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Published on: February 20, 2019
Accelerated atherosclerosis, arterial thromboembolism, and preventive strategies in systemic lupus erythematosus
1Department of Medicine, Tuen Mun Hospital, Hong Kong, SAR China. ccmok2005@yahoo.com
Insights
Arterial thromboembolism is a significant cause of illness in patients with systemic lupus erythematosus (SLE). Managing traditional risk factors and using specific medications are crucial for preventing and treating this condition in SLE patients.
Area of Science:
- Rheumatology
- Cardiovascular Medicine
- Immunology
Background:
- Improved survival in systemic lupus erythematosus (SLE) has shifted focus to other morbidities, including arterial thromboembolism.
- Accelerated atherosclerosis is a known complication in SLE patients, linked to various risk factors.
Purpose of the Study:
- To highlight the importance of arterial thromboembolism as a cause of morbidity in SLE.
- To outline strategies for the prevention and management of arterial thromboembolism in SLE.
Main Methods:
- Review of conventional and non-conventional risk factors for accelerated atherosclerosis in SLE.
- Discussion of therapeutic strategies for primary and secondary prevention of arterial thromboembolism.
Main Results:
- Arterial thromboembolism is a key concern in the long-term management of SLE.
- Effective management involves controlling traditional risk factors and utilizing specific pharmacological agents.
Conclusions:
- Regular surveillance and control of traditional risk factors are mandatory for SLE patients.
- Appropriate use of statins, anti-malarials, anti-platelets, and anti-coagulants is essential for preventing arterial thromboembolism.
- Judicious use of corticosteroids, calcineurin inhibitors, hormonal replacement therapy, and COX-2 inhibitors is also important.
Abstract:
With improved disease survival, arterial thromboembolism has become an important cause of morbidity in patients with systemic lupus erythematosus (SLE). A number of conventional and non-conventional risk factors are associated with accelerated atherosclerosis. Regular surveillance and control of traditional risk factors is mandatory, and so is the appropriate use of the statins, anti-malarial agents, anti-platelet agents, and anti-coagulation for primary and secondary prevention of arterial thromboembolism in SLE patients. Judicious use of corticosteroids, calcineurin inhibitors, hormonal replacement therapy, and the cyclooxygenase 2 inhibitors is equally important.
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