期刊
FRONTIERS IN MEDICINE
卷 9, 期 -, 页码 -出版社
FRONTIERS MEDIA SA
DOI: 10.3389/fmed.2022.849086
关键词
endothelial dysfunction; systemic lupus erythematosus; systemic sclerosis; microvascular disease; techniques of assessment
This review discusses the complex relationship between inflammation, vasculopathy, and fibrosis in patients with systemic lupus erythematosus and systemic sclerosis. It highlights the importance of evaluating endothelial dysfunction and cardiovascular risk in these patients using new techniques.
This review describes the complex interplay between inflammation, vasculopathy and fibrosis that involve the heart and peripheral small vessels, leading to endothelial stiffness, vascular damage, and early aging in patients with systemic lupus erythematosus and systemic sclerosis, which represents two different models of vascular dysfunction among systemic autoimmune diseases. In fact, despite the fact that diagnostic methods and therapies have been significantly improved in the last years, affected patients show an excess of cardiovascular mortality if compared with the general population. In addition, we provide a complete overview on the new techniques which are used for the evaluation of endothelial dysfunction in a preclinical phase, which could represent a new approach in the assessment of cardiovascular risk in these patients.
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