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Cardiovascular Involvement in Sjögren's Syndrome
Fabiola Atzeni1, Francesco Gozza1, Giacomo Cafaro2
1Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Insights
Sjögren Syndrome (SS) increases cardiovascular and cerebrovascular event risk. This review examines SS-related cardiovascular risks and the impact of treatments on these events.
Area of Science:
- Rheumatology
- Cardiology
- Clinical Medicine
Background:
- Sjögren Syndrome (SS) is linked to increased cardiovascular (CV) and cerebrovascular event risk.
- CV events are a significant burden in SS patients, despite not being a primary disease feature.
- CV risk in SS arises from traditional factors and disease-specific mechanisms, including endothelial dysfunction.
Purpose of the Study:
- To evaluate the risk of cardiovascular events in primary Sjögren Syndrome.
- To assess the effect of available treatments on cardiovascular manifestations in SS patients.
Main Methods:
- Systematic review of existing literature.
- Analysis of studies reporting cardiovascular outcomes in primary SS patients.
- Evaluation of treatment data concerning cardiovascular risk in SS.
Main Results:
- Sjögren Syndrome is associated with a higher overall risk of cardiovascular and cerebrovascular events.
- The precise impact of disease-related mechanisms and traditional risk factors on CV events in SS requires further elucidation.
- Data on the specific effects of SS treatments on cardiovascular events remain limited.
Conclusions:
- Cardiovascular risk is a critical consideration in managing Sjögren Syndrome patients.
- Further research is needed to clarify the interplay of factors contributing to CV risk in SS.
- Investigating the efficacy of SS therapies in mitigating cardiovascular events is essential.
Abstract:
Sjögren Syndrome (SS) seems to be associated with a greater "overall risk" of cardiovascular (CV) and cerebrovascular events. Although not conventionally considered a feature of the disease, CV events represent a major burden in SS patients. CV risk is the consequence of a complex combination of multiple factors, including traditional risk factors and disease-related mechanisms. A complex relationships between disease-related features, endothelial dysfunction and traditional risk factor has been suggested. Several drugs are available for treating the systemic manifestations of SS, however they have shown positive effects on different outcomes of the disease, but until today the data on the role of these drugs on CV events are scarse. Given these data, the aim of this review was to evaluate the risk of CV risk in primary SS and the effect of the drugs on this manifestation.
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