( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Scope Database , Academia , 

 ISSN 2394-3211

Impact Factor: 7.065

 ICV - 79.57



Dr. Chandan Saha*, Dr. Sujat Paul, Dr. M.D. Saidul Alam Rajib and Dr. Dipan Baidya


Background: Almost half of the deaths in patients of rheumatoid arthritis (RA) are due to cardiovascular diseases (CVD). Many studies have shown that patients of RA are at increased risk of mortality and morbidity from ischemic heart disease (IHD). In half of the RA patients with confirmed IHD, the disease was clinically silent. Hence, early detection of the silent IHD and other CVD is important to reduce the morbidity and mortality in patients of RA. Objectives: The aim of this study was to determine the pattern of cardiovascular comorbidities in RA patients. Methods: It was a hospital based cross- sectional study. Study was conducted at Medicine Department of Chittagong Medical College Hospital (CMCH) for six months period from July’2018 to December’2018. A total 58 diagnosed RA case were selected purposively from both outdoor and indoor of Medicine Department of CMCH. Those having different comorbid condition like stroke, heart failure, chronic kidney disease, diabetes, pregnancy, encephalopathy, bleeding disorder, hypothyroidism, hyperthyroidism or unwilling to be included in the study were excluded. Patients’ demographics, serology results including rheumatoid factor (RF), anti-cyclic citrullinated peptide antibody (anti-CCP) and antinuclear antibody (ANA), as well as, disease activity score in 28 joints (DAS28) were recorded in a case record form. With all available aseptic precaution blood sample was collected and sent for FBS, 2HABF, lipid profile, serum creatinine and ESR analysis. ECG and echocardiography was done to detect cardiovascular comorbidities. Results: A total 58 patients enrolled, 84.5% were female, mean of age 51.74 ± 8.41years and RA disease mean duration was 3.56 ±2.16 years. Among the cardiovascular diseases only IHD was detected in the studied patients and its frequency was 13.8%. Percentage of the patients newly diagnosed as hypertensive and diabetic were 8.6% and 5.2% respectively. RA patients with IHD were 14%, had prolonged disease duration 3.56 ± 2.16 and high disease activity 27.6%. Percentages of patients had hypercholesterolemia, low high density lipoprotein (HDL), High Low density lipoprotein (LDL ) were 81%, 98.3% and 100% respectively. Conclusion: This study evaluated newly detected cardiovascular comorbidities among RA patients. Among the CVDs only IHD was detected in the studied patients and its incidence was 13.8%. Proportions of the patients were newly diagnosed as hypertensive and diabetic were 8.6% and 5.2% respectively. RA patients with IHD were more aged, had prolonged disease duration and high disease activity.

Keywords: Rheumatoid arthritis, cardiovascular diseases, ischemic heart disease.

[Full Text Article] [Download Certificate]


  All Since 2019
 Citation  3086  2560
 h-index  18  17
 i10-index  64  44



  • New Issue Published

    Its Our pleasure to inform you that, EJPMR 1 June 2024 Issue has been Published, Kindly check it on


    JUNE 2024 issue has been successfully launched on JUNE 2024.

  • EJPMR New Impact Factor

    EJPMR Impact Factor has been Increased to 7.065 for Year 2024.

  • Index Copernicus Value

    EJPMR Received Index Copernicus Value 79.57, due to High Quality Publication in EJPMR at International Level

  • Journal web site support Internet Explorer, Google Chrome, Mozilla Firefox, Opera, Saffari for easy download of article without any trouble.


  • Article Invited for Publication

    Article are invited for publication in EJPMR Coming Issue

Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia