Disfunción eréctil: de marcador de salud a factor de riesgo cardiovascular independiente en atención primaria

Abstract

ObjectiveThe objective of this research is to analyze data from researches where erectile dysfunction (ED) is proposed as a health marker, as well as data about its involvements as independent cardiovascular risk factor. MethodThe results of the APLAUDE research (2001) are compared with the more recent ones of the AIDS-AP group (2006), both about ED as independent cardiovascular risk factor (i-CVRF). ResultsED was considered to be a health marker when detecting relevant unknown diseases: dyslipidemy (27.3%), diabetes mellitus (22%), HTN (20.4%), anxiety (18.5%) and/or depression (14.6%) and prostate disease (4%); or even several of them at the same time. As i-CVRF, the percentage of patients with pathological results was 28.89% (39) in the ED group, much higher than in the control group, 14.07% (19) (p < 0.001). This were the diseases detected with ergometry and stress echocardiography: 18 patients (13.3%) with coronary heart disease in the ED group and 3 (2.22%) in the control group (p < 0.001), 12 hypertensive attack (8.89%) in the ED group and 11 (8.15%) in the control group (NS), and 13 (9.63%) with right ventricle hypertrophy in the ED group and 8 (5.93%) in the control group (p < 0.01). ConclusionsThe results suggest a very close relationship between CVRF and ED, and show that patients with erectile dysfunction have silent ischemic cardiopathy in a much higher percentage than patients with similar profile but without erectile dysfunction, so we can consider ED as an i-CVRF.