Erektil Disfonksiyonun Derecesinin Aortik Sertlik Üzerine Etkisi

Yıl 2018, , 1 - 6, 26.03.2018

Osman Bektaş , Erdal Benli Zeki Yüksel Günayıdın Adil Bayramoğlu

https://doi.org/10.31832/smj.378579

Öz

Amaç: Bu çalışmanın amacı, Erektil Disfonksiyo’nun(ED)
şiddeti ile aort sertliği arasındaki ilişkiyi ve ED şiddetine bağlı olarak
kardiyovasküler risklerin artıp artmadığını değerlendirmektir.

Yöntem: Çalışmamız; merkezimiz üroloji polikliniğinde ED
tanısı alan 120 hasta ve kontrol grubu olarak yaş ve cinsiyet olarak  uygun 30 gönüllü grubunu içermektedir.
Çalışmada ve kontrol gruplarındaki ED derecesi; 1 ila 5 puan arasında
derecelendirilen Uluslararası Erektil Disfonksiyon İndeksi (IIEF-5)
kullanılarak saptandı. Aortik elastikiyet parametreleri aort fonksiyonunun
göstergeleri olarak kabul edildi. Aort sistolik ve diastolik indeksleri aortik
sistolik ve diyastolik çaplarının beden kitle indeksine oranı ile elde edildi.

Bulgular: Ekokardiyografik bulgular ve aort elastikiyeti
parametreleri hasta ve kontrol grubu arasında karşılaştırıldığında, hasta
grubunda Distensibilite (cm2/dyn–1/103) 3.7 ± 1.42, kontrol grubunda 4.6 ± 2.2
saptanırken aortik strain (%) hasta grubunda% 4.9 ± 2.6, kontrol grubunda% 7.6
± 3.2 idi (p = 0.009). ED derecesi aortik elastikiyet parametrelerine göre
değerlendirildiğinde, kontrol grubu ile hafif derecede ED grubu arasında aort
sertliği açısından anlamlı fark vardı. Ek olarak, hafif ve şiddetli ED grupları
arasında da aort sertliği açısından 
anlamlı fark saptandı; Ancak, hafif ED ile orta ED, Orta ED ile şiddetli
ED arasında anlamlı bir farklılık yoktu.

Sonuç: ED'li hastalarda
aort sertliği artmaktadır. Buna ek olarak, aort sertliği ED'nin şiddeti
arttıkça artmaktadır. Bu bulgu, ED'nin şiddeti arttıkça kardiyovasküler
risklerin daha yüksek olacağını düşündürmektedir.

Anahtar Kelimeler

Erektil disfonksiyon; Aortik elastikiyet, , Aortik strain

Effects of the Severity of Erectile Dysfunction on Aortic Stiffness

Öz

Objective: Aim of the present study was to evaluate the
relationship between the degree of ED and aortic stiffness and whether
cardiovascular risks increase in relation to the severity of ED.

Methods: The study comprised 120 patients, who were diagnosed
with ED at the urology outpatient clinics of our center, as the study group,
and age- and gender-matched 30 volunteers as the control group. Erectile
dysfunction in the study and the control groups were evaluated using the
International Index of Erectile Dysfunction (IIEF-5), the items of which are
rated from 1 to 5 points. The parameters of aortic elasticity were regarded as
the indicators of aortic function. Aortic systolic and diastolic indices were
acquired by the ratio of aortic systolic and diastolic diameters to the body
mass index.

Results: When the echocardiography findings and the parameters
of aortic elasticity were compared between the patient and control group,
Distensibility (cm2/dyn–1/103) was 3.7±1.42 in the patient group and 4.6±2.2 in
the control group, whereas  aortic strain
(%) was 4.9±2.6% in the patient group and 7.6±3.2% in the control group
(p=0.009). When the degree of ED was evaluated according to the parameters of
aortic elasticity, there was a significant difference between the control group
and the ED group as well as between the control group and mild ED group, in terms
of aortic stiffness. Furthermore, there was a significant difference between
the mild and severe ED groups; however, there was no significant difference
between moderate ED and mild and severe ED.

Conclusion: There is an increased aortic stiffness in patients
with ED. In addition, the degree of aortic stiffness increases with the
increasing severity of ED. This finding suggests that cardiovascular risks
would be higher with increasing severity of ED.

Anahtar Kelimeler

Erectile Dysfunction, Aortic Stiffness, , Aortic strain

Kaynakça

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