Stratification and Management of Cardiovascular Risk among Patients with Psoriasis

Adam Wełniak, Karol Gryczka, K. Kędziora–Kornatowska
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Abstract

Abstract Older patients belong to the group with increased CVD risk, and one of the pillars of modern medicine is the stratification of risk and its reduction. Hence, physicians must approach the patient holistically and consider the multitude of factors that increase that risk. Recent reports suggest that, in addition to the classic cardiovascular risk factors, there is a group of lesser-known factors that also increases the incidence of CVD. One of them is psoriasis. This disease, known primarily for its cutaneous manifestation, actually impacts the whole body due to systemic inflammation. The challenge for physicians is to incorporate these new risk factors into the standard management of patients with psoriasis and to adjust treatment. Our work aims to analyse not only the association of psoriasis with increased CVD risk, but also what therapeutic options are available. This work also seeks to outline the actual risk in patients with psoriasis, which is higher than in the general population, as well as to highlight the problem that there are no tools that can unambiguously determine it.
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银屑病患者心血管风险的分层与管理
老年患者属于心血管疾病风险增加的人群,风险分层和降低是现代医学的支柱之一。因此,医生必须全面地对待病人,并考虑增加这种风险的多种因素。最近的报告表明,除了经典的心血管危险因素外,还有一组鲜为人知的因素也会增加心血管疾病的发病率。其中之一就是牛皮癣。这种疾病主要以其皮肤表现而闻名,实际上由于全身性炎症而影响全身。医生面临的挑战是将这些新的危险因素纳入牛皮癣患者的标准管理并调整治疗。我们的工作不仅旨在分析牛皮癣与CVD风险增加的关系,而且还分析了可用的治疗选择。这项工作还试图概述牛皮癣患者的实际风险,这比一般人群要高,同时也强调了没有工具可以明确确定的问题。
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