open access

Vol 27, No 3 (2020)
Original articles — Clinical cardiology
Published online: 2018-08-14
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Psoriasis is an independent predictor of increased risk of allergic reaction during percutaneous coronary interventions. Big data analysis from the Polish National PCI Registry (ORPKI)

Zbigniew Siudak, Kalina Wysocka-Dubielecka, Krzysztof Malinowski, Artur Dziewierz, Tomasz Tokarek, Krzysztof Plens, Dariusz Dudek
DOI: 10.5603/CJ.a2018.0076
·
Pubmed: 30155870
·
Cardiol J 2020;27(3):278-284.

open access

Vol 27, No 3 (2020)
Original articles — Clinical cardiology
Published online: 2018-08-14

Abstract

Background: The presence of psoriasis is currently considered by the European Society of Cardiology cardiovascular prevention guidelines of 2016 as one possible cardiovascular risk factor. Patients with psoriasis and concomitant coronary artery disease treated by means of percutaneous coronary interven­tion (PCI) are a fairly large subgroup of patients that have been usually omitted in mainstream research. The aim herein, was to identify the incidence of psoriasis, baseline characteristics and periprocedural outcome with a special focus on procedural complications in patients undergoing percutaneous coronary procedures.

Methods: All consecutive patients who had either coronary angiography or coronary angiography with immediate PCI in Poland in 2014 and 2015 were included. Patients were assigned to two groups based on previous diagnosis: with psoriasis and without psoriasis. Clinical outcome was defined as any periprocedural death.

Results: There were 405,078 patients included in this analysis. Psoriasis (moderate or severe) was di­agnosed in 1507 (0.4%) of them. Psoriasis was an independent predictor of allergic reaction occurrence (odds ratio [OR] 6.02; 95% confidence interval [CI] 1.44–25.22; p = 0.014). After propensity score adjustment, psoriasis remained a significant predictor of allergic reaction (OR 5, 95% CI 1.2–20.7; p = 0.0245). There were no differences in rates of periprocedural deaths in patients with or without psoriasis (death: 0.95% vs. 0.62%, p > 0.05).

Conclusions: Severe or moderate psoriasis is an independent risk factor for the occurrence of allergic reaction during percutaneous coronary procedures. There were no differences in periprocedural mortal­ity and complications in patients with versus those without psoriasis.

Abstract

Background: The presence of psoriasis is currently considered by the European Society of Cardiology cardiovascular prevention guidelines of 2016 as one possible cardiovascular risk factor. Patients with psoriasis and concomitant coronary artery disease treated by means of percutaneous coronary interven­tion (PCI) are a fairly large subgroup of patients that have been usually omitted in mainstream research. The aim herein, was to identify the incidence of psoriasis, baseline characteristics and periprocedural outcome with a special focus on procedural complications in patients undergoing percutaneous coronary procedures.

Methods: All consecutive patients who had either coronary angiography or coronary angiography with immediate PCI in Poland in 2014 and 2015 were included. Patients were assigned to two groups based on previous diagnosis: with psoriasis and without psoriasis. Clinical outcome was defined as any periprocedural death.

Results: There were 405,078 patients included in this analysis. Psoriasis (moderate or severe) was di­agnosed in 1507 (0.4%) of them. Psoriasis was an independent predictor of allergic reaction occurrence (odds ratio [OR] 6.02; 95% confidence interval [CI] 1.44–25.22; p = 0.014). After propensity score adjustment, psoriasis remained a significant predictor of allergic reaction (OR 5, 95% CI 1.2–20.7; p = 0.0245). There were no differences in rates of periprocedural deaths in patients with or without psoriasis (death: 0.95% vs. 0.62%, p > 0.05).

Conclusions: Severe or moderate psoriasis is an independent risk factor for the occurrence of allergic reaction during percutaneous coronary procedures. There were no differences in periprocedural mortal­ity and complications in patients with versus those without psoriasis.

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Keywords

infarction, coronary, psoriasis, anaphylaxis

About this article
Title

Psoriasis is an independent predictor of increased risk of allergic reaction during percutaneous coronary interventions. Big data analysis from the Polish National PCI Registry (ORPKI)

Journal

Cardiology Journal

Issue

Vol 27, No 3 (2020)

Pages

278-284

Published online

2018-08-14

DOI

10.5603/CJ.a2018.0076

Pubmed

30155870

Bibliographic record

Cardiol J 2020;27(3):278-284.

Keywords

infarction
coronary
psoriasis
anaphylaxis

Authors

Zbigniew Siudak
Kalina Wysocka-Dubielecka
Krzysztof Malinowski
Artur Dziewierz
Tomasz Tokarek
Krzysztof Plens
Dariusz Dudek

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