Echocardiographic evaluation of diastolic dysfunction in young and healthy patients with psoriasis: A case-control study

  • Elio Gorga University of Brescia, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, Italy. http://orcid.org/0000-0003-1582-5403
  • Marta Scodro University of Brescia, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, Italy.
  • Francesca Valentini University of Brescia, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, Italy.
  • Renzo D'Ortona University of Brescia, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, Italy.
  • Mariachiara Arisi University of Brescia, Department of Dermatology, Spedali Civili of Brescia, Italy.
  • Edoardo Sciatti | edoardo.sc@tin.it University of Brescia, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, Italy. http://orcid.org/0000-0002-3479-3454
  • Ivano Bonadei University of Brescia, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, Italy. http://orcid.org/0000-0001-6275-608X
  • Valentina Regazzoni University of Brescia, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, Italy.
  • Enrico Vizzardi University of Brescia, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, Italy. http://orcid.org/0000-0002-3544-6104
  • Marco Metra University of Brescia, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, Italy. http://orcid.org/0000-0001-6691-8568
  • Piergiacomo Calzavara Pinton University of Brescia, Department of Dermatology, Spedali Civili of Brescia, Italy. http://orcid.org/0000-0002-0935-7204

Abstract

Psoriasis is a systemic inflammatory disease with a great prevalence in general population. The inappropriate activation of the cellular immune system has been hypothesized to be an independent cardiovascular risk factor, given the higher incidence of cardiovascular disorders in psoriatic patients. Echocardiographic abnormalities have been demonstrated too: the aim of our study was to evaluate the presence of preclinical cardiac dysfunction in a cohort of psoriatic patients without cardiovascular risk factors. We enrolled 52 patients with the diagnosis of chronic plaque psoriasis, compared with a control group not affected by any relevant systemic diseases and inflammatory disorders. In all patients and control group, echocardiographic conventional and tissue Doppler (TDI) studies were conducted. The analysis of echocardiographic parameters revealed normal dimension, mass and systolic function of the left ventricle. Left ventricular diastolic dysfunction was found in 36.5% patients in the psoriasis group versus 0% in control group, and significant reduction of the E/A ratio was found also for the right ventricle. A significant increase of mitral regurgitation has been found in psoriatic patients (p=0.005). The early recognition of cardiovascular pre-clinic disease in psoriatic patients may guide a strict follow up and an early treatment, potentially improving cardiovascular prognosis.

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Published
2018-09-04
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Section
Cardiology - Original Articles
Keywords:
Psoriasis, diastolic disfunction, cardiovascular risk, atherosclerosis, echocardiography.
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How to Cite
Gorga, E., Scodro, M., Valentini, F., D’Ortona, R., Arisi, M., Sciatti, E., Bonadei, I., Regazzoni, V., Vizzardi, E., Metra, M., & Calzavara Pinton, P. (2018). Echocardiographic evaluation of diastolic dysfunction in young and healthy patients with psoriasis: A case-control study. Monaldi Archives for Chest Disease, 88(3). https://doi.org/10.4081/monaldi.2018.934