Lupus & antiphospholipid syndrome

Subclinical atherosclerosis is associated with future cardiovascular events in lupus patients at apparent low cardiovascular risk

LupusPublished Prospective cohort study

Main finding · CVEResult — go to the resultOdds ratio 17.2 95% CI 1.15–2499

Authors' conclusion

Subclinical atherosclerosis defined as a carotid plaque >1.5 mm is significantly associated with the clinical cardiovascular risk in SLE.

Study context

Population
Consecutive SLE patients without known cardiovascular events (CVE) followed in a national reference center for rare diseases; CIMT assessed February 2012–February 201382.5% female
Participants
63 patients
Exposure
Carotid plaque >1.5 mm at baseline vs no carotid plaque
  • Carotid plaquen = 24
Outcome
CVE: MI, ischemic stroke or symptomatic peripheral arterial disease during follow-up
Follow-up
Median 10.7 [8.2-11.0] years
Methodological detailssingle evaluator, multivariable analysis
  • Single evaluator
  • Multivariable analysis

Main finding

CVE

Odds ratio

17.2

95% CI 1.15–2499

P = 0.039

Carotid plaquevs No carotid plaque
OR 17.2 (95% CI 1.15–2499); P = 0.039

As reported in the abstract

CVE overall
7 (11.1%)

Observational data: associations, not effects.

Original publication

Subclinical atherosclerosis is associated with future cardiovascular events in lupus patients at apparent low cardiovascular risk. Lupus. Published 15 May 2025. doi:10.1177/09612033251344200

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