Thursday 30 August 2012

Risk Associated with Myocardial Infarction Decreased with TNF Inhibitors


Use of tumour necrosis factor (TNF) binders for remedy for psoriasis is linked to a substantially decreased risk of myocardial infarction (MI) in comparison with other forms of therapy, based on a report published in Archives of Dermatology.

The effect of systemic therapy for psoriasis on cardiovascular disease is largely unusual,” the authors wrote as background data in the research study.

Dr Jashin J Wu of the Kaiser Permanente Los Angeles Medical Center, and professionals, performed a retrospective study that included affected individuals with a minimum of three ICD-9-CM codes for psoriasis or psoriatic arthritis, without ever antecedent MI, between January 2004 and November 2010.

Of the 8,845 affected individuals found in the study, 5,075 (57.4 per cent) were not treated with any systemic therapy or phototherapy (topical treatment group), 1,673 (18.9 %) obtained a TNF inhibitor for about a couple of consecutive months (TNF therapy group) and 2,097 (23.7 %) were handled along with oral systemic agents or phototherapy (oral/phototherapy therapy group).

After modifying for other MI factors, affected individuals in the TNF inhibitor treatment group of individuals and the oral/phototherapy therapy group experienced a substantially lower risk of MI (50 % and 46 %, respectively) compared with affected individuals in the topical therapy group. Dissimilarities in risk amongst the TNF inhibitor group and oral/phototherapy group didn't reach statistical significance.

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