Assessment of Arterial Stiffness in Korean Patients With Psoriasis by Cardio-Ankle Vascular Index

Angiology. 2017 Aug;68(7):608-613. doi: 10.1177/0003319716652284. Epub 2016 Jun 5.

Abstract

Many recent studies have suggested that psoriasis, a chronic, inflammatory, immune-mediated skin disease, is associated with increased risk of cardiovascular disease (CVD). We aimed to compare arterial stiffness in psoriasis and control patient groups using the cardio-ankle vascular index (CAVI) and to determine whether psoriasis is an independent risk factor for CVD. A total 103 patients with psoriasis and 103 age- and sex-matched controls were enrolled. Compared with controls, the patients showed a higher CAVI ( P = .03), particularly patients older than 40 years. The duration of psoriasis exhibited a positive correlative tendency with CAVI ( P = .066). Moreover, psoriasis is an independent predictor of arterial stiffness after adjusting for other factors ( P = .011). We suggest that psoriasis can be a risk factor for CVD, and older patients with psoriasis of longer disease duration should be monitored carefully for cardiovascular risk.

Keywords: arterial stiffness; augmentation index; cardio-ankle vascular index; psoriasis.

MeSH terms

  • Age Factors
  • Aged
  • Ankle / blood supply
  • Ankle Brachial Index* / methods
  • Blood Pressure / physiology
  • Female
  • Humans
  • Hypertension / diagnosis*
  • Hypertension / physiopathology
  • Male
  • Middle Aged
  • Psoriasis / diagnosis*
  • Psoriasis / therapy
  • Pulse Wave Analysis / methods
  • Risk Factors
  • Vascular Stiffness / physiology*