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Balani P, Lopez AR, Nobleza CMN, Siddiqui M, Shah PV, Khan S. Can Pioglitazone Safeguard Patients of Lichen Planus Against Homocysteine Induced Accelerated Cardiovascular Aging and Reduced Myocardial Performance: A Systematic Review. Cureus 2020; 12:e12372. [PMID: 33527053 PMCID: PMC7842239 DOI: 10.7759/cureus.12372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Lichen planus (L.P.) is a long-standing mucocutaneous inflammatory condition. A less familiar but essential illness association is increased arterial stiffness, endothelial dysfunction, and advanced atherosclerosis. Enhanced cardiac reconditioning and reduced performance of the heart have been suggested. Thiazolidinediones were commenced to manage hyperglycemia in diabetes mellitus. Recently, the class attained popularity after its action on vascular physiology was discovered. With this review, we attempted to explore whether an antidiabetic drug, pioglitazone (PIO), a peroxisome proliferator‑activated receptor γ (PPAR gamma) agonist, can defend patients of lichen planus against increased arterial stiffness and cardiac changes. We methodically screened numerous databases using focused words and phrases for relevant articles. After a comprehensive exploration, we applied the inclusion and exclusion criteria and performed a quality appraisal. Items retained were exhaustively studied. High homocysteine (HHcy) levels in lichen planus play a significant role in modifying the arteries and leading to their dysfunction. Not only does homocysteine affect the precursor cells, but it also increases the free radical damage. Arterial damage and upraised resistance encountered by the heart reduce its performance. After an exhaustive analysis, in our opinion, pioglitazone works in various miscellaneous ways to mitigate the homocysteine mediated changes. Early inclusion of the drug in managing patients with lichen planus seems promising in minimizing the harmful effects of high homocysteine. Evaluating the risk-benefit ratio, we believe that a trial of pioglitazone could be given to patients without underlying cardiac conditions.
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Affiliation(s)
- Prachi Balani
- Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Angel R Lopez
- Psychiatry, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Chelsea Mae N Nobleza
- Neurology, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Mariah Siddiqui
- Neurology, St. George's University, True Blue, GRD.,Neurology, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Parth V Shah
- Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Safeera Khan
- Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
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Impairment of myocardial functions and arterial stiffness in patients with lichen planus. An Bras Dermatol 2020; 95:180-186. [PMID: 32146010 PMCID: PMC7175034 DOI: 10.1016/j.abd.2019.07.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Accepted: 07/30/2019] [Indexed: 01/12/2023] Open
Abstract
BACKGROUND Lichen planus is a chronic inflammatory mucocutaneous disease. Recent studies have suggested that it is associated with an increased risk of cardiovascular comorbidities. OBJECTIVE The purpose of this study was to assess and compare arterial stiffness and cardiovascular hemodynamics in patients with lichen planus and a healthy control group. METHODS Fifty-five patients with lichen planus and 42 healthy controls were enrolled. All patients underwent echocardiographic examination, and arterial stiffness was measured using applanation tonometry. RESULTS No statistically significant difference was determined between the patient and control groups in terms of arterial stiffness, but stiffness was markedly higher in patients with erosive lichen planus compared to the control group and other patients (p=0.006, and p=0.023, respectively). Moderate positive correlation was determined between duration of disease and arterial stiffness. Impairment of systolic and diastolic functions was also determined in patients with lichen planus compared to the control group (p<0.001, and p=0.005, respectively). STUDY LIMITATIONS Relatively low number of patients. CONCLUSION The positive correlation observed between duration of disease and arterial stiffness in patients with lichen planus suggests that these patients should be followed-up in terms of cardiovascular risk in the presence of resistant and long-term disease, particularly in case of erosive lichen planus.
