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The Evolving Field of Cardio-Rheumatology: Global Patterns and Research Gaps, 1953-2025
Olatokun Akano1,2, Oluwaremilekun Tolu-Akinnawo3, Kelechukwu P Ughagwu4
1Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, USA.
Insights
Cardio-rheumatology research is growing rapidly, with the US leading. However, limited international collaboration hinders progress in understanding cardiovascular complications in autoimmune diseases.
Area of Science:
- Cardio-rheumatology
- Intersection of cardiovascular and autoimmune diseases
- Bibliometric analysis
Background:
- Increasing clinical and research interest in cardio-rheumatology.
- Rising burden of cardiovascular complications in rheumatic conditions.
- Intellectually fragmented nature of the field.
Purpose of the Study:
- To assess publication trends, citation metrics, authorship patterns, and global contributions in cardio-rheumatology.
- To identify dominant and emerging themes within the field.
- To highlight the need for interdisciplinary and international integration.
Main Methods:
- Bibliometric analysis of 3,709 articles.
- Data sourced from Scopus databases.
- Analysis period: 1953 to March 2025.
Main Results:
- Sharp increase in cardio-rheumatology publications post 2010.
- United States leads in publication volume and impact.
- Limited international collaboration (11.6% multi-country authorship).
- Concentrated productivity among a few contributors.
- Dominant themes: myocarditis, pericarditis, accelerated atherosclerosis.
- Emerging areas: cardiac sarcoidosis, advanced imaging, biologic therapy-associated cardiotoxicity.
Conclusions:
- Cardio-rheumatology is a rapidly evolving field with significant growth.
- Greater interdisciplinary and international collaboration is essential.
- Advancing the field requires integrated efforts to improve patient outcomes.
Abstract:
Cardio-rheumatology, a rapidly evolving field at the intersection of cardiovascular and autoimmune diseases, remains intellectually fragmented despite increasing clinical and research interest driven by the rising burden of cardiovascular complications in rheumatic conditions. This was a bibliometric analysis of 3,709 articles from 1953 to March 2025, identified via Scopus databases, that assessed publication trends, citation metrics, authorship patterns, and global contributions, revealing a sharp rise in output post 2010, with the United States leading in both volume and impact. However, international collaboration was limited (11.6% multi-country authorship), and productivity was concentrated among a few contributors. Dominant themes included myocarditis, pericarditis, and accelerated atherosclerosis, while emerging areas such as cardiac sarcoidosis, advanced imaging, and biologic therapy-associated cardiotoxicity are gaining prominence. This analysis outlines the foundational structure of cardio-rheumatology and underscores the need for greater interdisciplinary and international integration to advance the field and improve patient outcomes.
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