title: Correlation between erectile function and cardiovascular risk factors by assessing arterial stiffness and myocardial perfusion imaging and carotid artery intima-media thickness.
abstract: OBJECTIVE
  Aim of the study was to analyze the relationship between erectile function and cardiovascular risk factors by assessing arterial stiffness and myocardial scintigraphy and carotid artery intima-media thickness.
  
  
  METHODS
  Fifty-nine consecutive asymptomatic men aged 30-86 years, were included. Myocardial scintigraphy, Doppler sonography of carotid artery and arterial stifness parameters were performed. Erectile function was evaluated with a validated erectile function index quesionnaire.
  
  
  RESULTS
  The control group included 18 subjects and the study group included 41 subjects with abnormal IIEF-5 scores. We compared both group's IIEF-5 scores there was significant correlation between IIEF-5 and cholesterol (P<0.05) and HbA1c (P<0.05). Moreover, there was a significant correlation in patients with abnormal IIEF-5 scores and pathologic myocardial perfusion imaging (P<0.05) and triglyceride (P<0.05). A two-factor ANOVA showed two significant interactions patients with abnormal cholesterol and abnormal pulse wave velocity, augmentation index had lower IIEF-5 scores; patients with abnormal triglyceride values, and abnormal Hb1Ac had lower IIEF-5 scores.
  
  
  CONCLUSIONS
  Eretile dysfunction (ED) prevalence is high in cardiologic patients referred for myocardial nuclear imaging. There is a significant relation between ED, diabetes and hyperlipidemia, and advanced age. Myocardial nuclear scan and arterial stiffness parameters could be used to stratify the cardiovascular risk factors in ED patients.
authors: Department of Urology Medical University Graz, Graz, Austria - bader1971@gmx.at.
authors: B M
authors: BM
authors: Al-Ali
authors: M
authors: M
authors: Holz
authors: P
authors: P
authors: Sadik
authors: C
authors: C
authors: Oppeck
authors: K
authors: K
authors: Schmidt
authors: G
authors: G
authors: Oppeck
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001317:Austria / Q000453:epidemiology; D015415:Biomarkers / Q000097:blood; D002318:Cardiovascular Diseases / Q000097:blood / Q000150:complications* / Q000175:diagnosis* / Q000453:epidemiology; D059168:Carotid Intima-Media Thickness; D016022:Case-Control Studies; D008078:Cholesterol, LDL / Q000097:blood; D048909:Diabetes Complications / Q000453:epidemiology; D007172:Erectile Dysfunction / Q000097:blood / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D006949:Hyperlipidemias / Q000150:complications / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D055414:Myocardial Perfusion Imaging; D015995:Prevalence; D063177:Pulse Wave Analysis; D015203:Reproducibility of Results; D018570:Risk Assessment; D012307:Risk Factors; D011795:Surveys and Questionnaires / Q000592:standards*; D014280:Triglycerides / Q000097:blood; D018608:Ultrasonography, Doppler; D059289:Vascular Stiffness
chemical_list: D015415:Biomarkers; D008078:Cholesterol, LDL; D014280:Triglycerides