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[银屑病关节炎中的心血管风险]

[Cardiovascular risk in psoriatic arthritis].

作者信息

Badokin V V, Ianysheva A V, Aleksandrova E N, Mach E S, Popkova T V

出版信息

Ter Arkh. 2009;81(6):41-7.

Abstract

AIM

To evaluate cardiovascular risk in psoriatic arthritis (PA).

MATERIAL AND METHODS

The examination covered 61 PA patients (52.9% females) aged 30-55 years and 45 controls without inflammatory and degeneratory diseases matched by gender, age and body mass. Standard cardiovascular risk factors were analysed. C-reactive protein was measured with a highly sensitive method. Carotid arteries were subjected to duplex scanning.

RESULTS

PA patients had a high cardiovascular risk. Dyslipidemia manifested with a high total cholesterol, LDLP cholesterol which correlated with inflammation activity. PA was more frequently associated with subclinical atherosclerosis and atherosclerotic plaques.

CONCLUSION

Chronic immune inflammation underlying pathogenesis of PA contributes to development of early atherosclerosis and its complications. A high cardiovascular risk is a constituent of PA which had an impact on long-term prognosis of this disease.

摘要

目的

评估银屑病关节炎(PA)患者的心血管风险。

材料与方法

研究纳入了61例年龄在30 - 55岁的PA患者(女性占52.9%)以及45例无炎症和退行性疾病的对照者,后者在性别、年龄和体重方面进行了匹配。分析了标准心血管危险因素。采用高敏方法检测C反应蛋白。对颈动脉进行双功扫描。

结果

PA患者存在较高的心血管风险。血脂异常表现为总胆固醇、低密度脂蛋白胆固醇升高,且与炎症活动相关。PA更常与亚临床动脉粥样硬化和动脉粥样硬化斑块相关。

结论

PA发病机制中潜在的慢性免疫炎症促成了早期动脉粥样硬化及其并发症的发生。高心血管风险是PA的一个组成部分,对该疾病的长期预后有影响。

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