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Evaluation of atherosclerosis risk by measurement of intima media thickness and pulse wave velocity in lichen planus patients; A prospective case-control study. JOURNAL OF SURGERY AND MEDICINE 2017. [DOI: 10.28982/josam.344718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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C K, M E, G K, O K, Ag E, Th E, Gi K, T D, T K, E B. The Relationship between Lichen Planus and Carotid Intima Media Thickness. ACTA CARDIOLOGICA SINICA 2016; 32:738-743. [PMID: 27899862 DOI: 10.6515/acs20160224a] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
BACKGROUND Lichen planus (LP) is a chronic inflammatory disease. Although the association between chronic inflammation and subclinical atherosclerosis has been reported in the literature, the relationship between LP and carotid intima media thickness (CIMT) has not been previously investigated. The aim of this study was to investigate the relationship between LP and CIMT. METHODS One hundred eleven LP patients and 105 controls were enrolled in the study. Then, CIMT examination was performed with an ultrasonography device. Cross-sectional associations of LP with CIMT were analyzed using linear regression models adjusted for related confounders. RESULTS No statistical difference was found between LP and the controls except for the female gender, white blood cell, LDL cholesterol and triglycerides (p = 0.046, p = 0.019, p = 0.011 and p = 0.013, respectively). Significant difference was found between the groups in terms of CIMT (0.90 ± 0.2 mm vs. 0.61 ± 0.3 mm, p = 0.001). CIMT was correlated with longevity of the LP, but we did not find LP to be an independent predictor of increased CIMT in logistic regression analysis (r = 0.449, p < 0.001, β = -0.117, p = 0.092; respectively). CONCLUSIONS The results of our study suggested that LP was associated with increased mean CIMT, and furthermore that CIMT was correlated with longevity of LP. However, LP was not an independent predictor of increased CIMT.
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Affiliation(s)
- Koseoglu C
- Deparment of Cardiology, Ankara Training and Research Hospital
| | - Erdogan M
- Department of Cardiology, Ataturk Training and Research Hospital
| | - Koseoglu G
- Department of Dermatology, Ankara University Faculty of Medicine, Ankara
| | - Kurmus O
- Department of Cardiology, Tarsus State Hospital, Mersin
| | - Ertem Ag
- Department of Cardiology, Ataturk Training and Research Hospital
| | | | - Kurmus Gi
- Department of Dermatology, Dıskapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Durmaz T
- Department of Cardiology, Ataturk Training and Research Hospital
| | - Keles T
- Department of Cardiology, Ataturk Training and Research Hospital
| | - Bozkurt E
- Department of Cardiology, Ataturk Training and Research Hospital
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Koseoglu C, Erdogan M, Ertem A, Koseoglu G, Akoglu G, Aktas A, Ozdemir E, Kurmus O, Durmaz T, Keles T, Bozkurt E. Aortic Elastic Properties and Myocardial Performance Index Are Impaired in Patients with Lichen Planus. Med Princ Pract 2016; 25:247-53. [PMID: 26683851 PMCID: PMC5588385 DOI: 10.1159/000443478] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2015] [Accepted: 12/17/2015] [Indexed: 12/19/2022] Open
Abstract
OBJECTIVES The aim of this study was to investigate the elastic properties of the aorta and the myocardial performance index of the left ventricle (LV) in patients with lichen planus (LP). SUBJECTS AND METHODS A total of 54 patients with LP and 50 controls were enrolled in the study. The 2 groups were well-matched regarding age, gender, body mass index, any smoking history, diabetes mellitus and systolic and diastolic blood pressure (SBP and DBP). The echocardiographic examination was performed on the study subjects and the controls. Aortic elasticity parameters and the myocardial performance index of the LV were calculated. The Student t test, the x03C7;2 test and multiple linear regression were used for the statistical analysis. RESULTS Aortic strain (AS, 4.77 ± 1.81 vs. 8.95 ± 2.22; p < 0.001) and aortic distensibility (AD, 0.25 ± 0.009 vs. 0.42 ± 0.120; p < 0.001) were significantly lower, and aortic stiffness index β (ASIβ, 3.65 ± 1.03 vs. 2.70 ± 0.91; p < 0.001) was significantly higher in the LP group than in the controls. The myocardial performance index (Tei index) was significantly higher in the LP group than in the control group (p = 0.001). The duration of the LP was negatively correlated with AS (r = -0.364, p < 0.001) and AD (r = -0.279, p = 0.006), and positively correlated with the Tei index (r = 0.324, p = 0.001) and ASIβ (r = 0.364, p < 0.001). After adjustment for relevant confounders (age, male gender, smoking, SBP, DBP, diabetes mellitus and low- and high-density lipoprotein cholesterol), LP and its duration were still associated with AS, AD and ASIβ. CONCLUSION In this study, AS and AD were lower and ASIβ and myocardial performance index higher in LP patients than in controls.
