Skip to main content
Top
Published in: Rheumatology International 1/2017

01-01-2017 | Review on RMD

Updates on cardiovascular comorbidities associated with psoriatic diseases: epidemiology and mechanisms

Authors: Kaitlyn M. Yim, April W. Armstrong

Published in: Rheumatology International | Issue 1/2017

Login to get access

Abstract

Psoriasis and psoriatic arthritis are associated with a significantly increased risk of cardiovascular risk factors and major adverse cardiovascular events (MACE). Active research is ongoing to elucidate this relationship between psoriatic diseases and cardiovascular comorbidities, as well as their shared pathogenic mechanisms. This review focuses on (1) the epidemiologic association between psoriasis and cardiovascular risk factors, (2) the epidemiologic association between psoriasis and MACE, (3) the epidemiologic association between psoriatic arthritis, cardiovascular risk factors, and MACE, and (4) proposed mechanisms for the contribution of psoriatic diseases to cardiovascular diseases. The proposed mechanisms for shared pathogenesis between psoriatic diseases and cardiovascular diseases are inflammation, insulin resistance, dyslipidemia, angiogenesis, oxidative stress, and endothelial dysfunction. There is complex interplay and overlap among these mechanisms and their contributions to shared pathogenesis. Future translational research is necessary to elucidate the link between psoriatic diseases and cardiovascular diseases. Such findings may be applied clinically to improve the lives of psoriasis patients.
Literature
6.
go back to reference Mehta NN, Azfar RS, Shin DB, Neimann AL, Troxel AB, Gelfand JM (2010) Patients with severe psoriasis are at increased risk of cardiovascular mortality: cohort study using the general practice research database. Eur Heart J 31(8):1000–1006. doi:10.1093/eurheartj/ehp567 CrossRefPubMed Mehta NN, Azfar RS, Shin DB, Neimann AL, Troxel AB, Gelfand JM (2010) Patients with severe psoriasis are at increased risk of cardiovascular mortality: cohort study using the general practice research database. Eur Heart J 31(8):1000–1006. doi:10.​1093/​eurheartj/​ehp567 CrossRefPubMed
9.
go back to reference Pariser DM, Bagel J, Gelfand JM, Korman NJ, Ritchlin CT, Strober BE, Van Voorhees AS, Young M, Rittenberg S, Lebwohl MG, Horn EJ (2007) National psoriasis foundation clinical consensus on disease severity. Arch Dermatol 143(2):239–242. doi:10.1001/archderm.143.2.239 CrossRefPubMed Pariser DM, Bagel J, Gelfand JM, Korman NJ, Ritchlin CT, Strober BE, Van Voorhees AS, Young M, Rittenberg S, Lebwohl MG, Horn EJ (2007) National psoriasis foundation clinical consensus on disease severity. Arch Dermatol 143(2):239–242. doi:10.​1001/​archderm.​143.​2.​239 CrossRefPubMed
13.
14.
go back to reference Langan SM, Seminara NM, Shin DB, Troxel AB, Kimmel SE, Mehta NN, Margolis DJ, Gelfand JM (2012) Prevalence of metabolic syndrome in patients with psoriasis: a population-based study in the United Kingdom. J Invest Dermatol 132(3 Pt 1):556–562. doi:10.1038/jid.2011.365 CrossRefPubMed Langan SM, Seminara NM, Shin DB, Troxel AB, Kimmel SE, Mehta NN, Margolis DJ, Gelfand JM (2012) Prevalence of metabolic syndrome in patients with psoriasis: a population-based study in the United Kingdom. J Invest Dermatol 132(3 Pt 1):556–562. doi:10.​1038/​jid.​2011.​365 CrossRefPubMed
15.
16.
