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Increased prevalence of varicocele in patients with coronary artery ectasia

Ertan Yetkin1, Suleyman Kilic, Nusret Acikgoz

  • 1Department of Cardiology, Inonu University School of Medicine, Malatya, and Diyarbakir Government Hospital, Department of Urology, Diyarbakir, Turkey. eryetkin@ttnet.net.tr

Coronary Artery Disease
|July 8, 2005
PubMed

Insights

Patients with coronary artery ectasia (CAE) have a significantly higher prevalence of varicocele, a venous dilatation, compared to those with coronary artery disease. This suggests a potential link between the underlying mechanisms of CAE and varicocele development.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Urology

Background:

  • Coronary artery ectasia (CAE) involves non-obstructive dilation of coronary arteries.
  • Varicocele is characterized by the dilatation of the pampiniform plexus.
  • Previous studies noted a higher prevalence of peripheral varicose veins in CAE patients.

Purpose of the Study:

  • To investigate the prevalence of varicocele in patients diagnosed with coronary artery ectasia (CAE).
  • To compare varicocele prevalence between patients with CAE and those with coronary artery disease (CAD).

Main Methods:

  • A cohort of 35 male patients with CAE (with or without CAD) was compared to 63 age-matched male patients with CAD.
  • All participants underwent evaluation for the presence of varicocele.

Main Results:

  • Varicocele was detected in 62% of patients with CAE.
  • Varicocele was found in 38% of patients with CAD.
  • The difference in varicocele prevalence between the groups was statistically significant (P=0.02).

Conclusions:

  • Coronary artery ectasia patients exhibit a higher prevalence of varicocele than patients with coronary artery disease.
  • The underlying mechanisms of CAE may predispose individuals to developing varicocele.
Abstract

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