RA patients have double the risk for developing cardiovascular diseases, much like diabetics do. This is attributable to chronic vascular inflammation.
Corticosteroids reduce inflammation, but chronic use of moderate to high doses is associated with increased metabolic side-effects like Osteoporosis and heart disease too.
It’s heartening that anti-TNF and anti-IFNƔ therapy can not only effectively substitute for steroids, but also reduce cardiovascular events by almost two-thirds.
Immunotherapy reduces cardiovascular risk in rheumatoid arthritis

The very name TNF (Tumour Necrosis Factor) conjures up fears that its inhibition to suppress inflammatory diseases may reduce cancer surveillance, resulting in heightened malignancy risk.
Registries of its use over the last 2 decades have shown that solid tumours are not increased. In this Taiwanese study, in fact, the risk is lower.
Lymphoma Risk Stable With Anti-TNF in RA
Severe, Refractory Psoriasis in HIV-Positive Patients: Are TNF Inhibitors a Solution?

