TY - JOUR T1 - Modifications of Cardiovascular Risk Scores, But Not Standard Risk Scores, Improve Identification of Asymptomatic Coronary Artery Disease in Psoriatic Arthritis JF - The Journal of Rheumatology JO - J Rheumatol SP - 1329 LP - 1330 DO - 10.3899/jrheum.180299 VL - 45 IS - 9 AU - MUHAMMAD HAROON AU - AGNES SZENTPETERY AU - JONATHAN D. DODD AU - OLIVER FITZGERALD Y1 - 2018/09/01 UR - http://www.jrheum.org/content/45/9/1329.abstract N2 - Patients with psoriatic arthritis (PsA) have an increased prevalence of cardiovascular (CV) risk factors and are at greater risk for subsequent major CV events compared with the general population1. The standardized prevalence ratio for coronary artery disease (CAD) in patients with PsA ranges from 1.3 to 2.572. Similar to patients with rheumatoid arthritis (RA) and severe psoriasis, patients with PsA have been found to have a high risk of major adverse CV events, even after adjustment for traditional risk factors3. Previous studies have reported higher prevalence of coronary artery plaques both in psoriasis and in RA patients without a diagnosis of CAD, compared to controls4,5. We have recently examined coronary artery plaque burden in patients with PsA, and have found that PsA is associated with accelerated coronary plaque formation, which was independent of metabolic disease6.We read with interest the article in The Journal by Shen, et al7. They used screening for carotid plaques as a tool for CV disease risk assessment because carotid plaques are associated with future acute coronary syndrome, albeit in … Address correspondence to Dr. M. Haroon, Consultant Rheumatologist, Division of Rheumatology, Department of Medicine, University Hospital Kerry, Co. Kerry, Ireland. E-mail: mharoon301{at}hotmail.com ER -