Psoriasis treatments in the stabilization of atherosclerosis: a systematic review
2024

Psoriasis Treatments and Heart Health

Sample size: 21 publication 10 minutes Evidence: high

Author Information

Author(s): Ji Lixin, Ravi Sowmya, Wright Laura, Nguyen Vi, Wiley Jose, Vukelic Milena, Kim Sangkyu

Primary Institution: Tulane School of Medicine

Hypothesis

Can biologic agents slow the progression of coronary artery plaques in patients with psoriasis?

Conclusion

TNF-α inhibitors are highly effective in reducing atherosclerosis progression in psoriasis patients, improving vascular health markers.

Supporting Evidence

  • TNF-α inhibitors significantly improved atherosclerosis markers such as CIMT, aPWV, FAI, and CRP.
  • IL-17 inhibitors showed a greater effect in reducing non-calcified plaque burden compared to TNF-α inhibitors.
  • Fumaric acid improved cholesterol metabolism.

Takeaway

This study looked at how certain psoriasis treatments can help keep hearts healthy. It found that some medicines work really well to stop heart problems.

Methodology

A systematic review of studies from PubMed, Embase, and Web of Science, focusing on treatments for psoriasis and their effects on atherosclerosis markers.

Potential Biases

Potential confounding effects of concomitant medications and lifestyle factors not consistently accounted for.

Limitations

Heterogeneity of studies, varying metrics for measuring atherosclerosis, and short follow-up durations.

Participant Demographics

Human subjects over 18, with a focus on psoriasis and psoriatic arthritis patients.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1007/s00403-024-03625-6

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