Ankylosing spondylitis and cardiovascular disease

This association does not mean that every person with ankylosing spondylitis will develop heart or blood-vessel disease. It does make regular assessment of blood pressure, cholesterol, blood sugar, smoking, activity, and inflammation worthwhile.

Long-lasting systemic inflammation may affect blood vessels as well as joints. Pain, stiffness, and fatigue can also reduce physical activity, while some medicines require consideration alongside blood pressure, kidney function, stomach health, or existing heart disease.

Rarely, ankylosing spondylitis can be associated with inflammation affecting the aorta or changes in the heart's electrical conduction. A clinician should assess unexplained breathlessness, palpitations, fainting, or reduced exercise tolerance rather than attributing them automatically to poor fitness.

Keep routine primary-care checks and take prescribed medicines consistently. Avoid tobacco, build meals around vegetables, fruit, whole grains, and suitable protein sources, and work toward regular movement that your joints tolerate.

Low-impact aerobic activity can complement mobility and strengthening exercises. A physiotherapist can adjust walking, cycling, swimming, or water-based exercise around pain, spinal movement, balance, and other medical conditions. Gradual progression is preferable after inactivity or a flare.

Call emergency services for chest pressure or pain, sudden severe breathlessness, fainting, or symptoms of stroke such as facial drooping, arm weakness, or difficulty speaking. These warning signs require urgent assessment regardless of whether you have ankylosing spondylitis.

Book a timely review for recurring palpitations, ankle swelling, unusual breathlessness with ordinary activity, or a noticeable decline in stamina. New symptoms should not be assumed to come from spinal stiffness.

Ask which cardiovascular checks are appropriate for you, whether your current anti-inflammatory medicines affect blood pressure or other conditions, and what activity level is suitable. Mention any family heart history and bring home blood-pressure readings if your clinician requested them.