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001-es BibID:	BIBFORM067028
Első szerző:	Herédi Emese (bőrgyógyász)
Cím:	Subclinical cardiovascular disease and it's improvement after long-term TNF-[alfa] inhibitor therapy in severe psoriatic patients / Herédi E., Végh J., Pogácsás L., Gáspár K., Varga J., Kincse G., Zeher M., Szegedi A., Gaál J.
Dátum:	2016
ISSN:	0926-9959
Megjegyzések:	BACKGROUND:There are conflicting data on the occurrence of subclinical myocardial dysfunction in psoriatic patients and on the impact of long-term tumour necrosis factor-alpha (TNF-[alfa]) inhibitor therapy on cardiac function.OBJECTIVE:In this study, we explored whether there are any signs of subclinical cardiovascular disease (echocardiographic abnormalities) in severe psoriatic patients without clinically overt heart disease. As a second objective, the influence of long-term treatment with TNF-[alfa] inhibitors on the ventricular functions of psoriatic patients was also investigated.METHODS:Clinical and echocardiographic data from 44 psoriatic patients and 45 age- and sex-matched controls were processed. As a first step, the echocardiographic parameters of psoriatic patients obtained before anti-TNF-[alfa] treatment were compared with controls. As a second step, to detect the effect of long-term anti-TNF-[alfa] treatment on echocardiographic parameters, data of patients before and after therapy were analysed.RESULTS:The right ventricular Tei index was higher (P < 0.001), whereas the tricuspid annular plane systolic excursion (TAPSE) and right ventricular free wall peak systolic velocity were lower (P < 0.001 and P < 0.0001, respectively) in the psoriatic patients than in the controls. Following treatment with TNF-[alfa] inhibitors, TAPSE and right ventricular free wall peak systolic velocity significantly improved (P < 0.0001 for both parameters). The Tei index of both ventricles improved during biological therapy; however, this change did not reach statistical significance.CONCLUSION:Patients with severe psoriasis exhibit signs of subclinical cardiovascular disease compared to control, and prolonged anti-TNF-[alfa] therapy has a potentially beneficial effect on these signs.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk
Megjelenés:	Journal Of The European Academy Of Dermatology And Venereology. - 30 : 9 (2016), p. 1531-1536. -
További szerzők:	Végh Judit (1968-) (belgyógyász, kardiológus) Pogácsás Lilla Gáspár Krisztián (1974-) (bőrgyógyász) Varga József (1955-) (fizikus) Kincse Gyöngyvér (1970-) (orvos) Zeher Margit (1957-2018) (belgyógyász, allergológus és klinikai immunológus, reumatológus) Szegedi Andrea (1964-) (bőrgyógyász) Gaál János (1965-) (reumatológus, belgyógyász)
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