go back to reference Kimball AB, Szapary P, Mrowietz U, Reich K, Langley RG, You Y, Hsu MC, Yeilding N, Rader DJ, Mehta NN (2012) Underdiagnosis and undertreatment of cardiovascular risk factors in patients with moderate to severe psoriasis. J Am Acad Dermatol 67(1):76–85. doi:10.1016/j.jaad.2011.06.035 CrossRefPubMed Kimball AB, Szapary P, Mrowietz U, Reich K, Langley RG, You Y, Hsu MC, Yeilding N, Rader DJ, Mehta NN (2012) Underdiagnosis and undertreatment of cardiovascular risk factors in patients with moderate to severe psoriasis. J Am Acad Dermatol 67(1):76–85. doi:10.​1016/​j.​jaad.​2011.​06.​035 CrossRefPubMed
19.
go back to reference Chen YJ, Shen JL, Wu CY, Chang YT, Chen CM, Lee FY (2009) Elevated plasma osteopontin level is associated with occurrence of psoriasis and is an unfavorable cardiovascular risk factor in patients with psoriasis. J Am Acad Dermatol 60(2):225–230. doi:10.1016/j.jaad.2008.09.046 CrossRefPubMed Chen YJ, Shen JL, Wu CY, Chang YT, Chen CM, Lee FY (2009) Elevated plasma osteopontin level is associated with occurrence of psoriasis and is an unfavorable cardiovascular risk factor in patients with psoriasis. J Am Acad Dermatol 60(2):225–230. doi:10.​1016/​j.​jaad.​2008.​09.​046 CrossRefPubMed
21.
go back to reference Cohen AD, Sherf M, Vidavsky L, Vardy DA, Shapiro J, Meyerovitch J (2008) Association between psoriasis and the metabolic syndrome. A cross-sectional study. Dermatology (Basel, Switzerland). doi:10.1159/000111512 Cohen AD, Sherf M, Vidavsky L, Vardy DA, Shapiro J, Meyerovitch J (2008) Association between psoriasis and the metabolic syndrome. A cross-sectional study. Dermatology (Basel, Switzerland). doi:10.​1159/​000111512
22.
go back to reference Ma C, Schupp CW, Armstrong EJ, Armstrong AW (2014) Psoriasis and dyslipidemia: a population-based study analyzing the National Health and Nutrition Examination Survey (NHANES). J Eur Acad Dermatol Venereol JEADV 28(8):1109–1112. doi:10.1111/jdv.12232 CrossRefPubMed Ma C, Schupp CW, Armstrong EJ, Armstrong AW (2014) Psoriasis and dyslipidemia: a population-based study analyzing the National Health and Nutrition Examination Survey (NHANES). J Eur Acad Dermatol Venereol JEADV 28(8):1109–1112. doi:10.​1111/​jdv.​12232 CrossRefPubMed
23.
go back to reference Ahlehoff O, Gislason GH, Charlot M, Jorgensen CH, Lindhardsen J, Olesen JB, Abildstrom SZ, Skov L, Torp-Pedersen C, Hansen PR (2011) Psoriasis is associated with clinically significant cardiovascular risk: a Danish nationwide cohort study. J Intern Med 270(2):147–157. doi:10.1111/j.1365-2796.2010.02310.x CrossRefPubMed Ahlehoff O, Gislason GH, Charlot M, Jorgensen CH, Lindhardsen J, Olesen JB, Abildstrom SZ, Skov L, Torp-Pedersen C, Hansen PR (2011) Psoriasis is associated with clinically significant cardiovascular risk: a Danish nationwide cohort study. J Intern Med 270(2):147–157. doi:10.​1111/​j.​1365-2796.​2010.​02310.​x CrossRefPubMed
26.
28.
go back to reference Ogdie A, Yu Y, Haynes K, Love TJ, Maliha S, Jiang Y, Troxel AB, Hennessy S, Kimmel SE, Margolis DJ, Choi H, Mehta NN, Gelfand JM (2015) Risk of major cardiovascular events in patients with psoriatic arthritis, psoriasis and rheumatoid arthritis: a population-based cohort study. Ann Rheum Dis 74(2):326–332. doi:10.1136/annrheumdis-2014-205675 CrossRefPubMed Ogdie A, Yu Y, Haynes K, Love TJ, Maliha S, Jiang Y, Troxel AB, Hennessy S, Kimmel SE, Margolis DJ, Choi H, Mehta NN, Gelfand JM (2015) Risk of major cardiovascular events in patients with psoriatic arthritis, psoriasis and rheumatoid arthritis: a population-based cohort study. Ann Rheum Dis 74(2):326–332. doi:10.​1136/​annrheumdis-2014-205675 CrossRefPubMed
