Association Between Penile Color Doppler Ultrasonography and Cardiorespiratory Fitness in Patients With Vascular Erectile Dysfunction

Ponce, Maurizio De Rocco; Vecchiato, Marco; Neunhäeuserer, Daniel; Battista, Francesca; Caretta, Nicola; Savalla, Francesco; Favero, Claudia; Garolla, Andrea; Ermolao, Andrea

doi:10.1016/j.esxm.2021.100347

Cited by 4 publications

(1 citation statement)

References 58 publications

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“…CPET is a valuable tool to evaluate the responses of the cardiac, pulmonary, vascular, and musculoskeletal systems to exercise [ 101 , 102 , 103 , 104 ]. Although still underutilized, its high reproducibility offers important prognostic and diagnostic information [ 105 ] and can be integrated with other imaging techniques [ 106 ].…”

Section: The Step-by-step Approach To Athlete’s Heartmentioning

confidence: 99%

Athlete's Heart: A Cardiovascular Step-By-Step Multimodality Approach

Palermi¹,

D’Ascenzi²,

Castelletti³

et al. 2023

Rev. Cardiovasc. Med.

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“Athlete’s heart” is a spectrum of morphological, functional, and regulatory changes that occur in people who practice regular and long-term intense physical activity. The morphological characteristics of the athlete’s heart may overlap with some structural and electrical cardiac diseases that may predispose to sudden cardiac death, including inherited and acquired cardiomyopathies, aortopathies and channelopathies. Overdiagnosis should be avoided, while an early identification of underlying cardiac life-threatening disorders is essential to reduce the potential for sudden cardiac death. A step-by-step multimodality approach, including a first-line evaluation with personal and family history, clinical evaluation, 12-lead resting electrocardiography (ECG), followed by second and third-line investigations, as appropriate, including exercise testing, resting and exercise echocardiography, 24-hour ECG Holter monitoring, cardiac magnetic resonance, computed tomography, nuclear scintigraphy, or genetic testing, can be determinant to differentiate between extreme physiology adaptations and cardiac pathology. In this context, cardiovascular imaging plays a key role in detecting structural abnormalities in athletes who fall into the grey zone between physiological adaptations and a covert or early phenotype of cardiovascular disease.

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Section: The Step-by-step Approach To Athlete’s Heartmentioning

confidence: 99%

Athlete's Heart: A Cardiovascular Step-By-Step Multimodality Approach

Palermi¹,

D’Ascenzi²,

Castelletti³

et al. 2023

Rev. Cardiovasc. Med.

View full text Add to dashboard Cite

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A novel strategy to induce penile erection during penile doppler ultrasound: oral sildenafil administration plus alprostadil injection

Zhang,

Wu,

Feng

et al. 2024

The Aging Male

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Prevalence of Erectile Dysfunction among Patients with Coronary Artery Disease

Mohamed Abd Elsamie,

Abou Khodair,

Bashandy

et al. 2024

Andrologia

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Both coronary artery disease (CAD) and erectile dysfunction (ED) are widespread illnesses that frequently coexist. Numerous triggering risk factors and pathophysiological mechanisms contribute to both diseases. Penile color Doppler ultrasound can serve as a crucial tool to evaluate penile arterial blood flow. Therefore, this study aims to assess the ED prevalence in CAD patients, to determine the socioeconomic and clinical profiles of the population, and to define risk factors of their development. The cross-sectional study included 100 male patients who were admitted to the coronary angiography (CAG) unit. Patients were asked if they had ED, and if present, it was graded using the International Index of Erectile Function 5. Right and left cavernosal arteries were examined using color Doppler and erection hardness to assess the peak systolic velocity (PSV) and end-diastolic velocity. Among the 52 cases that suffered from ED, most of the cases had mild grades (38.5%). All cases without ED (100%) had penile artery Doppler PSV findings ≥30 (cm/s) with an average Doppler PSV of 48.02 ± 7.49 cm/s for the right cavernosal arteries and 47.4 ± 7.17 cm/s for the left cavernosal arteries. Yet, 71.2% of cases with ED had penile artery Doppler PSV findings <30 (cm/s) with an average Doppler PSV of 29.1 ± 7.57 cm/s for the right cavernosal arteries and 28.69 ± 7.11 cm/s for the left cavernosal arteries. Furthermore, by CAG, 50% of cases without ED had blockage not necessitating a coronary intervention (no significant disease) compared to 25% of cases with ED. There was positive correlation between advanced grade of ED and age (r = 0.327, P <0.001), hypertension (r = 0.213, P = 0.033), DM (r = 0.253, P = 0.011), smoking (r = 0.202, P = 0.044), and severity of CAD (r = 0.332, P <0.001). Patients with multivessel CAD have a significantly higher incidence and more severity of ED. Moreover, pathological penile vessels PSV (<25 or <30 cm/s) via Doppler ultrasound is mostly valuable as a noninvasive tool to define ED attributable to vascular impairment that may be antecedent to atherosclerosis in the coronary vessels.

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Association Between Penile Color Doppler Ultrasonography and Cardiorespiratory Fitness in Patients With Vascular Erectile Dysfunction

Cited by 4 publications

References 58 publications

Athlete's Heart: A Cardiovascular Step-By-Step Multimodality Approach

Athlete's Heart: A Cardiovascular Step-By-Step Multimodality Approach

A novel strategy to induce penile erection during penile doppler ultrasound: oral sildenafil administration plus alprostadil injection

Prevalence of Erectile Dysfunction among Patients with Coronary Artery Disease

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