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Affiliation(s)
- C. Koseoglu
- Department of Cardiology, Ankara Training and Research Hospital, Departments of, Mersin, Turkey
- *Cemal Koseoglu, MD, Ankara Training and Research Hospital, Sukriye District, Ulucanlar Street, TR-06340 Altýndag, Ankara (Turkey), E-Mail
| | - M. Erdogan
- Department of Cardiology, Tarsus State Hospital, Cardiology, Mersin, Turkey
| | - A.G. Ertem
- Department of Cardiology, Tarsus State Hospital, Cardiology, Mersin, Turkey
| | - G. Koseoglu
- Department of Dermatology, Ankara University Faculty of Medicine, Ankara, Mersin, Turkey
| | - G. Akoglu
- Dermatology of Ataturk Training and Research Hospital, Mersin, Turkey
| | - A. Aktas
- Dermatology of Ataturk Training and Research Hospital, Mersin, Turkey
| | - E. Ozdemir
- Department of Cardiology, Tarsus State Hospital, Cardiology, Mersin, Turkey
| | - O. Kurmus
- Department of Cardiology, Tarsus State Hospital, Mersin, Turkey
| | - T. Durmaz
- Department of Cardiology, Tarsus State Hospital, Cardiology, Mersin, Turkey
| | - T. Keles
- Department of Cardiology, Tarsus State Hospital, Cardiology, Mersin, Turkey
| | - E. Bozkurt
- Department of Cardiology, Tarsus State Hospital, Cardiology, Mersin, Turkey
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Balta S, Demir M, Kucuk U, Ozturk C, Yildirim AO, Celik T. Arterial Stiffness: Good Predictor for Hypertensive Patients. J Clin Hypertens (Greenwich) 2015; 18:596. [DOI: 10.1111/jch.12740] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Affiliation(s)
- Sevket Balta
- Department of Cardiology; Gulhane Medical Academy Ankara; Ankara Turkey
| | - Mustafa Demir
- Department of Cardiology; Gulhane Medical Academy Ankara; Ankara Turkey
| | - Ugur Kucuk
- Department of Cardiology; Haydarpasa Military Hospital Istanbul; Istanbul Turkey
| | - Cengiz Ozturk
- Department of Cardiology; Gulhane Medical Academy Ankara; Ankara Turkey
| | - Ali O. Yildirim
- Department of Cardiology; Gulhane Medical Academy Ankara; Ankara Turkey
| | - Turgay Celik
- Department of Cardiology; Gulhane Medical Academy Ankara; Ankara Turkey
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Erratum. Scand J Rheumatol Suppl 2014. [DOI: 10.3109/03009742.2014.929774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Balta S, Arslan Z, Kucuk U, Demırkol S, Demır M, Unlu M. Whether taken medication can improve arterial stiffness or not. J Clin Hypertens (Greenwich) 2014; 16:693. [PMID: 25066653 DOI: 10.1111/jch.12358] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Sevket Balta
- Department of Cardiology, Eskişehir Military Hospital, Eskişehir, Turkey
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Comparative effects of nebivolol and metoprolol on red cell distribution width and neutrophil/lymphocyte ratio in patients with newly diagnosed essential hypertension. J Cardiovasc Pharmacol 2014; 62:388-93. [PMID: 23921307 DOI: 10.1097/fjc.0b013e31829f716a] [Citation(s) in RCA: 93] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
High level of circulating red cell distribution width (RDW) and neutrophil/lymphocyte (N/L) ratio may reflect ongoing vascular inflammation and play an important role in pathophysiology of hypertension. We evaluate the effects of nebivolol and metoprolol on the RDW and N/L in new essential hypertensive patients. After baseline assessment, 72 patients were randomly allocated to 5 mg/d of nebivolol (n = 37, 20 men) or 100 mg/d of metoprolol (n = 35, 18 men) and treated for 6 months. Blood pressure (BP), heart rate (HR), RDW, and N/L were measured before and after treatment. BP significantly decreased with both drugs (P < 0.001). Analog reduction was observed for resting HRs (P < 0.001), but metoprolol caused greater HR fall as compared with nebivolol (P < 0.001). After 6 months of treatment, nebivolol significantly lowered not only RDW but also the total white blood cell and N/L (P < 0.001, P = 0.023, P = 0.017, respectively). No changes were observed in metoprolol group. Percent decrease in RDW was found to be significantly higher in nebivolol than in the metoprolol group (P = 0.001) and remained also after correction for confounders (P = 0.012). Nebivolol improved RDW and N/L to a greater extent than metoprolol in patients with hypertension. These favorable effects may participate, together with the BP reduction, at the favorable properties of the drug in hypertension.
