Novel Insights in Systemic Lupus Erythematosus and Atherosclerosis

Vítor Teixeira1, Lai-Shan Tam2

  • 1Rheumatology Department, Centro Hospitalar de Lisboa Norte, EPE, Hospital de Santa Maria, Lisbon, Portugal.

Frontiers in Medicine
|February 14, 2018
PubMed

Insights

Systemic lupus erythematosus (SLE) patients face high cardiovascular event risks due to systemic inflammation. Addressing inflammation and standardizing atherosclerosis assessment are crucial for improving SLE patient longevity and cardiovascular health.

Area of Science:

  • Rheumatology
  • Cardiology
  • Immunology

Background:

  • Systemic lupus erythematosus (SLE) is characterized by systemic inflammation, increasing the risk of premature atherosclerosis and cardiovascular events (CVE).
  • Managing SLE and its associated cardiovascular complications presents significant clinical challenges.

Purpose of the Study:

  • To review current understanding of atherosclerosis in SLE, from pathophysiology to potential treatments.
  • To explore novel molecular biomarkers and advanced imaging techniques for atherosclerosis assessment in SLE patients.

Main Methods:

  • A comprehensive literature search was conducted using the PubMed database.
  • A critical review of the existing research on SLE and atherosclerosis was performed.

Main Results:

  • Despite advancements, cardiovascular diseases remain the leading cause of mortality and reduced life expectancy in SLE.
  • Challenges persist in standardizing atherosclerosis imaging assessment and predicting cardiovascular risk due to SLE's multifactorial nature.
  • Numerous molecular biomarkers for atherosclerosis have been identified, suggesting combined approaches may improve risk prediction.

Conclusions:

  • Effective therapies for preventing atherosclerosis and CVE in SLE must target underlying systemic inflammation.
  • Further research is needed to standardize assessment methods and develop targeted treatments for cardiovascular complications in SLE.
Abstract

Related Concept Videos

Atherosclerosis III: Management01:26

Atherosclerosis III: Management

Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
451
Atherosclerosis I: Introduction01:30

Atherosclerosis I: Introduction

Atherosclerosis is a progressive disorder characterized by the buildup of plaques on the arterial inner wall, causing them to narrow and harden over time. These plaques comprise lipids, calcium, blood components, carbohydrates, and fibrous tissue. The process primarily affects the intima of large and medium-sized arteries, reducing blood flow in any artery.Etiology and risk factorsThe cause of atherosclerosis is multifactorial, involving a complex interplay among endothelial injury, lipid...
1.2K
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests01:27

Atherosclerosis II: Clinical Manifestations and Diagnostic Tests

Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
579
Atherosclerosis IV: Nursing Management01:23

Atherosclerosis IV: Nursing Management

Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
472