Table 1.

A checklist to monitor psoriasis patients for cardiovascular risk factors.

MeasureRecommendation by the American Heart Association34American Journal of Cardiology editor consensus35
Blood pressure
  • Evaluate at least every 2 years

  • < 140/90 mm Hg in all patients with psoriasis and ≤ 2 major risk factors for CAD

  • Target < 120/80 mm Hg

  • < 130/80 mm Hg in patients with previous CVD, diabetes mellitus, chronic renal disease, or ≥ 3 major risk factors

Body mass index
  • Evaluate at least every 2 years

  • Target < 25 kg/m2

  • Not addressed

Waist circumference
  • Evaluate at least every 2 years

  • Target:

    • < 102 cm males

    • < 88 cm females

  • Not addressed

Pulse
  • Evaluate at least every 2 years

  • Not addressed

Fasting blood lipids
  • Evaluate at least every 5 years or every 2 years if risk factors* are present

  • Total cholesterol ≤ 200 mg/dl

  • LDL:

    • Optimal: < 100 mg/dl

    • Near optimal: 100–129 mg/dl

    • Borderline: 130–159 mg/dl

    • High: 160–189 mg/dl

    • Very high: ≥ 190 mg/dl

  • 1 CAD risk factor: LDL < 160 mg/dl

  • ≥ 2 CV risk factors: LDL < 130 mg/dl

  • If CVD present or CAD risk equivalents**: LDL < 100 mg/dl

Fasting blood glucose
  • Evaluate at least every 5 years or every 2 years if risk factors* are present

  • Target: < 100 mg/dl

  • Not addressed

  • * e.g., positive family history, presence of diabetes, smoking;

  • ** e.g., diabetes. CAD: coronary artery disease; CVD: cardiovascular disease.