title: Heart rate recovery is impaired in patients with psoriasis.
abstract: OBJECTIVE
  The aim of this study was to investigate the relationship between psoriasis and heart rate recovery (HRR) index.
  
  
  METHODS
  A total of 50 patients with a diagnosis of psoriasis and 32 healthy volunteers were included in the study. In all patients, a stress test was performed to calculate the HRR index in a manner which aimed to reach the age-specific maximum heart rate. HRR indices were calculated in all patients and controls.
  
  
  RESULTS
  HRR (beats/minute) indices after the 1st (HRR1, 26 ± 10 vs. 33 ± 8, p = 0.002), 2nd (44 ± 11 vs. 50 ± 6, p = 0.002), 3rd (51 ± 7 vs. 63 ± 8, p < 0.001), 4th (54 ± 7 vs. 65 ± 8, p < 0.001) and 5th (57 ± 8 vs. 70 ± 10, p < 0.001) minutes of the recovery period were significantly lower in the psoriasis group compared to healthy controls. In addition, HRR1 was significantly correlated with duration of psoriasis (r = 0.541, p < 0.001) and psoriasis area and severity index score (r = 0.511, p < 0.001).
  
  
  CONCLUSIONS
  HRR was lower in patients with psoriasis. Given the prognostic value of this test, patients with psoriasis might be at risk for future cardiovascular events and cardiovascular mortality.
authors.affiliation: Department of Cardiology, Kayseri Education and Research Hospital, Kayseri, Turkey.
authors.forename: Bahadir
authors.initials: B
authors.lastname: Sarli
authors.forename: Yasemin
authors.initials: Y
authors.lastname: Dogan
authors.forename: Ahmet Oguz
authors.initials: AO
authors.lastname: Baktir
authors.forename: Hayrettin
authors.initials: H
authors.lastname: Saglam
authors.forename: Huseyin
authors.initials: H
authors.lastname: Arinc
authors.forename: Serkan
authors.initials: S
authors.lastname: Kurtul
authors.forename: Atıl
authors.initials: A
authors.lastname: Avci
authors.forename: Levent
authors.initials: L
authors.lastname: Cinar
authors.forename: Mahmut
authors.initials: M
authors.lastname: Akpek
authors.forename: Mehmet G
authors.initials: MG
authors.lastname: Kaya
mesh_terms: D000328:Adult; D001794:Blood Pressure / Q000502:physiology; D016022:Case-Control Studies; D015444:Exercise / Q000502:physiology*; D005080:Exercise Test; D005260:Female; D006339:Heart Rate / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011565:Psoriasis / Q000503:physiopathology*
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