Psoriasis is not a useful independent risk factor for cardiovascular disease

Robert S Stern1

  • 1Department of Dermatology, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA. rstern@bidmc.harvard.edu

Insights

Psoriasis is unlikely to be a significant risk factor for myocardial infarction (MI) or cardiovascular disease (CVD). Even if an association exists, it is not considered clinically useful for predicting CVD risk.

Area of Science:

  • Dermatology
  • Cardiology
  • Epidemiology

Background:

  • The hypothesis linking psoriasis to increased risk of myocardial infarction (MI) and cardiovascular disease (CVD) has gained attention since 2006.
  • Sponsorship of research and symposia by biologic therapy manufacturers has advanced this hypothesis.
  • A clinical trial is investigating if TNF inhibitor therapy for psoriasis reduces cardiovascular risk.

Purpose of the Study:

  • To evaluate the evidence regarding psoriasis as a risk factor for MI and CVD.
  • To determine if psoriasis is a clinically useful independent risk factor for CVD.

Main Methods:

  • Review and analysis of existing evidence on psoriasis, MI, and CVD.
  • Consideration of confounding factors and bias in previous studies.

Main Results:

  • New evidence suggests it is unlikely that psoriasis, even severe psoriasis, is a relevant risk factor for MI.
  • Even after accounting for confounding and bias, psoriasis is unlikely to be a clinically useful independent risk factor for CVD.

Conclusions:

  • The association between psoriasis and CVD risk, if present, is not clinically significant.
  • Further research is needed to clarify the complex relationship between psoriasis and cardiovascular health.

Related Concept Videos

Psychoneuroimmunology: Cardiovascular Disease01:27

Psychoneuroimmunology: Cardiovascular Disease

Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
Factors Affecting the Risk of Infection01:26

Factors Affecting the Risk of Infection

The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers01:19

Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers

Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
Atherosclerosis III: Management01:26

Atherosclerosis III: Management

Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
Psychoneuroimmunology: Diabetes and Cancer01:19

Psychoneuroimmunology: Diabetes and Cancer

Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...