Are People with Eczema at Higher Risk of Cardiovascular Disease? – Insights from a Hypertension Specialist in Singapore
Eczema, or atopic dermatitis, is a common skin condition that causes inflammation, redness, and itching. While it primarily affects the skin, recent studies suggest a potential link between eczema and cardiovascular disease. As a hypertension specialist in Singapore, I often encounter patients who are concerned about this connection. Let’s explore whether individuals with eczema are indeed at higher risk for cardiovascular issues and what steps can be taken to mitigate this risk.
Understanding Eczema
Eczema is a chronic inflammatory skin condition characterized by itchy, red, and dry patches of skin. It can be triggered by various factors, including allergens, irritants, stress, and even weather changes. Eczema often runs in families and is associated with other atopic conditions such as asthma and allergic rhinitis.
The Link Between Eczema and Cardiovascular Disease
Recent research has indicated that individuals with eczema may have an increased risk of developing cardiovascular disease, including hypertension. This connection is believed to be due to several factors:
- Chronic Inflammation: Eczema is a chronic inflammatory condition. Chronic inflammation is known to contribute to the development of atherosclerosis, a key factor in cardiovascular disease.
- Immune System Dysregulation: The immune system dysregulation seen in eczema patients may also play a role in cardiovascular health. An overactive immune response can lead to inflammation in the blood vessels.
- Lifestyle Factors: People with eczema may have lifestyle factors that contribute to cardiovascular risk, such as increased stress, poor sleep quality, and potential side effects from medications like corticosteroids.
Hypertension and Eczema
Hypertension, or high blood pressure, is a major risk factor for cardiovascular disease. As a hypertension specialist, I pay close attention to the potential interplay between eczema and hypertension. Here’s what the research suggests:
- Increased Risk: Some studies have shown that people with severe eczema are more likely to develop hypertension compared to those without eczema.
- Medication Impact: Certain medications used to manage eczema, like oral corticosteroids, can increase blood pressure.
- Stress and Sleep: The discomfort and itchiness caused by eczema can lead to increased stress levels and poor sleep, both of which are risk factors for hypertension.
Managing Cardiovascular Risk in Eczema Patients
If you have eczema, it’s important to be proactive about managing your cardiovascular risk. Here are some strategies that I, as a hypertension specialist in Singapore, recommend:
- Regular Monitoring: Regularly monitor your blood pressure and cholesterol levels, especially if you have severe eczema.
- Healthy Diet: Adopt a heart-healthy diet rich in fruits, vegetables, whole grains, and lean proteins. Reduce your intake of saturated fats, trans fats, and sodium.
- Exercise: Engage in regular physical activity. Aim for at least 150 minutes of moderate-intensity exercise per week.
- Stress Management: Practice stress-reducing techniques such as mindfulness, yoga, or deep-breathing exercises to help manage both eczema and cardiovascular risk.
- Medication Review: Work with your healthcare provider to review and manage medications that may affect your blood pressure.
- Avoid Smoking: If you smoke, seek help to quit. Smoking is a significant risk factor for both eczema flares and cardiovascular disease.
Real-Life Example
Consider the case of Mr. T, a 35-year-old man from Singapore with a long history of severe eczema. Mr. T experienced frequent eczema flare-ups, leading to increased stress and poor sleep. After consulting with a hypertension specialist, he learned that his blood pressure was higher than normal. By implementing lifestyle changes, including a healthier diet, regular exercise, and stress management techniques, Mr. T was able to bring his blood pressure under control and reduce his cardiovascular risk.
Frequently Asked Questions (FAQs)
- Can eczema directly cause cardiovascular disease? While eczema itself does not directly cause cardiovascular disease, the chronic inflammation and associated risk factors can increase the likelihood of developing heart conditions.
- Are there specific cardiovascular risks for people with eczema? Yes, individuals with severe eczema may have an increased risk of hypertension and other cardiovascular issues due to chronic inflammation and potential medication side effects.
- How often should I check my blood pressure if I have eczema? If you have severe eczema or other risk factors for cardiovascular disease, it’s advisable to check your blood pressure regularly. Consult with a hypertension specialist for personalized recommendations.
- Can managing my eczema help reduce my cardiovascular risk? Yes, effectively managing your eczema can help reduce inflammation and stress, which in turn can lower your risk of cardiovascular disease.
- Should I see a hypertension specialist if I have eczema and high blood pressure? Yes, consulting with a hypertension specialist can help you develop a comprehensive plan to manage both conditions effectively.
Final Thoughts
While eczema primarily affects the skin, its impact can extend to cardiovascular health. As a hypertension specialist in Singapore, I encourage individuals with eczema to be mindful of their cardiovascular risk and take proactive steps to manage their overall health. Regular monitoring, a healthy lifestyle, and effective eczema management can go a long way in reducing the risk of cardiovascular disease.
References:
1) https://pmc.ncbi.nlm.nih.gov/articles/PMC6497108/#:~:text=Increasing%20evidence%20supports%20an%20association,in%20patients%20with%20atopic%20eczema.
2) https://www.bmj.com/content/361/bmj.k1786
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About Dr Adrian Mondry
Dr Adrian Mondry is a Hypertension Specialist accredited by the German Hypertension League in Singapore. He was previously a senior consultant in the department of medicine at the National University Hospital and Ng Teng Fong General Hospital (NTFGH), Dr Mondry has more than 30 years of experience in the field of internal medicine.
Dr Adrian Mondry is recognised for his leadership and contributions in establishing the dedicated hypertension clinic within the National University Health System and fast-track deep vein thrombosis service at NTFGH.
Dr Adrian Mondry is fluent in English, German and French.
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