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Balta I, Balta S, Ozturk C, Kurtoglu E. Increased arterial stiffness is independently associated with metabolic syndrome and damage index in systemic lupus erythematosus patients: comment on the article by Valero-Gonzalez et al. Scand J Rheumatol 2014; 43:432. [PMID: 24749842 DOI: 10.3109/03009742.2014.893014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- I Balta
- Department of Dermatology, Keçioren Training and Research Hospital , Ankara , Turkey
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11
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Arterial stiffness in patients with bronchial asthma. Respir Med 2014; 108:940. [PMID: 24726096 DOI: 10.1016/j.rmed.2013.12.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2013] [Revised: 12/15/2013] [Accepted: 12/16/2013] [Indexed: 11/22/2022]
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Balta I, Balta S, Demirkol S, Demir M, Ozturk C. Assessment of arterial stiffness in patients with inactive and active Behçet's disease: comments on the article by Yilmaz et al. Scand J Rheumatol 2014; 43:347-8. [PMID: 24650195 DOI: 10.3109/03009742.2013.875585] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Affiliation(s)
- I Balta
- Department of Dermatology, Kecioren Training and Research Hospital , Ankara , Turkey
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13
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Balta S, Kucuk U, Demirkol S, Demir M, Ozturk C. Arterial stiffness parameters in patients with chronic kidney disease. J Clin Hypertens (Greenwich) 2014; 16:157. [PMID: 24588816 DOI: 10.1111/jch.12254] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Sevket Balta
- Department of Cardiology, Gulhane Medical Academy, Ankara, Turkey
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Balta S, Demirkol S, Celik T, Demir M, Unlu M. Arterial Stiffness in Patients with Ischemic Attack. Int J Stroke 2014; 9:E5. [DOI: 10.1111/ijs.12238] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Sevket Balta
- Department of Cardiology, Gulhane Medical, Academy, Ankara, Turkey
| | - Sait Demirkol
- Department of Cardiology, Gulhane Medical, Academy, Ankara, Turkey
| | - Turgay Celik
- Department of Cardiology, Gulhane Medical, Academy, Ankara, Turkey
| | - Mustafa Demir
- Department of Cardiology, Gulhane Medical, Academy, Ankara, Turkey
| | - Murat Unlu
- Department of Cardiology, Gulhane Medical, Academy, Ankara, Turkey
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Demirkol S, Balta S, Dinc M, Ay SA, Kucuk U, Unlu M. Arterial stiffness should be evaluated with other inflammatory markers in patients with subclinical hypothyroidism. ARQUIVOS BRASILEIROS DE ENDOCRINOLOGIA E METABOLOGIA 2014; 57:754-5. [PMID: 24402025 DOI: 10.1590/s0004-27302013000900015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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Balta I, Balta S, Demirkol S, Ekiz O, Sarlak H, Cakar M. The Association Between Inflammatory Markers and the Degree of Psoriasis Vulgaris. Angiology 2014; 65:81. [DOI: 10.1177/0003319713492904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Ilknur Balta
- Department of Dermatology, Kecioren Training and Research Hospital, Ankara, Turkey
| | - Sevket Balta
- Department of Cardiology, Gulhane Medical Academy Ankara, Turkey
| | - Sait Demirkol
- Department of Cardiology, Gulhane Medical Academy Ankara, Turkey
| | - Ozlem Ekiz
- Department of Dermatology, Mustafa Kemal University, Hatay, Turkey
| | - Hakan Sarlak
- Department of Internal Medicine, Gulhane Medical Academy, Ankara, Turkey
| | - Mustafa Cakar
- Department of Internal Medicine, Gulhane Medical Academy, Ankara, Turkey
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Balta S, Demırkol S, Cakar M, Kurt O, Dınc M. Arterial stiffness may be associated with mitral annular calcification based on inflammatory condition. Med Princ Pract 2014; 23:98. [PMID: 23900099 PMCID: PMC5586827 DOI: 10.1159/000351962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2013] [Accepted: 05/12/2013] [Indexed: 11/19/2022] Open
Affiliation(s)
- Sevket Balta
- Department of Cardiology, Gulhane Medical Academy, Ankara, Turkey