29.
go back to reference Parisi R, Rutter MK, Lunt M, Young HS, Symmons DP, Griffiths CE, Ashcroft DM (2015) Psoriasis and the risk of major cardiovascular events: cohort study using the clinical practice research datalink. J Invest Dermatol 135(9):2189–2197. doi:10.1038/jid.2015.87 CrossRefPubMed Parisi R, Rutter MK, Lunt M, Young HS, Symmons DP, Griffiths CE, Ashcroft DM (2015) Psoriasis and the risk of major cardiovascular events: cohort study using the clinical practice research datalink. J Invest Dermatol 135(9):2189–2197. doi:10.​1038/​jid.​2015.​87 CrossRefPubMed
34.
go back to reference Samarasekera EJ, Neilson JM, Warren RB, Parnham J, Smith CH (2013) Incidence of cardiovascular disease in individuals with psoriasis: a systematic review and meta-analysis. J Invest Dermatol 133(10):2340–2346. doi:10.1038/jid.2013.149 CrossRefPubMed Samarasekera EJ, Neilson JM, Warren RB, Parnham J, Smith CH (2013) Incidence of cardiovascular disease in individuals with psoriasis: a systematic review and meta-analysis. J Invest Dermatol 133(10):2340–2346. doi:10.​1038/​jid.​2013.​149 CrossRefPubMed
35.
go back to reference Mease PJ, Gladman DD, Papp KA, Khraishi MM, Thaci D, Behrens F, Northington R, Fuiman J, Bananis E, Boggs R, Alvarez D (2013) Prevalence of rheumatologist-diagnosed psoriatic arthritis in patients with psoriasis in European/North American dermatology clinics. J Am Acad Dermatol 69(5):729–735. doi:10.1016/j.jaad.2013.07.023 CrossRefPubMed Mease PJ, Gladman DD, Papp KA, Khraishi MM, Thaci D, Behrens F, Northington R, Fuiman J, Bananis E, Boggs R, Alvarez D (2013) Prevalence of rheumatologist-diagnosed psoriatic arthritis in patients with psoriasis in European/North American dermatology clinics. J Am Acad Dermatol 69(5):729–735. doi:10.​1016/​j.​jaad.​2013.​07.​023 CrossRefPubMed
36.
go back to reference Armstrong AW, Schupp C, Bebo B (2012) Psoriasis comorbidities: results from the National Psoriasis Foundation surveys 2003–2011. Dermatology (Basel, Switzerland). doi:10.1159/000342180 Armstrong AW, Schupp C, Bebo B (2012) Psoriasis comorbidities: results from the National Psoriasis Foundation surveys 2003–2011. Dermatology (Basel, Switzerland). doi:10.​1159/​000342180
37.
go back to reference Favarato MH, Mease P, Goncalves CR, Goncalves Saad C, Sampaio-Barros PD, Goldenstein-Schainberg C (2014) Hypertension and diabetes significantly enhance the risk of cardiovascular disease in patients with psoriatic arthritis. Clin Exp Rheumatol 32(2):182–187PubMed Favarato MH, Mease P, Goncalves CR, Goncalves Saad C, Sampaio-Barros PD, Goldenstein-Schainberg C (2014) Hypertension and diabetes significantly enhance the risk of cardiovascular disease in patients with psoriatic arthritis. Clin Exp Rheumatol 32(2):182–187PubMed
38.
go back to reference Dubreuil M, Rho YH, Man A, Zhu Y, Zhang Y, Love TJ, Ogdie A, Gelfand JM, Choi HK (2014) Diabetes incidence in psoriatic arthritis, psoriasis and rheumatoid arthritis: a UK population-based cohort study. Rheumatology (Oxford, England). doi:10.1093/rheumatology/ket343 Dubreuil M, Rho YH, Man A, Zhu Y, Zhang Y, Love TJ, Ogdie A, Gelfand JM, Choi HK (2014) Diabetes incidence in psoriatic arthritis, psoriasis and rheumatoid arthritis: a UK population-based cohort study. Rheumatology (Oxford, England). doi:10.​1093/​rheumatology/​ket343
