Cardiovascular risk in psoriatic arthritisa new plot twist in an old story: A case report

Only recently has modern medicine begun to recognize the impact of well-known rheumatological conditions on the cardiovascular system. Although the initial evidence was only related to rheumatoid arthritis, recent studies indicate that other rheumatological processes, including psoriatic arthritis, also have an impact on the initiation or acceleration of the atherosclerotic process through low-grade systemic inflammation of small blood vessels, classifying these diseases as independent risk factors for CVD. Correction of traditional cardiovascular risk factors in this group of patients does not reduce the risk of adverse cardiovascular events. As we will show in this case, the only adequate prevention of increased morbidity and mortality in these patients is routine screening for asymptomatic myocardial ischemia.