Unfortunately, yes. People with severe psoriasis (regardless of weight or smoking status) have a higher risk for cardiovascular disease, atherosclerosis, and heart attack. If you have severe psoriasis, the American Heart Association recommends a cardiovascular examination that checks your blood pressure, body mass index (BMI), waist circumference, pulse rate, total and HDL (“good”) cholesterol, and blood-sugar levels. You should also talk to your doctor about lifestyle changes like diet modification, exercise, and stress management. Who knows? They might even help your psoriasis as well.