A 56 year-old woman with rheumatoid arthritis was diagnosed with idiop
athic dilated cardiomyopathy. She developed progressive heart failure
that was refractory to conventional medical management. Heart transpla
ntation was performed bearing in mind the controversy that surrounds i
ts use in patients with a systemic disease. Trasplant and rheumatoid a
rthritis were favorable at 33 month evolution. The immunosupressive th
erapy required for the transplant helped the control of her articular
disease.