TY - JOUR
T1 - Impact of depression on risk of myocardial infarction, stroke and cardiovascular death in patients with psoriasis
T2 - A danish nationwide study
AU - Egeberg, Alexander
AU - Khalid, Usman
AU - Gislason, Gunnar Hilmar
AU - Mallbris, Lotus
AU - Skov, Lone
AU - Hansen, Peter Riis
PY - 2016
Y1 - 2016
N2 - Psoriasis is associated with depression, myocardial infarction (MI) and stroke. Patients with depression have increased cardiovascular risk. However, the link between psoriasis, depression and cardiovascular disease is unclear. This link was investigated in a nationwide Danish cohort of patients with psoriasis (n = 29,406). Incidence rates were calculated, and incidence rate ratios (IRRs) adjusted for age, gender, socio-economic status, medication and comorbidity were estimated by Poisson regression models. Risk of MI (IRR 1.57, 95% confidence interval (95% CI) 1.07–2.29), stroke (IRR 1.95, 95% CI 1.43–2.66), and cardiovascular death (IRR 2.24, 95% CI 1.53–3.26) were increased significantly during acute depression, and risk of stroke (IRR 1.51, 95% CI 1.19–1.90) was increased significantly in chronic depression. During remission from depression, only the risk of stroke was increased. In conclusion, in patients with psoriasis, depression is associated with increased risk of MI, stroke and cardiovascular death, especially during acute depression.
AB - Psoriasis is associated with depression, myocardial infarction (MI) and stroke. Patients with depression have increased cardiovascular risk. However, the link between psoriasis, depression and cardiovascular disease is unclear. This link was investigated in a nationwide Danish cohort of patients with psoriasis (n = 29,406). Incidence rates were calculated, and incidence rate ratios (IRRs) adjusted for age, gender, socio-economic status, medication and comorbidity were estimated by Poisson regression models. Risk of MI (IRR 1.57, 95% confidence interval (95% CI) 1.07–2.29), stroke (IRR 1.95, 95% CI 1.43–2.66), and cardiovascular death (IRR 2.24, 95% CI 1.53–3.26) were increased significantly during acute depression, and risk of stroke (IRR 1.51, 95% CI 1.19–1.90) was increased significantly in chronic depression. During remission from depression, only the risk of stroke was increased. In conclusion, in patients with psoriasis, depression is associated with increased risk of MI, stroke and cardiovascular death, especially during acute depression.
KW - Cardiovascular death
KW - Depression
KW - Epidemiology
KW - Myocardial infarction
KW - Psoriasis
KW - Stroke
U2 - 10.2340/00015555-2218
DO - 10.2340/00015555-2218
M3 - Journal article
C2 - 26280176
AN - SCOPUS:84954535652
SN - 0001-5555
VL - 96
SP - 218
EP - 221
JO - Acta Dermato-Venereologica
JF - Acta Dermato-Venereologica
IS - 2
ER -
