
Maureen McMahon
Professor of Medicine and rheumatologist at UCLA, known for research on cardiovascular disease risk in lupus and lupus nephritis.
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Jun 3, 2026
Recognizing Cardiovascular Risk in Patients With Lupus Nephritis
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Maureen McMahonGUEST
Ken, let's shift the conversation in lupus nephritis to what is increasingly becoming the dominant long-term issue, cardiovascular disease.

Maureen McMahonGUEST
As highlighted in the forthcoming North American Expert Consensus, atherosclerotic cardiovascular disease is now the leading cause of late mortality in these patients.

Maureen McMahonGUEST
What's striking is that patients with lupus nephritis have approximately a 2.8 to 8.5-fold increased risk of cardiovascular events compared to the general lupus population.

Maureen McMahonGUEST
And that risk is particularly front-loaded within the first year after diagnosis, as the risk of myocardial infarction can be as high as six-fold.

Ken KalunianGUEST
This is a paradigm shift away from just treating the flare to managing cumulative risk over time.

Maureen McMahonGUEST
And one of the key shortcomings we've recognized is that traditional ASCVD risk calculators, like the ACC Risk Estimator Plus or even newer PREVENT equations, significantly underestimate the risk in lupus patients.