Evaluation of epicardial fat thickness and the ankle-brachial index in patients with rosacea: A case-control study.

Autor: Aksu Çerman A; Department of Dermatology, Health Science University Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey., Er Kara A; Department of Cardiology, Health Science University Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey., Aktaş Karabay E; Department of Dermatology, Okmeydanı Training and Research Hospital (Prof Dr Cemil Taşçıoğlu City Hospital), Istanbul, Turkey., Kaya HE; Department of Dermatology, Health Science University Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey., Kıvanç Altunay İ; Department of Dermatology, Health Science University Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Jazyk: angličtina
Zdroj: Journal of cosmetic dermatology [J Cosmet Dermatol] 2021 Sep; Vol. 20 (9), pp. 3041-3045. Date of Electronic Publication: 2021 Feb 15.
DOI: 10.1111/jocd.13997
Abstrakt: Background: Recent data suggest that rosacea is related to cardiovascular diseases (CVD) due to its inflammatory nature and immune dysregulation.
Aim: The aim of this study was to evaluate the values of epicardial fat thickness (EFT) and the ankle-brachial index (ABI) in patients with rosacea, as indicators of subclinical atherosclerosis and CVD risk.
Methods: This prospective case-control study was carried out on 62 participants, including 31 rosacea patients and 31 controls. The values of EFT and ABI were measured in all subjects.
Results: The mean thickness of EFT was statistically higher in rosacea patients (0.54 ± 0.12 mm) than in the controls (0.39 ± 0.05 mm) (P < 0.01). ABI was not significantly different between the subjects with rosacea and the comparison group (1.02 ± 0.1 vs 0.98 ± 0.07; P = 0.131). A total of 29% of the rosacea patients had mitral valve insufficiency (MVI), while 3.2% of the control group had MVI (P = 0.006). A mild degree of tricuspid valve insufficiency (TVI) was present in 45.2% of the rosacea patients, while 19.4% of the controls had TVI (P = 0.03).
Conclusion: Rosacea may be associated with subclinical cardiac dysfunction. EFT measurements in rosacea patients can provide early detection of possible subclinical cardiovascular diseases, which can be life-extending in rosacea. However, further studies with larger sample sizes are required to confirm the present findings.
(© 2021 Wiley Periodicals LLC.)
Databáze: MEDLINE
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