在患有糖尿病和高血压的男性中,探索勃起功能障碍和10年心血管风险之间的双向联系
Hai Nguyen Ngoc Dang1, Thang Viet Luong2, Anh Kiem Pham3
1The Faculty of Medicine, Duy Tan University, Da Nang, 550000, Vietnam.
Scientific reports
|November 20, 2024
概括
勃起功能障碍 (ED) 与越南男性的心血管 (CV) 风险有关,特别是那些患有糖尿病的人. 国际勃起功能指数 (IIEF-5) 评分可以帮助识别高心血管风险的男性.
科学领域:
- 心脏病学 心脏病学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 公共卫生 公共卫生
背景情况:
- 勃起功能障碍 (ED) 与心血管疾病 (CV) 有共同的风险因素.
- 在越南,ED和心血管风险之间的关联尚未得到充分理解.
研究的目的:
- 调查越南男性中ED和10年CV风险之间的关系.
- 评估国际勃起功能指数 (IIEF-5) 评分在识别高心血管风险方面的有用性.
主要方法:
- 一项多中心观测研究包括越南的385名年龄在40-69岁之间的男性.
- 使用系统冠状动脉风险评估2-糖尿病 (SCORE2-糖尿病) 评分计算了10年心血管风险.
- 使用国际勃起功能指数 (IIEF-5) 评分来评估ED.
主要成果:
- 与健康人 (23 [20-24]) 相比,患有糖尿病和高血压的男性的IIEF-5得分明显较低 (18 [15-22]).
- 根据IIEF-5得分,有效地识别了具有非常高心血管风险的患者 (AUC=0.747,切线=18.5,敏感性=69.6%,特异性=69.9%).
- 在SCORE2-糖尿病和IIEF-5 (ρ = -0.45,p < 0.001) 之间发现了显著的反相关性.
结论:
- 在越南糖尿病男性中,ED和心血管风险之间存在显著联系.
- IIEF-5评分可以作为一个有价值的工具来查CV风险在这个人群中.
- 建议对ED和CV疾病进行综合查和管理策略.
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