A history of pregnancy complications can put women with autoimmune disease at a higher risk for CVD. Prophylaxis during pregnancy may avoid those complications in the first place.
NEW YORK — Systemic autoimmune disease is well-recognized as a major risk factor for cardiovascular disease , but less recognized as a cardiovascular risk factor is a history of pregnancy complications, including preeclampsia, and cardiologists and rheumatologists need to include an obstetric history when managing patients with autoimmune disease s, a specialist in reproductive health in rheumatology told attendees at the"Autoimmune diseases, lupus in particular, increase the risk for both...
Pregnancy history can be a factor in a woman's cardiovascular health more than 15 years postpartum, even if a woman is no longer planning a pregnancy or is menopausal."As such, this history is important in assessing every woman's risk profile for CVD in addition to usual traditional risk factors," Sammaritano said.
At the younger end of the age continuum, women with autoimmune disease, including SLE and antiphospholipid syndrome, who are pregnant should be put on guideline-directed low-dose aspirin preeclampsia prophylaxis, Sammaritano said."Whether every patient with SLE needs this is still uncertain, but certainly, those with a history of renal disease, hypertension, or aPL antibody clearly do," she added.
It's a situation physicians must monitor closely, she said."The mum is donating their immune system to the baby, but they're also donating drug."
Pregnant CV Risk Cardiovascular Risk CV Risk Factors Cardiovascular Risk Factors Cardiovascular Risk Management Autoimmune Disease Pre-Eclampsia Preeclampsia Toxemia Of Pregnancy Toxaemia Of Pregnancy Systemic Lupus Erythematosus SLE - Systemic Lupus Erythematosus Systemic Lupus Erythaematosus SLE Hypertension Atherosclerotic Heart Disease
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