在严重牛皮的无症状患者中冠状动脉微血管功能障碍
Stefano Piaserico1, Evangelia Papadavid2, Annagrazia Cecere3
1Dermatology Unit, Department of Medicine, University of Padova, Padova, Italy.
The Journal of investigative dermatology
|September 22, 2023
概括
严重的牛皮患者经常患有冠状动脉微血管功能障碍 (CMD),这是一种与心脏健康不佳相关的疾病. 这项研究在31.5%的牛皮患者中发现了CMD,突出显示了心血管查的必要性.
科学领域:
- 心脏病学 心脏病学
- 皮肤病学 皮肤病学
- 免疫学 免疫学 免疫学
背景情况:
- 严重的牛皮与心血管风险增加有关,可能超出传统因素.
- 冠状动脉微血管功能障碍 (CMD) 预测了一般和牛皮患者群体的不良心血管结果.
研究的目的:
- 为了确定CMD的患病率和预测因子,在一个没有确定的心血管疾病的大量牛皮患者队列中.
主要方法:
- 纳入了503名患有牛皮的患者.
- 胸外多普勒回声心力学被用来评估冠状动脉微循环.
- 448名患者完成了这项研究,其中31.5%被诊断为CMD.
主要成果:
- 在研究队列中的31.5%中存在CMD.
- 更高的牛皮区域和严重性指数 (PASI),更长的疾病持续时间,牛皮关节炎和高血压独立地与CMD相关.
- 每增加1个PASI点和每一年的牛皮持续时间都与CMD风险分别增加5.8%和4.6%相关.
结论:
- 肌肉疾病与牛皮的严重程度和持续时间有显著的关联.
- 这些发现支持CMD系统性炎症的作用,表明冠状动脉微循环是牛皮免疫媒介损伤的皮肤外部部位.
- 在严重的牛皮患者中,建议对CMD进行积极查.
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