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勃起功能障碍和阴蒂功能障碍是心血管疾病的预兆:一个前景
Fernanda Priviero1,2,3, Fiona Hollis4,5, Susan K Wood4,5
1Cardiovascular Translational Research Center, University of South Carolina, Columbia, SC 29208, USA.
Medicina (Kaunas, Lithuania)
|February 27, 2026
概括
性功能障碍,包括男性的勃起功能障碍 (ED) 和女性的性兴奋障碍 (FSAD),是心血管疾病 (CVD) 的潜在信号. 临床医生应在心血管风险评估中考虑这些情况.
科学领域:
- 心血管医学 心血管医学
- 性健康 性的健康
- 预防性心脏病学 预防性心脏病学
背景情况:
- 性功能障碍 (SD),特别是男性的血管性勃起障碍 (ED) 和女性的女性性兴奋障碍 (FSAD),越来越被认为是心血管疾病 (CVD) 的重要指标.
- 虽然ED作为冠状动脉疾病 (CAD) 的早期预警信号的作用得到了充分证据,但女性FSAD的类似证据仍在发展.
- 这突显了理解性健康对两性关系的心血管影响的关键差距.
研究的目的:
- 探索生殖器血管性性功能障碍和心血管疾病之间的流行病学关联.
- 调查潜在的性功能障碍和动脉样硬化的共享病理生理机制.
- 为将性功能障碍纳入心血管风险分层提出临床影响和查范式.
主要方法:
- 这种观点综合了有关性功能障碍和心血管疾病的现有文献.
- 它检查了将ED和FSAD与各种心血管疾病联系起来的流行病学数据.
- 该审查讨论了共享的机制,如内皮功能障碍,并提出了临床查策略.
主要成果:
- 在男性和女性中,生殖器血管性功能障碍是潜在心血管风险的有价值标志物.
- 共享的病理生理路径,包括内皮功能障碍和动脉样硬化,将性功能障碍与全身心血管疾病联系起来.
- 新出现的证据支持FSAD作为女性潜在的心血管风险指标,反映了男性的ED.
结论:
- 临床医生应将对生殖器血管性性功能障碍的评估纳入常规心血管风险分层协议中.
- 涉及初级保健,心脏病学和泌尿外科/妇科的多学科方法对于全面的患者管理至关重要.
- 承认性功能障碍是心血管风险增加的疾病,可以导致对心血管疾病的早期诊断和干预.
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