Cardiovascular Risk in Patients With Psoriasis: JACC Review Topic of the Week
Document Type
Journal Article
Publication Date
4-6-2021
Journal
Journal of the American College of Cardiology
Volume
77
Issue
13
DOI
10.1016/j.jacc.2021.02.009
Keywords
cardiovascular disease; cardiovascular risk; inflammation; psoriasis
Abstract
Psoriasis is a chronic inflammatory skin disease that affects 2% to 3% of the U.S. population. The immune response in psoriasis includes enhanced activation of T cells and myeloid cells, platelet activation, and up-regulation of interferons, tumor necrosis factor-α, and interleukins (ILs) IL-23, IL-17, and IL-6, which are linked to vascular inflammation and atherosclerosis development. Patients with psoriasis are up to 50% more likely to develop cardiovascular disease (CV) disease, and this CV risk increases with skin severity. Major society guidelines now advocate incorporating a psoriasis diagnosis into CV risk prediction and prevention strategies. Although registry data suggest treatment targeting psoriasis skin disease reduces vascular inflammation and coronary plaque burden, and may reduce CV risk, randomized placebo-controlled trials are inconclusive to date. Further studies are required to define traditional CV risk factor goals, the optimal role of lipid-lowering and antiplatelet therapy, and targeted psoriasis therapies on CV risk.
APA Citation
Garshick, M., Ward, N., Krueger, J., & Berger, J. (2021). Cardiovascular Risk in Patients With Psoriasis: JACC Review Topic of the Week. Journal of the American College of Cardiology, 77 (13). http://dx.doi.org/10.1016/j.jacc.2021.02.009