Many rheumatic diseases can be presented with cardiac manifestations such as pericarditis, myocarditis, arrhythmias and etc. In addition, there are valvular and vessels involvements in rheumatic diseases [1-3]. These manifestations can be the first demonstrations of rheumatic diseases.

According to previous studies many rheumatologic diseases demonstrate themselves with cardiac manifestations [1-4].

Many rheumatologic diseases are treated with wrong treatment because they have cardiac manifestations and the physicians treat these kinds of manifestations as cardiac diseases instead of rheumatologic diseases.

The cardiologists must pay attention carefully to these cardiac manifestations that can be considered by mistake as a cardiac disease instead of rheumatologic disease.

Nowadays, many rheumatic diseases are treated with wrong treatment because they are considered by mistake as cardiac diseases. Also many surgeries are done by mistake and wrong treatments are received by patients because of wrong diagnosis.

Early diagnosis of rheumatologic diseases with cardiac manifestations is very important to choose best treatment and also it can prevent from wrong treatment and surgery.

Cardiovascular diseases morbidity and mortality rate is higher in patients with rheumatic disorders than patients with non-rheumatic disorders [1,2,4]. This point is important and importance that must be paid attention certainly.

Immunosuppressive treatment for rheumatic diseases with cardiac involvements can prevent from developing cardiovascular involvement especially ischemic heart disease.Also it can reduce morbidity and mortality of these patients [3,5-7].

The present editorial focuses on importance of right diagnosis of patients with cardiac manifestations for choosing best treatment for them. It is very important for cardiologists and other physicians to consider rheumatic conditions in patients with cardiovascular disorders.