Rheumatoid arthritis (RA) is a clinically common autoimmune disease with complex and diverse etiology and pathogenesis and with a high disability rate and mortality. Besides frequent joint swelling and tenderness,cardiac involvement is a common extra-articular manifestation of RA,which is closely related to the prognosis of RA patients. Compared with the general population, RA patients have a significantly increased risk of developing cardiovascular disease (CVD), further increasing the risk of death. In addition to conventional cardiovascular risk factors, such as hypertension,hyperlipidemia,smoking,obesity,diabetes mellitus,and chronic kidney disease, some other cardiovascular risk factors, such as inflammation, immunity, and the use of anti-rheumatic drugs, have been found to play an important role in the incidence of CVD in RA patients. This paper intends to review the clinical manifestations and risk factors of cardiac damage in RA, aiming to provide theoretical suggestions for the diagnosis and treatment of such patients.