40.
go back to reference Eder L, Jayakar J, Shanmugarajah S, Thavaneswaran A, Pereira D, Chandran V, Rosen CF, Gladman DD (2013) The burden of carotid artery plaques is higher in patients with psoriatic arthritis compared with those with psoriasis alone. Ann Rheum Dis 72(5):715–720. doi:10.1136/annrheumdis-2012-201497 CrossRefPubMed Eder L, Jayakar J, Shanmugarajah S, Thavaneswaran A, Pereira D, Chandran V, Rosen CF, Gladman DD (2013) The burden of carotid artery plaques is higher in patients with psoriatic arthritis compared with those with psoriasis alone. Ann Rheum Dis 72(5):715–720. doi:10.​1136/​annrheumdis-2012-201497 CrossRefPubMed
41.
go back to reference Husted JA, Thavaneswaran A, Chandran V, Eder L, Rosen CF, Cook RJ, Gladman DD (2011) Cardiovascular and other comorbidities in patients with psoriatic arthritis: a comparison with patients with psoriasis. Arthritis Care Res 63(12):1729–1735. doi:10.1002/acr.20627 CrossRef Husted JA, Thavaneswaran A, Chandran V, Eder L, Rosen CF, Cook RJ, Gladman DD (2011) Cardiovascular and other comorbidities in patients with psoriatic arthritis: a comparison with patients with psoriasis. Arthritis Care Res 63(12):1729–1735. doi:10.​1002/​acr.​20627 CrossRef
45.
go back to reference Golden JB, Groft SG, Squeri MV, Debanne SM, Ward NL, McCormick TS, Cooper KD (2015) Chronic psoriatic skin inflammation leads to increased monocyte adhesion and aggregation. J Immunol (Baltimore, Md 1950). doi:10.4049/jimmunol.1402307 Golden JB, Groft SG, Squeri MV, Debanne SM, Ward NL, McCormick TS, Cooper KD (2015) Chronic psoriatic skin inflammation leads to increased monocyte adhesion and aggregation. J Immunol (Baltimore, Md 1950). doi:10.​4049/​jimmunol.​1402307
46.
go back to reference Ziats NP, Robertson AL Jr (1981) Effects of peripheral blood monocytes on human vascular cell proliferation. Atherosclerosis 38(3–4):401–410CrossRefPubMed Ziats NP, Robertson AL Jr (1981) Effects of peripheral blood monocytes on human vascular cell proliferation. Atherosclerosis 38(3–4):401–410CrossRefPubMed
47.
go back to reference Jiang Y, Beller DI, Frendl G, Graves DT (1992) Monocyte chemoattractant protein-1 regulates adhesion molecule expression and cytokine production in human monocytes. J Immunol (Baltimore Md: 1950) 148(8):2423–2428 Jiang Y, Beller DI, Frendl G, Graves DT (1992) Monocyte chemoattractant protein-1 regulates adhesion molecule expression and cytokine production in human monocytes. J Immunol (Baltimore Md: 1950) 148(8):2423–2428
48.
go back to reference Chen YL, Chang YJ, Jiang MJ (1999) Monocyte chemotactic protein-1 gene and protein expression in atherogenesis of hypercholesterolemic rabbits. Atherosclerosis 143(1):115–123CrossRefPubMed Chen YL, Chang YJ, Jiang MJ (1999) Monocyte chemotactic protein-1 gene and protein expression in atherogenesis of hypercholesterolemic rabbits. Atherosclerosis 143(1):115–123CrossRefPubMed
49.
