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Lupus and Heart Disease

Lupus can affect any organ system, including the cardiovascular system which includes the heart and blood vessels. Some patients can experience fluid around the heart or heart inflammation. And recent reports suggest that patients with a chronic autoimmune disease, such as lupus, may be at increased risk of heart disease (also called atherosclerosis or coronary artery disease).

Heart disease is a condition where fatty substances, called plaque, build up in the heart’s arteries. The plaque hardens and makes the arteries narrower, affecting blood flow. This can lead to an increased risk of heart attacks and strokes.

At this time, researchers are unsure of the true cause of the increased risk, but chronic inflammation associated with autoimmune diseases may be partially responsible. Other potential risk factors include medications, such as corticosteroids.

More traditional risk factors, such as type-2 diabetes, elevated cholesterol levels, family history of heart disease, and hypertension, can also increase the chance of heart disease.

Interestingly, the increased risk seen in lupus patients appears to be separate from any other, more traditional, risk factors lupus patients may have. However, it is recommended that physicians try to limit the traditional, modifiable risk factors in these patients to best prevent the development of heart disease.

To help reduce risk of heart disease, patients should: 

  • follow a low fat, low cholesterol diet;
  • maintain a healthy weight;
  • avoid smoking;
  • talk to a doctor about ways to reduce blood pressure.

To help maintain a low fat, low cholesterol diet, try our Fresh Salsa with Pita Chips recipe tonight.

 

This information has been approved by JoAnn Gillis, MD (April 2008).

Note: This information is provided to you as an educational service of National Jewish Health. It is not meant to be a substitute for consulting with your own physician.

© Copyright 2008 National Jewish Health

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