en associated with increased
cardiovascular disease for decades. Initially, this was attributed to the
increased prevalence of behavioral risk factors -- such as obesity and
smoking, which are thought to be linked to the psychosocial burden of
psoriasis. However, two recent studies have enhanced dermatologists'
understanding of cardiovascular risk in psoriasis patients. "One large
population-based study demonstrated an increased risk of myocardial
infarction in patients with psoriasis -- particularly those with severe
cases of the disease -- even when accounting for major cardiovascular risk
factors, such as obesity, smoking, diabetes and hypertension," explained
Dr. Kimball. "Similarly, a small study of a well-defined population of
patients with very severe psoriasis demonstrated that these patients had a
higher frequency of coronary artery disease compared to a control group of
patients, even when controlling for known risk factors for atherosclerosis.
Taken together, these studies suggest that psoriasis itself may be a risk
factor for developing atherosclerosis and myocardial infarction."
Dr. Kimball advised psoriasis patients to follow the American Heart
Association's established recommendations for cardiovascular risk factor
screening, which includes an evaluation of a patient's blood pressure, body
mass index, waist circumference, pulse, fasting serum lipoprotein (or total
and HDL cholesterol), and fasting blood glucose.
Other factors that may increase the risk of cardiovascular disease
include behavioral-driven risk factors such as obesity, smoking and
depression. These risk factors can be modified by changes in lifestyle,
including maintaining a healthy weight (often measured by Body Mass Index
(BMI) < 25), physical activity for 30 minutes of moderate intensity several
times a week and healthy eating habits. Dr. Kimball also recommended that
psoriasis patients who smoke stop smoking.
Depression
Psoriasis has long been known to cau
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SOURCE American Academy of Dermatology Copyright©2008 PR Newswire. All rights reserved | |
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