The effects of glucocorticoid treatment on cardiovascular system in patients with systemic lupus erythematosus

Author:

Blachut DominikaORCID,Przywara-Chowaniec BrygidaORCID,Harpula JanORCID,Tomasik AndrzejORCID,Nowalany-Kozielska EwaORCID,Morawiec BeataORCID

Abstract

Objectives:This study aims to assess variables concerning arterial stiffness including carotid-femoral pulse wave velocity, carotid-radial pulse wave velocity, ankle-brachial index, and the advancement of atherosclerosis development.Patients and methods:Between October 2016 and December 2020, a total of 43 consecutive patients with systemic lupus erythematosus (SLE) (4 males, 39 females; mean age: 57±8 years; range, 42 to 65 years) were prospectively included in the study. All data were compared between the group treated with glucocorticoids and that not treated with these agents.Results:The study group consisted of 43 patients with SLE, while 22 (51%) patients were treated with glucocorticoids. The mean duration of SLE was 12.3±5.3 years. Patients treated with glucocorticoids had lower values of ankle-brachial index compared to those who were not treated with glucocorticoids (p=0.041), although the values were within the range. A similar situation was reported for the carotid-femoral artery pulse wave velocity (p=0.032). However, carotid-radial artery pulse wave velocity was not significantly different between both groups (p=0.12).Conclusion:Properly selected therapy is important in the prevention of CVD.

Publisher

The Archives of Rheumatology

Subject

Rheumatology

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