© The Author 2006. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Heart involvement in autoimmune rheumatic diseases: the "phantom of the opera"
1Department of Medicine and Surgery, Division of Medicine I and Rheumatology University of Florence, AOUC, Florence, Italy and 1Department of Cardiology, Institute for Cardiovascular Diseases of the Clinical Centre of Serbia and Belgrade University Medical School, Belgrade, Serbia.
Correspondence to: M. Matucci Cerinic, Dip Medicina Interna, SOD Medicina Interna I e Reumatologia, Villa Monna Tessa, Viale Pieraccini 18, 50139 Firenze, Italia. E-mail: cerinic@unifi.it
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The mystery of the interplay between the heart and joints is as vivid today as it was in the ancient times. Whether it is the seat of the soul, the seat of passion and emotions, or simply the subject of poet's ramblings, the heart is vital to human life and to human culture. Hippocrates (460377 BC) was aware that despite the fact that it is only the size of a fist, it is still central to human existence. He was also the one who rejected the ruling views that illness is caused by possession of evil spirits and suggested ailments of the joints. He provided convincing descriptions of gout, rheumatoid arthritis, scleroderma, and Behcet's disease and noticed diseases of the heart in the same patients [1].
Nowadays, under dynamic pace