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Minerva Cardioangiologica 2020 Mar 11

DOI: 10.23736/S0026-4725.20.05149-X

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

A rare cause of erectile dysfunction: left ventricular diastolic dysfunction

Gokhan CEYHUN 1 , Guven ERBAY 2

1 Department of Cardiology, Ataturk University Faculty of Medicine, Erzurum, Turkey; 2 Department of Urology, Omer Halisdemir University Faculty of Medicine, Nigde, Turkey


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BACKGROUND: The aim of this study was to investigate the association between left ventricular diastolic dysfunction (LVDD) and erectile dysfunction (ED) without overt cardiovascular disease.
METHODS: A total of 80 patients with LVDD and without a history of coronary artery disease were compared with 80 age- and gender-matched healthy controls. The International Index of Erectile Function Questionnaire (IIEF-5) was used to diagnose and grade ED. LVDD and its relation with ED severity were assessed.
RESULTS: The mean age, body mass index, total testosterone, low- and high-density lipoprotein cholesterol, and triglyceride levels did not significantly differ between the LVDD and control groups (p > 0.05). There was a negative correlation between the stage of LVDD and IIEF-5 score (r = -0.635, p < 0.05). Additionally, the left atrial volume index, peak TR velocity and E/e’ ratio were independent risk factors for lowering the IIEF-5 score.
CONCLUSIONS: This study indicates that LVDD is significantly associated with ED. There were significant associations between the increased severity of ED and the presence of LVDD in middle-aged men.


KEY WORDS: Erectile dysfunction; Left ventricular diastolic dysfunction; Echocardiography

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