Management of cardiovascular disease in patients with psoriasis

Expert Opin Pharmacother. 2016 Aug;17(11):1509-16. doi: 10.1080/14656566.2016.1190336. Epub 2016 May 31.

Abstract

Introduction: Patients with psoriasis have an increased incidence and prevalence of cardiovascular (CV) risk factors, and CV undertreatment in these patients is a well-established problem. The link between psoriasis and CV disease is present on a pathogenic level, as well as due to modifiable lifestyle factors such as smoking and alcohol abuse.

Areas covered: In this manuscript we describe the evidence associating psoriasis with CV disease, as well as the pharmacological and non-pharmacological treatment of CV risk factors including the CV effects of anti-psoriatic therapy and vice versa.

Expert opinion: Current guidelines recommend that patients with psoriasis are screened for CV risk factors, and recommend smoking cessation, reduced alcohol consumption, altering of lifestyle to move to a normal-weight body-mass index, exercising 3 times a week for 30 minutes, and monitoring and modifying cholesterol levels, respectively. While the current sum of evidence is not sufficient to recommend specific therapies for psoriasis solely based on their potential CV impact, some guidelines have suggested a 1.5 multiplication factor, in patients with severe psoriasis, to the Framingham risk score. Indeed, the importance of screening for CV risk factors and strict adherence to established primary and secondary preventive measures in these patients should be emphasized.

Keywords: Cardiovascular disease; inflammation; psoriasis; therapy.

Publication types

  • Review

MeSH terms

  • Alcohol Drinking / adverse effects
  • Alcohol Drinking / epidemiology
  • Alcohol Drinking / therapy
  • Alcoholism / diagnosis
  • Alcoholism / epidemiology
  • Alcoholism / therapy
  • Cardiovascular Diseases / diagnosis
  • Cardiovascular Diseases / epidemiology*
  • Cardiovascular Diseases / therapy*
  • Disease Management*
  • Humans
  • Psoriasis / diagnosis
  • Psoriasis / epidemiology*
  • Psoriasis / therapy*
  • Risk Factors
  • Risk Reduction Behavior*