Erectile dysfunction as a predictor of cardiovascular disease and the value of penile arterial Doppler.
Seance of wednesday 15 november 2023 (L'érection: quoi de neuf en 2023)
DOI number : 10.26299/226w-nx64/emem.2023.32.04
Abstract
Erectile dysfunction as a predictor of cardiovascular disease and the value of penile arterial Doppler.
ABSTRACT : Erectile dysfunction (ED) is an independent and early marker of future cardiovascular events, providing an important window of opportunity for cardiovascular prevention. However, there are several aetiologies for ED (arterial, venous, hormonal, neurological, psychological) and previous studies have not taken it into account when assessing cardiovascular risk. We present here the results of our study, which found that penile artery Doppler ultrasound A-score has a good predictive value for atheromatous coronary artery disease (assessed by coroscanner) in patients suffering from erectile dysfunction, and enabled us to identify a sub-population at higher cardiovascular risk. When the A-score is positive, the presence of coronary plaque is highly probable. When it is negative, the presence of significant coronary stenosis is very unlikely. In addition, the degree of impairment in the A-score correlates with the degree of coronary damage.
ABSTRACT : Erectile dysfunction (ED) is an independent and early marker of future cardiovascular events, providing an important window of opportunity for cardiovascular prevention. However, there are several aetiologies for ED (arterial, venous, hormonal, neurological, psychological) and previous studies have not taken it into account when assessing cardiovascular risk. We present here the results of our study, which found that penile artery Doppler ultrasound A-score has a good predictive value for atheromatous coronary artery disease (assessed by coroscanner) in patients suffering from erectile dysfunction, and enabled us to identify a sub-population at higher cardiovascular risk. When the A-score is positive, the presence of coronary plaque is highly probable. When it is negative, the presence of significant coronary stenosis is very unlikely. In addition, the degree of impairment in the A-score correlates with the degree of coronary damage.