Subclinical Left Ventricular Dysfunction in Patients with Psoriasis Assessed Using Speckle Tracking Echocardiography

Karabay, Ezgi Aktaş; Çerman, Aslı Aksu; Demіr, Damla; Altunay, İlknur Kivanç; Sumerkan, M.C.

doi:10.5336/dermato.2019-70951

Turkiye Klinikleri J Dermatol

2019

DOI: 10.5336/dermato.2019-70951

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Subclinical Left Ventricular Dysfunction in Patients with Psoriasis Assessed Using Speckle Tracking Echocardiography

Ezgi Aktaş Karabay¹,

Aslı Aksu Çerman²,

Damla Demіr³

et al.

Abstract: soriasis which is a common chronic inflammatory skin disease, affects 2%-3% of the general population; it is associated with an increased risk of cardiovascular disease (CVD), but it cannot be explained by the presence of traditional risk factors. 1-6 Currently, data regarding the pathogenesis of myocardial impairment in patients with psori

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2024

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Cited by 1 publication

References 26 publications

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Subclinical Myocardial Dysfunction Assessment Using Speckle Tracking Echocardiography in Patients With Psoriasis: A Pilot Meta‐Analysis

Jain,

Dey

et al. 2024

Clinical Cardiology

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IntroductionPsoriasis is a systemic inflammatory disease associated with elevated cardiovascular risk due to inflammatory and oxidative stress. Two‐dimensional speckle‐tracking echocardiography (2D‐STE) can detect both regional and global myocardial strain. Impairment of ventricular strain can assist in the early detection of myocardial dysfunction. Subclinical myocardial dysfunction in psoriasis has not yet been elucidated with inconsistent results.MethodsA systematic literature search of various databases was conducted to identify studies comparing global longitudinal strain (GLS) and global circumferential strain (GCS) between patients with psoriasis and healthy controls. Standardized mean differences (SMD) with 95% confidence intervals (CI) were pooled using the inverse‐variance random‐effects model in Review Manager Software Version 5.4.1.ResultsEleven studies with 879 participants (501 patients with psoriasis and 378 healthy controls) were included. Psoriasis was associated with a statistically significant reduction in GLS [SMD: –1.04; 95% CI: –1.45, –0.62; p < 0.00001] and GCS [SMD: –0.66; 95% CI: –1.27, –0.05; p = 0.03] compared to healthy controls.ConclusionThis study demonstrated that patients with psoriasis are at an elevated risk of subclinical myocardial dysfunction, as shown by the reduced GLS and GCS. Early assessment of subclinical impairment in psoriasis will allow targeted intervention and may mitigate future adverse cardiovascular events. Prospective studies with larger sample sizes are warranted to validate these results.

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Subclinical Myocardial Dysfunction Assessment Using Speckle Tracking Echocardiography in Patients With Psoriasis: A Pilot Meta‐Analysis

Jain,

Dey

et al. 2024

Clinical Cardiology

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show abstract

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Subclinical Left Ventricular Dysfunction in Patients with Psoriasis Assessed Using Speckle Tracking Echocardiography

Cited by 1 publication

References 26 publications

Subclinical Myocardial Dysfunction Assessment Using Speckle Tracking Echocardiography in Patients With Psoriasis: A Pilot Meta‐Analysis

Subclinical Myocardial Dysfunction Assessment Using Speckle Tracking Echocardiography in Patients With Psoriasis: A Pilot Meta‐Analysis

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