Doing the medication refills today I saw a patient on a statin aged 38y. I wondered why she was taking a statin and looked for any history of CVD in the notes but found none. She does not have the classic courier risk factors of DHL i.e. diabetes or hypertension or lipidemia reaching a level high enough to justify statins. So I revised the notes again and saw that she had SLE. This led to a question in my mind. How much does SLE increase the risk of CVD disease?