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      Evaluation of Cardiovascular Risk in Hidradenitis Suppurativa Patients Using Heart Rate Variability (HRV) Analysis

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          Abstract

          Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease associated with elevated prevalence of comorbidities, especially metabolic and cardiovascular diseases. We used a tool called Heart Rate Variability (HRV) in order to assess the correlation between HS and alterations of the sympathetic-vagal equilibrium in the autonomic cardiovascular regulation system. We found increased sympathetic activity, associated with a higher risk of cardiovascular disease. HS, according to our results, is an independent cardiovascular risk factor.

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          Most cited references22

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          Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat-to-beat cardiovascular control

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            Sex- and Age-Adjusted Population Analysis of Prevalence Estimates for Hidradenitis Suppurativa in the United States.

            The true prevalence of hidradenitis suppurativa (HS) is unknown.
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              Hidradenitis suppurativa: Epidemiology and scope of the problem.

              Hidradenitis suppurativa (HS) is a chronic inflammatory disease involving painful, deep abscesses and chronic, draining sinus tracts. Because of the variable signs and symptoms displayed by patients, it remains widely unrecognized and difficult to treat, resulting in significant diagnostic delay and inconsistent treatment process. No medical specialty has successfully designated a criterion standard of treatment, resulting in variable care and unmet patient needs. Widespread causes and effects of HS are difficult to determine because the prevalence is dependent on a variety of things, including how and where data are collected, resulting in significant bias. Therefore, the task must be to assess existing studies to produce a best estimate of prevalence. In addition, the 3 types of studies available for HS (ie, self-report, registry-based, and group examination studies) must be evaluated because each offers important insights into who is impacted by this disease. The exact prevalence of HS remains unknown because of the difficulty in collecting and extrapolating data and the usefulness of studies; however, high comorbidity and disease severity is observed, resulting in increased hospital visits for patients with HS--nearly double that of other diseases. Finally, comparisons between HS and psoriasis are worth mentioning because the similarities are clear, but the severity of HS appears to be more debilitating in many aspects of life. This article will address the epidemiology of HS through current available research.
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                Author and article information

                Contributors
                Journal
                Cardiovasc Ther
                Cardiovasc Ther
                CDTP
                Cardiovascular Therapeutics
                Hindawi
                1755-5914
                1755-5922
                2020
                27 June 2020
                : 2020
                : 1321782
                Affiliations
                1Department of Medical-Surgical Sciences and Biotechnologies, Dermatology Unit “Daniele Innocenzi”, Sapienza University of Rome, Polo Pontino, Italy
                2Department of Internal Medicine, Sapienza University, Rome, Italy
                Author notes

                Guest Editor: Annalisa Romani

                Author information
                https://orcid.org/0000-0003-3795-3190
                https://orcid.org/0000-0002-4551-7607
                https://orcid.org/0000-0002-6300-8697
                Article
                10.1155/2020/1321782
                7349464
                32695226
                e5e36447-e7ee-4020-b07d-d7bd2f146ed0
                Copyright © 2020 Nevena Skroza et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 4 March 2020
                : 18 May 2020
                : 2 June 2020
                Categories
                Research Article

                Cardiovascular Medicine
                Cardiovascular Medicine

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