PMID- 37302927 OWN - NLM STAT- MEDLINE DCOM- 20231216 LR - 20231228 IS - 1532-1770 (Electronic) IS - 1521-6942 (Linking) VI - 37 IP - 1 DP - 2023 Mar TI - Cardiovascular risk in vasculitis. PG - 101831 LID - S1521-6942(23)00017-7 [pii] LID - 10.1016/j.berh.2023.101831 [doi] AB - The present review summarizes the burden, risk factors, biomarkers of and therapeutic consideration for cardiovascular disease in systemic vasculitis. Ischemic heart disease (IHD) and stroke are intrinsic features of Kawasaki disease, Takayasu arteritis, Giant Cell Arteritis (GCA), and Behcet's disease. The risk of IHD and stroke is increased in anti-neutrophil cytoplasmic antibody-associated vasculitis (AAV) and cryoglobulinemic vasculitis. Behcet's disease could present with venous thromboembolism. The risk of venous thromboembolism is increased in AAV, polyarteritis nodosa, and GCA. The risk of cardiovascular events is greatest at or immediately after the diagnosis of AAV or GCA, therefore, controlling vasculitis disease activity is of utmost importance. Traditional as well as disease-related risk factors drive the heightened cardiovascular risk in vasculitis. Aspirin or statins reduce the risk of IHD or stroke in GCA or the risk of IHD in Kawasaki Disease. Venous thromboembolism in Behcet's disease should be treated with immunosuppressive therapy rather than with anticoagulation. CI - Copyright (c) 2023 Elsevier Ltd. All rights reserved. FAU - Misra, Durga Prasanna AU - Misra DP AD - Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Lucknow, 226014, India. Electronic address: durgapmisra@gmail.com. FAU - Sharma, Aman AU - Sharma A AD - Clinical Immunology and Rheumatology Wing, Department of Internal Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Sector-12, Chandigarh, 160012, India. Electronic address: amansharma74@yahoo.com. FAU - Karpouzas, George A AU - Karpouzas GA AD - The Lundquist Institute and Harbor-UCLA Medical Center, Torrance, USA. Electronic address: gkarpouzas@lundquist.org. FAU - Kitas, George D AU - Kitas GD AD - Research & Development, Dudley Group NHS Foundation Trust and University of Birmingham, UK. Electronic address: george.kitas@nhs.net. LA - eng PT - Journal Article PT - Review DEP - 20230609 PL - Netherlands TA - Best Pract Res Clin Rheumatol JT - Best practice & research. Clinical rheumatology JID - 101121149 SB - IM MH - Humans MH - *Behcet Syndrome/complications/epidemiology MH - *Cardiovascular Diseases/epidemiology/etiology MH - *Venous Thromboembolism/epidemiology/etiology MH - Risk Factors MH - *Giant Cell Arteritis/complications/epidemiology/drug therapy MH - *Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis MH - Heart Disease Risk Factors MH - *Stroke/epidemiology/etiology OTO - NOTNLM OT - Anti-neutrophil cytoplasmic antibody-associated vasculitis OT - Behcet disease OT - Cardiovascular risk OT - Giant cell arteritis OT - Systemic vasculitis OT - Takayasu arteritis COIS- Declaration of competing interest None of the authors have any conflicts of interest to declare. EDAT- 2023/06/12 00:42 MHDA- 2023/12/17 09:45 CRDT- 2023/06/11 21:55 PHST- 2023/03/28 00:00 [received] PHST- 2023/04/06 00:00 [revised] PHST- 2023/04/16 00:00 [accepted] PHST- 2023/12/17 09:45 [medline] PHST- 2023/06/12 00:42 [pubmed] PHST- 2023/06/11 21:55 [entrez] AID - S1521-6942(23)00017-7 [pii] AID - 10.1016/j.berh.2023.101831 [doi] PST - ppublish SO - Best Pract Res Clin Rheumatol. 2023 Mar;37(1):101831. doi: 10.1016/j.berh.2023.101831. Epub 2023 Jun 9.