Arquivos Brasileiros de Cardiologia (Oct 2005)

Disfunção erétil: um marcador para alterações da perfusão miocárdica? Erectile dysfunction: a marker for myocardial perfusion impairment?

  • Juarez Ortiz,
  • Sergio Tranchesi Ortiz,
  • Claudia Gianini Monaco,
  • Cristina Harumi Yamashita,
  • Miriam Cássia Mendes Moreira,
  • Carlos Alberto F. Monaco

DOI
https://doi.org/10.1590/S0066-782X2005001700003
Journal volume & issue
Vol. 85, no. 4
pp. 241 – 246

Abstract

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OBJETIVO: Investigar a correlação entre alterações da perfusão miocárdica e a presença de disfunção erétil (DE) em homens com suspeita clínica ou diagnóstico já estabelecido de insuficiência coronariana crônica. MÉTODOS: Estudo prospectivo com 287 pacientes que, após responderem o questionário IIEF-5 para diagnóstico e avaliação do grau de DE, foram submetidos a avaliação clínico-cardiológica e a estudo cintilográfico da perfusão miocárdica (tecnécio - 99m sestamibi - gated SPECT), antes e após estresse físico ou farmacológico. RESULTADOS: Em 137 pacientes (47,8%) foi detectado algum grau de disfunção erétil (grupo DE+) e nestes, a idade (60,60±9,84 vs 50,67±9,94 - pOBJECTIVE: To study the correlation between erectile dysfunction (ED) and myocardial perfusion impairment in men with suspected or diagnosed coronary artery disease (CAD). METHODS: In this prospective study a self-administered IIEF-5 questionnaire was answered by 287 patients that underwent myocardial perfusion imaging under both resting and stress condition with technetium-99m sestamibi, through gated SPECT nuclear scintigraphy technique, before and after physical or pharmacological stress. RESULTS: Some degree of erectile dysfunction (group ED+) was found in 137 (47.8%) patients and in these, age was significantly higher (60.60±9.84 vs 50.67±9.94 - p<0.001)) than in those without erectile dysfunction (group ED-). In the ED+ group, it was observed a higher prevalence of hypertension, diabetes, myocardial infarction (MI) and percutaneous coronary angioplasty (PCTA). Regardless of the age factor, ED+ patients also presented higher occurrence of myocardial perfusion impairment (necrosis and/or ischemia) and left ventricular systolic wall motion and thickening abnormalities. CONCLUSION: Patients with ED have higher estimated probability of presenting segmental myocardial perfusion and functional contraction impairment and, therefore, CAD, independent of the aging factor. The authors conclude that ED may be considered not only a marker for CAD but also a condition related to the occurrence of major coronary events such as MI and PCTA.

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