Regardless of the frequency, almost all rheumatological diseases show varying degrees of cardiac involvement. Primary or secondary cardiac effects of rheumatological diseases may occur with specific or nonspecific symptoms due to involvement in the pericardium, myocardium, valves, conduction system, coronary arteries, or may manifest itself as pulmonary hypertension with pulmonary vascular effects. Although cardiac involvement and symptoms occur mostly in the late period, the fact that cardiac involvement is the most important factor determining mortality in rheumatic diseases reveals the importance of early diagnosis. In this section, cardiac interactions of relatively common rheumatologic diseases such as Rheumatoid arthritis, Systemic lupus erythematosus, Systemic sclerosis, vasculitis, Behçet's disease, Sjögren syndrome, Ankylosing spondylitis and Inflammatory myopathies will be discussed.
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