go back to reference Yla-Herttuala S, Lipton BA, Rosenfeld ME, Sarkioja T, Yoshimura T, Leonard EJ, Witztum JL, Steinberg D (1991) Expression of monocyte chemoattractant protein 1 in macrophage-rich areas of human and rabbit atherosclerotic lesions. Proc Natl Acad Sci USA 88(12):5252–5256CrossRefPubMedPubMedCentral Yla-Herttuala S, Lipton BA, Rosenfeld ME, Sarkioja T, Yoshimura T, Leonard EJ, Witztum JL, Steinberg D (1991) Expression of monocyte chemoattractant protein 1 in macrophage-rich areas of human and rabbit atherosclerotic lesions. Proc Natl Acad Sci USA 88(12):5252–5256CrossRefPubMedPubMedCentral
51.
go back to reference Rose S, Dave J, Millo C, Naik HB, Siegel EL, Mehta NN (2014) Psoriatic arthritis and sacroiliitis are associated with increased vascular inflammation by 18-fluorodeoxyglucose positron emission tomography computed tomography: baseline report from the psoriasis atherosclerosis and cardiometabolic disease initiative. Arthritis Res Ther 16(4):R161. doi:10.1186/ar4676 CrossRefPubMedPubMedCentral Rose S, Dave J, Millo C, Naik HB, Siegel EL, Mehta NN (2014) Psoriatic arthritis and sacroiliitis are associated with increased vascular inflammation by 18-fluorodeoxyglucose positron emission tomography computed tomography: baseline report from the psoriasis atherosclerosis and cardiometabolic disease initiative. Arthritis Res Ther 16(4):R161. doi:10.​1186/​ar4676 CrossRefPubMedPubMedCentral
52.
go back to reference Rose S, Sheth NH, Baker JF, Ogdie A, Raper A, Saboury B, Werner TJ, Thomas P, Vanvoorhees A, Alavi A, Torigian DA, Gelfand JM, Mehta NN (2013) A comparison of vascular inflammation in psoriasis, rheumatoid arthritis, and healthy subjects by FDG-PET/CT: a pilot study. Am J Cardiovasc Dis 3(4):273–278PubMedPubMedCentral Rose S, Sheth NH, Baker JF, Ogdie A, Raper A, Saboury B, Werner TJ, Thomas P, Vanvoorhees A, Alavi A, Torigian DA, Gelfand JM, Mehta NN (2013) A comparison of vascular inflammation in psoriasis, rheumatoid arthritis, and healthy subjects by FDG-PET/CT: a pilot study. Am J Cardiovasc Dis 3(4):273–278PubMedPubMedCentral
54.
go back to reference Takeshita J, Mohler ER, Krishnamoorthy P, Moore J, Rogers WT, Zhang L, Gelfand JM, Mehta NN (2014) Endothelial cell-, platelet-, and monocyte/macrophage-derived microparticles are elevated in psoriasis beyond cardiometabolic risk factors. J Am Heart Assoc 3(1):e000507. doi:10.1161/jaha.113.000507 CrossRefPubMedPubMedCentral Takeshita J, Mohler ER, Krishnamoorthy P, Moore J, Rogers WT, Zhang L, Gelfand JM, Mehta NN (2014) Endothelial cell-, platelet-, and monocyte/macrophage-derived microparticles are elevated in psoriasis beyond cardiometabolic risk factors. J Am Heart Assoc 3(1):e000507. doi:10.​1161/​jaha.​113.​000507 CrossRefPubMedPubMedCentral
55.
go back to reference Li RC, Krishnamoorthy P, DerOhannessian S, Doveikis J, Wilcox M, Thomas P, Rader DJ, Reilly MP, Van Voorhees A, Gelfand JM, Mehta NN (2014) Psoriasis is associated with decreased plasma adiponectin levels independently of cardiometabolic risk factors. Clin Exp Dermatol 39(1):19–24. doi:10.1111/ced.12250 CrossRefPubMed Li RC, Krishnamoorthy P, DerOhannessian S, Doveikis J, Wilcox M, Thomas P, Rader DJ, Reilly MP, Van Voorhees A, Gelfand JM, Mehta NN (2014) Psoriasis is associated with decreased plasma adiponectin levels independently of cardiometabolic risk factors. Clin Exp Dermatol 39(1):19–24. doi:10.​1111/​ced.​12250 CrossRefPubMed
59.