- *Dr. Sevket Balta, Department of Cardiology, Gulhane School of Medicine, Tevfik Saglam Street, TR-06018 Etlik-Ankara (Turkey), E-Mail
| | - Sait Demırkol
- Department of Cardiology, Gulhane Medical Academy, Ankara, Turkey
| | - Mustafa Cakar
- Department of Internal Medicine, Gulhane Medical Academy, Ankara, Turkey
| | - Omer Kurt
- Department of Internal Medicine, Gulhane Medical Academy, Ankara, Turkey
| | - Mustafa Dınc
- Department of Department of Internal Medicine, Beytepe Hospital, Ankara, Turkey
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Balta S, Demir M, Demirkol S, Unlu M, Kucuk U, Arslan Z. Arterial stiffness in patients with peripheral arterial disease. J Clin Hypertens (Greenwich) 2013; 15:938. [PMID: 24299692 PMCID: PMC8033877 DOI: 10.1111/jch.12195] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Affiliation(s)
- Sevket Balta
- Department of Cardiology, Gulhane Medical Academy, Ankara, Turkey
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Balta S, Demir M, Demirkol S, Kucuk U, Unlu M, Arslan Z. Arterial stiffness in patients with lower urinary tract symptoms. Scand J Urol 2013; 48:225-6. [PMID: 24102205 DOI: 10.3109/21681805.2013.846937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Sevket Balta
- Department of Cardiology, Gulhane Medical Academy , Ankara , Turkey
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Balta I, Balta S, Demir M, Demirkol S, Ekiz O, Unlu M. Arterial Stiffness Parameters Should be Evaluated With Different Types of Psoriasis. Angiology 2013; 65:83. [DOI: 10.1177/0003319713501854] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Affiliation(s)
- Ilknur Balta
- Department of Dermatology, Kecioren Training and Research Hospital, Ankara, Turkey
| | - Sevket Balta
- Department of Cardiology, Gulhane Medical Academy, Gulhane School of Medicine, Ankara, Turkey
| | - Mustafa Demir
- Department of Cardiology, Gulhane Medical Academy, Gulhane School of Medicine, Ankara, Turkey
| | - Sait Demirkol
- Department of Cardiology, Gulhane Medical Academy, Gulhane School of Medicine, Ankara, Turkey
| | - Ozlem Ekiz
- Department of Dermatology, Mustafa Kemal University, Hatay, Turkey
| | - Murat Unlu
- Department of Cardiology, Gulhane Medical Academy, Gulhane School of Medicine, Ankara, Turkey
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Demirkol S, Balta S, Kucuk U, Cakar M, Dinc M, Unlu M. Increased pulse wave velocity in patients with ulcerative colitis. Dig Dis Sci 2013; 58:2738-9. [PMID: 23861109 DOI: 10.1007/s10620-013-2779-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2013] [Accepted: 06/25/2013] [Indexed: 12/09/2022]
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Balta I, Balta S, Demirkol S, Celik T, Ekiz O, Cakar M, Sarlak H, Ozoguz P, Iyisoy A. Aortic arterial stiffness is a moderate predictor of cardiovascular disease in patients with psoriasis vulgaris. Angiology 2013; 65:74-8. [PMID: 23636854 DOI: 10.1177/0003319713485805] [Citation(s) in RCA: 59] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Psoriasis is associated with an increased risk of atherosclerosis. Endothelial dysfunction is the critical early step in the process of atherogenesis, and it is commonly investigated by measuring arterial stiffness. We aimed to investigate the relationship between arterial stiffness and high-sensitivity C-reactive protein (hsCRP) in patients with psoriasis. A total of 32 patients with psoriasis and 35 patients with other skin diseases were included in the study. The hsCRP levels and arterial stiffness measurements were compared. Arterial stiffness was significantly different between the 2 groups (P = .01). Arterial stiffness was not associated with the duration of the disease or the disease activity (P = .34 and .64, respectively). In patients with psoriasis, arterial stiffness correlated positively with age, sex, body mass index, diastolic blood pressure, and hsCRP level (P < .05). These findings provide further evidence of a link between inflammation, premature atherosclerosis, and psoriasis.
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Affiliation(s)
- Ilknur Balta
- 1Department of Dermatology, Kecioren Training and Research Hospital, Ankara, Turkey
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