勃起功能障碍 (ED) 的男性应进行心血管风险因素查 - - 瑞士男性的成本效益考虑
Christoph Kalka1,2, Hak-Hong Keo1,3, Maja Ingwersen4
1Vascular Institute Central Switzerland, Aarau, Switzerland.
VASA. Zeitschrift fur Gefasskrankheiten
|December 4, 2023
概括
对患有勃起功能障碍 (ED) 的男性进行心血管风险因素查是具有成本效益的. 这种方法可以预防许多心血管事件,并在几年内被医疗保健费用所覆盖.
科学领域:
- 心血管医学 心血管医学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 卫生经济学 卫生经济学
背景情况:
- 勃起功能障碍 (ED) 是未来心血管事件的独立预测因素.
- 早期发现和预防心血管疾病 (CVD) 对患者的治疗结果至关重要.
- 了解对ED男性心血管疾病风险查的经济影响至关重要.
研究的目的:
- 评估新诊断ED的男性心血管风险因素查的成本效益.
- 通过预防性治疗估计避免未来心血管事件的潜力.
- 从瑞士医疗保健系统的角度分析经济效益.
主要方法:
- 使用瑞士关于ED和CVD流行,发病率和成本的数据开发了一个10年模拟模型.
- 该模型计算了查干预和随后的心血管预防策略的效果和成本.
- 对不同ED严重程度组进行了计算:所有程度,中度/重度ED,仅重度ED.
主要成果:
- 查和预防可以在10年内避免41564 (所有ED),35627 (中度/重度ED) 或21206 (重度ED) 的急性心血管疾病事件.
- 为了预防一次急性心血管疾病事件,所需查 (NNS) 的数量分别为30个,23个和10个,为研究组.
- 预计查干预成本将在7年,5年或1年内得到回收,这取决于ED的严重程度.
结论:
- 查ED男性的心血管风险因素是一个非常具有成本效益的策略.
- 该干预措施加强了心血管疾病的预防和早期检测.
- 这种方法有效地减少了这种患者群体未来心血管事件的发生率.
相关概念视频
Disorders of the Male Reproductive System
424
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
424
Assessment of the Cardiovascular System I: Subjective Data
343
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
343
Treatment for Pulmonary Arterial Hypertension: Phosphodiesterase Inhibitors
162
Phosphodiesterase 5 (PDE5) inhibitors are potent enzymes that function to hydrolyze cyclic nucleotides to their corresponding 5' monophosphates. Their unique biochemical properties have been applied in treating Pulmonary Arterial Hypertension (PAH).
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
162
Imaging Studies for Cardiovascular System I:Echocardiography
337
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
337
Exercise Stress Test
234
Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
234
Male Sexual Response: Erection & Ejaculation
2.5K
Sexual stimulation can take various forms, such as physical touch and visual or auditory cues. When this happens, the parasympathetic reflex in the sacral portion of the spinal cord is activated. This reflex stimulates the release of nitric oxide (NO), which then dilates the arterioles in the penis, increasing blood flow to the erectile tissues - the corpora cavernosa and corpus spongiosum.
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
2.5K


