““One of the facts that has been confirmed over the past decade of research is the higher incidence of cardiovascular deaths compared with the general population . 167 While little is known about why, the mortality gap has widened for people with rheumatoid disease. 168 Lifespan is estimated to be shortened by five to fifteen years. Some reports show mortality for PRD is not improving overall, 169 , 170 , 171 , 172 while others show mortality improvement with substantial disparities between populations.””