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January 1, 2012Turk Kardiyoloji Dernegi Arsivi-Archives of the Turkish Society of Cardiology

Determination of subclinical atherosclerosis in plaque type psoriasis patients without traditional risk factors for atherosclerosis

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Key result

Plaque-type psoriasis is linked to ~17% higher PWV and increased CIMT versus healthy controls.

  • P<0.001
  • n=117

Why the study?

Systemic inflammation in psoriasis patients may contribute to premature atherosclerosis, but the relationship with subclinical atherosclerosis in patients without traditional risk factors is unclear.

Does plaque-type psoriasis increase subclinical atherosclerosis (measured by PWV and CIMT) in patients without traditional cardiovascular risk factors compared to healthy individuals?

Comparison

Plaque-type psoriasis patients vs healthy individuals

Design

Case-control study

Authors

EAEmre Altekin

Discussion

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Overview

Psoriasis may associate with subclinical atherosclerosis on PWV/CIMT; leaves open causal role of inflammation and need for prospective validation.

Study Design

Type

Case-Control (n=117)

Structured PICO

Does plaque-type psoriasis increase subclinical atherosclerosis (measured by PWV and CIMT) in patients without traditional cardiovascular risk factors compared to healthy individuals?

P
Population
117 individuals (mean age 40.5 years, 46% female), comprising 57 plaque-type psoriasis patients and 60 healthy controls without traditional atherosclerotic risk factors.
E
Exposure
Plaque-type psoriasis (disease state)
C
Comparator
Healthy individuals without psoriasis
O
Outcome
Subclinical atherosclerosis measured by carotid-femoral artery pulse wave velocity (PWV) and carotid intima media thickness (CIMT)surrogate

Main Result

Absolute Event Rate: 7.04% vs 6.03%

p-value: p=<0.001

Plaque-type psoriasis is associated with increased subclinical atherosclerosis, as measured by PWV and CIMT, even in the absence of traditional cardiovascular risk factors.

Cite This Study

Emre Altekin (2012) conducted a case-control in Plaque type psoriasis (n=117). Plaque type psoriasis vs. Healthy individuals was evaluated on Pulse wave velocity (PWV) (p=<0.001). Plaque-type psoriasis was associated with higher pulse wave velocity (7.04 vs. 6.03 m/sn, p<0.001) and carotid intima media thickness compared to healthy controls.

synapsesocial.com/papers/6aa9e15533211e1322fc90c5https://doi.org/10.5543/tkda.2012.54920
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The relation of arterial stiffness to endothelial function in healthy subjects2007 · 13 citations
  2. 2Increased unrecognized coronary heart disease and sudden deaths in rheumatoid arthritis: A population‐based cohort study2005 · 930 citations
  3. 3High prevalence of subclinical atherosclerosis in psoriatic arthritis patients without clinically evident cardiovascular disease or classic atherosclerosis risk factors2007 · 246 citations
  4. 4More than skin deep: atherosclerosis as a systemic manifestation of psoriasis2009 · 132 citations