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Psoriasis and atherosclerosis: Is there a need for novel biomarkers assessing cardiovascular risk?
Murat Sunbul, Mehmet Agirbasli1
1Yesilbahar Sok. 68/14 Goztepe 34726 Istanbul Turkey. magirbasli@gmail.com.
Insights
Patients with psoriasis and psoriatic arthritis (PsA) face higher mortality, mainly from coronary artery disease. Novel biomarkers can help identify and manage cardiovascular disease (CVD) risk in these patients.
Area of Science:
- Dermatology
- Cardiology
- Immunology
Background:
- Psoriasis and psoriatic arthritis (PsA) are linked to increased mortality.
- Coronary artery disease (CVD) is the primary cause of excess mortality in these patients.
- Psoriatic disease necessitates considering patients as a high-risk population for CVD.
Purpose of the Study:
- To review biomarkers and mediators of cardiovascular risk in psoriasis and PsA.
- To analyze the relationship between psoriasis and novel vascular biomarkers.
- To explore strategies for preventive studies in psoriatic patients.
Main Methods:
- Systematic literature search of Medline/PubMed.
- Inclusion of studies on cardiovascular disease (CVD), risk factors, and inflammatory markers.
- Analysis of the association between psoriasis and vascular biomarkers.
Main Results:
- Psoriatic patients represent a high-risk group for CVD.
- Novel biomarkers of inflammation, thrombosis, oxidative stress, and atherosclerosis are identified.
- These biomarkers aid in risk stratification for early CVD detection and treatment.
Conclusions:
- Understanding the link between psoriasis and vascular risk is crucial.
- Biomarkers offer potential for improved CVD management in psoriatic patients.
- Early detection and treatment strategies can mitigate CVD morbidity and mortality.
Abstract:
Epidemiological studies indicate increased mortality rates in cohorts of patients with psoriatic arthritis (PsA). Psoriasis is associated with an enhanced cardiovascular risk. The excess mortality in psoriasis and PsA is predominantly due to coronary artery disease. The aim of this review is to overview the biomarkers and/or mediators of increased cardiovascular risk in patients with psoriasis and PsA. We searched through Medline/PubMed to retrieve sources on cardiovascular disease (CVD), related risk factors and inflammatory markers in psoriasis and PsA. We analyzed the relationship between psoriasis and novel vascular biomarkers with potential use for preventive studies. Studies underline the importance of considering psoriatic patients as a high-risk population in terms of CVD. Novel biomarkers of inflammation, thrombosis, oxidative stress and atherosclerosis can provide risk stratification and strategies for early detection and treatment of CVD in patients with psoriasis. A better understanding of the association between psoriasis and vascular risk can help the clinician to manage the increased morbidity and mortality related to CVD.
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