joints, such as those in the hands and feet, leading to pain and swelling. The inflammation associated with RA can also impact other areas of the body, including the heart.
The link between RA and heart disease is well-established. People with RA tend to have higher rates of cardiovascular disease and an elevated risk of serious cardiac events, such as heart attacks. The uncontrolled inflammation of RA can damage the cartilage within joints, leading to deformities and instability. This inflammation can also affect the heart, increasing the risk of atrial fibrillation and other heart-related health concerns. Therefore, managing RA symptoms and reducing inflammation through treatment plans and regular medical exams are crucial for lowering the strain on the cardiovascular system.
Additionally, certain risk factors can contribute to both joint pain and heart issues. For example, smoking is a leading risk factor for RA and is also detrimental to heart health. High blood pressure and high cholesterol levels are other accompanying health issues in people with RA that further increase the risk of heart disease. Addressing these risk factors through lifestyle modifications and medical management can help mitigate the impact on both joint pain and heart health.
It is worth noting that musculoskeletal chest pain can arise from various causes, including injuries, arthritis, and other rheumatic conditions. Chest wall pain syndromes refer to conditions causing chest wall pain without apparent injury, such as inflammation of the costochondral joints (costochondritis) or abnormal muscle spasms (sternalis syndrome). While musculoskeletal chest pain differs from cardiac chest pain, it is important to seek medical advice for accurate diagnosis and treatment.
In summary, joint pain and inflammation, particularly in the context of RA, can be linked to heart issues through shared risk factors and the systemic impact of inflammation. Comprehensive management of RA symptoms and associated risk factors is essential for maintaining cardiovascular health and reducing the risk of serious cardiac events.
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Cardiomyopathy symptoms
Cardiomyopathy is a heart condition that can sometimes present no signs or symptoms. However, when symptoms do occur, they can include:
- Swelling of the abdomen, hands, legs, or feet, which could indicate heart failure.
- Shortness of breath or trouble breathing, especially with physical activity.
- Fatigue, which could indicate heart failure or coronary artery disease.
- Heart palpitations, which could indicate an irregular or rapid heartbeat.
If you are experiencing any of these symptoms, it is important to seek medical attention, especially if they last longer than a few minutes. A healthcare professional will be able to diagnose cardiomyopathy through a physical exam, medical history review, and diagnostic tests such as blood tests, chest X-rays, and electrocardiograms.
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Frequently asked questions
Yes, heart issues can cause muscle and joint pain. Chest pain is the most common symptom of a heart attack, but pain can also occur in the arms, back, neck, jaw, or stomach. In addition, people with rheumatoid arthritis (RA) are at a higher risk of cardiovascular disease and serious cardiac events such as a heart attack.
The most common symptom of a heart attack is chest pain, but it can also cause pain in other areas of the body, such as the arms, back, neck, jaw, or stomach. Other symptoms include shortness of breath, coughing or wheezing, swelling in the legs and feet, and fatigue.
Musculoskeletal chest pain typically feels different from cardiac chest pain. Cardiac chest pain usually feels like pressure, squeezing, or clenching and may spread to the neck and jaw or down the arms. It may also be accompanied by sweating, nausea, or shortness of breath and typically feels worse with exercise and better when resting.
Other signs of heart trouble besides chest pain include fatigue, shortness of breath, swollen feet or ankles, leg pain, and heart palpitations. It's important to note that these symptoms can have other causes besides heart issues, so it's always best to consult a doctor.
If you have rheumatoid arthritis (RA), it is important to get an annual cardiovascular risk assessment. RA is associated with higher rates of cardiovascular disease and can increase the risk of serious cardiac events. Managing inflammation through a treatment plan and regular visits to a rheumatologist can help lower the risk of heart disease.











