go back to reference Buerger C, Richter B, Woth K, Salgo R, Malisiewicz B, Diehl S, Hardt K, Boehncke S, Boehncke WH (2012) Interleukin-1beta interferes with epidermal homeostasis through induction of insulin resistance: implications for psoriasis pathogenesis. J Invest Dermatol 132(9):2206–2214. doi:10.1038/jid.2012.123 CrossRefPubMed Buerger C, Richter B, Woth K, Salgo R, Malisiewicz B, Diehl S, Hardt K, Boehncke S, Boehncke WH (2012) Interleukin-1beta interferes with epidermal homeostasis through induction of insulin resistance: implications for psoriasis pathogenesis. J Invest Dermatol 132(9):2206–2214. doi:10.​1038/​jid.​2012.​123 CrossRefPubMed
60.
go back to reference Schluter K, Diehl S, Lang V, Kaufmann R, Boehncke WH, Burger C (2015) Insulin resistance may contribute to upregulation of adhesion molecules on endothelial cells in psoriatic plaques. Acta Derm Venereol. doi:10.2340/00015555-2227 Schluter K, Diehl S, Lang V, Kaufmann R, Boehncke WH, Burger C (2015) Insulin resistance may contribute to upregulation of adhesion molecules on endothelial cells in psoriatic plaques. Acta Derm Venereol. doi:10.​2340/​00015555-2227
63.
go back to reference Yu Y, Sheth N, Krishnamoorthy P, Saboury B, Raper A, Baer A, Ochotony R, Doveikis J, Derohannessian S, Voorhees AS, Torigian DA, Alavi A, Gelfand JM, Mehta NN (2012) Aortic vascular inflammation in psoriasis is associated with HDL particle size and concentration: a pilot study. Am J Cardiovasc Dis 2(4):285–292PubMedPubMedCentral Yu Y, Sheth N, Krishnamoorthy P, Saboury B, Raper A, Baer A, Ochotony R, Doveikis J, Derohannessian S, Voorhees AS, Torigian DA, Alavi A, Gelfand JM, Mehta NN (2012) Aortic vascular inflammation in psoriasis is associated with HDL particle size and concentration: a pilot study. Am J Cardiovasc Dis 2(4):285–292PubMedPubMedCentral
64.
go back to reference Salahuddin T, Natarajan B, Playford MP, Joshi AA, Teague H, Masmoudi Y, Selwaness M, Chen MY, Bluemke DA, Mehta NN (2015) Cholesterol efflux capacity in humans with psoriasis is inversely related to non-calcified burden of coronary atherosclerosis. Eur Heart J. doi:10.1093/eurheartj/ehv339 PubMedPubMedCentral Salahuddin T, Natarajan B, Playford MP, Joshi AA, Teague H, Masmoudi Y, Selwaness M, Chen MY, Bluemke DA, Mehta NN (2015) Cholesterol efflux capacity in humans with psoriasis is inversely related to non-calcified burden of coronary atherosclerosis. Eur Heart J. doi:10.​1093/​eurheartj/​ehv339 PubMedPubMedCentral
66.
go back to reference Brezinski EA, Follansbee MR, Armstrong EJ, Armstrong AW (2014) Endothelial dysfunction and the effects of TNF inhibitors on the endothelium in psoriasis and psoriatic arthritis: a systematic review. Curr Pharm Des 20(4):513–528CrossRefPubMed Brezinski EA, Follansbee MR, Armstrong EJ, Armstrong AW (2014) Endothelial dysfunction and the effects of TNF inhibitors on the endothelium in psoriasis and psoriatic arthritis: a systematic review. Curr Pharm Des 20(4):513–528CrossRefPubMed
Metadata
Title
Updates on cardiovascular comorbidities associated with psoriatic diseases: epidemiology and mechanisms
Authors
Kaitlyn M. Yim
April W. Armstrong
Publication date
01-01-2017
Publisher
Springer Berlin Heidelberg
Published in
Rheumatology International / Issue 1/2017
Print ISSN: 0172-8172
Electronic ISSN: 1437-160X
DOI
https://doi.org/10.1007/s00296-016-3487-2

Other articles of this Issue 1/2017

Rheumatology International 1/2017 Go to the issue

Original Article - Observational Research

Lipid profile among girls with systemic lupus erythematosus

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.