Systemic sclerosis & Raynaud's

Raynaud’s phenomenon is associated with an increased risk of cardiovascular disease and venous thromboembolism

Semin Arthritis RheumPublished Retrospective cohort study

Authors' conclusion

RP was associated with an increased risk of CVD and VTE, independent of age and traditional cardiovascular risk factors.

Study context

Population
Individuals with raynaud's phenomenon (RP) without underlying relevant systemic autoimmune rheumatic diseases (SARDs), North American electronic healthcare organization records30,088 matched pairs <45
Exposure
RP vs irritable bowel syndrome (IBS)
Outcome
Co-primary: Major adverse cardiovascular events (MACE) and venous thromboembolism (VTE)
Methodological details1:1 propensity score matched, Cox proportional hazard models, stratified by age (<45 and ≥45 years)
  • 1:1 propensity score matched
  • Cox proportional hazard models
  • Stratified by age (<45 and ≥45 years)

Main finding

As reported in the abstract

RP vs IBSHazard ratio (95% CI)
MACE, age <45
1.23(1.07–1.42)
VTE, age <45
1.32(1.20–1.46)
MACE, age ≥45
1.17(1.13–1.22)
VTE, age ≥45
1.20(1.14–1.26)

Observational data: associations, not effects.

Secondary outcomes

Secondary outcomes (MI, stroke, any cardiovascular disease (CVD))

Risk of secondary outcomes higher in RP; estimates for DVT in both analyses and MI in patients under 45 lacked precision

Original publication

Raynaud’s phenomenon is associated with an increased risk of cardiovascular disease and venous thromboembolism. Semin Arthritis Rheum. Published 5 August 2025. doi:10.1016/j.semarthrit.2025.152799

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