Malignant Restenosis and Progression of Disease in Psoriatic Patients Undergoing Coronary Interventions: Is it the Koebner's Phenomena to Blame?

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Authors

  • Vineet Bhatia Department of Cardiology, Fortis Hospital, Noida, Uttar Pradesh, India
  • Parneesh Arora Department of Cardiology, Fortis Hospital, Noida, Uttar Pradesh, India
  • Vineet Relhan Department of Dermatology, Maulana Azad Medical College, New Delhi, India
  • Upendra Kaul Department of Cardiology, Batra Heart Care Centre, New Delhi, India

DOI:

https://doi.org/10.17140/HROJ-6-150

Abstract

Severe psoriasis is associated with an enhanced risk of cardiovascular (CV) diseases. The potential impact of psoriasis on the prognosis
following coronary revascularization (percutaneous coronary intervention (PCI) or surgical) is not well studied and sparse
data available in literature points towards a grim long-term prognosis. The following two cases highlight this phenomenon. We also
discuss the plausible reasons responsible for the poor prognosis and propose some possible mechanisms for the same

References

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Ahlehoff O, Lindhardsen J, Gislason GH, et al. Prognosis after Percutaneous coronary intervention in patients with psoriasis: A cohort Study using Danish nationwide registries. BMC Cardiovasc Disord. 2012; 12: 79-86. doi: 10.1186/1471-2261-12-79

Schwartz RS, Chronos NA, Varmani R. Preclinical restenosis models and drug eluting stents. Still important, still much to learn. J Am Coll Cardiol. 2004; 44(7): 1373-1385. doi: 10.1016/j. jacc.2004.04.060

Maksimowicz-McKinnon K, Selzer F, Manzi S, et al. Poor 1-year outcomes after percutaneous coronary interventions in systemic lupus erythematosus: Report from the National Heart, Lung, and Blood Institute Dynamic Registry. Circ Cardiovasc Interv. 2008; 1: 201-208. doi: 10.1161/CIRCINTERVENTIONS.108.788745

Desai SP, Januzzi JL, Pande AN, et al. Comparison of symptoms, treatment, and outcomes of coronary artery disease among rheumatoid arthritis and matched subjects undergoing percutaneous coronary intervention. Semin Arthritis Rheum. 2010; 40: 215-221. doi: 10.1016/j.semarthrit.2010.04.002

Thappa DM. The isomorphic phenomena of Koebner. Indian J Dermatol Venereol Leprol. 2004; 70: 187-189.

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Published

2019-08-23

How to Cite

Vineet Bhatia, Parneesh Arora, Vineet Relhan, & Upendra Kaul. (2019). Malignant Restenosis and Progression of Disease in Psoriatic Patients Undergoing Coronary Interventions: Is it the Koebner’s Phenomena to Blame?. Heart Research, 6(1), 15–17. https://doi.org/10.17140/HROJ-6-150

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