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Abstract(s)
A disfunção erétil, definida como a incapacidade persistente do homem em obter e/ou
manter uma ereção peniana suficiente, de forma a garantir um desempenho sexual
satisfatório, tem visto a sua prevalência aumentar nos últimos anos. De entre todos os
tipos de disfunção erétil, a orgânica vasculogénica é a mais prevalente. Para além da idade
avançada, esta doença possui fatores de risco sobreponíveis aos da doença coronária, isto
é, fatores de risco cardiovasculares.
A doença coronária é, atualmente, a doença à qual se associa maior morbilidade e
mortalidade, a nível global. Tem como principais fatores de risco a dislipidemia, diabetes
mellitus, hipertensão, obesidade e tabagismo.
Estas duas patologias têm como elo comum a lesão endotelial, que leva à acumulação de
placas de aterosclerose nos vasos sanguíneos. À medida que ocorre esta acumulação de
aterosclerose, vão surgindo as primeiras repercussões da obstrução sanguínea,
nomeadamente a disfunção erétil e, anos mais tarde, a doença coronária.
Como a expressão clínica da disfunção erétil frequentemente antecede a doença coronária,
o desenvolvimento de disfunção erétil sintomática pode servir como um forte preditor de
eventos cardiovasculares no futuro. Assim, há uma potencial utilidade clínica na deteção e
tratamento precoce da disfunção erétil na prevenção de doenças cardiovasculares,
nomeadamente a doença coronária.
Erectile dysfunction, defined as a man’s persistent inability to obtain and/or maintain a penile erection sufficient to ensure satisfactory sexual performance, has seen its prevalence rise in recent years. Of all types of erectile dysfunction, the organic vasculogenic is the most prevalent. In addition to advanced age, this disease has risk factors that overlap those of coronary heart disease, that is, cardiovascular risk factors. Coronary heart disease is currently the disease associated with greater morbidity and mortality globally. Its main risk factors are dyslipidemia, diabetes mellitus, hypertension, obesity and smoking. These two entities have the endothelial lesion as a common link, which leads to the accumulation of atherosclerotic plaques in blood vessels. As the accumulation of atherosclerosis occurs, the first repercussions of blood obstruction appears, namely erectile dysfunction and, years later, coronary heart disease. As the clinical expression of erectile dysfunction often precedes coronary heart disease, the development of symptomatic erectile dysfunction may serve as a strong predictor of cardiovascular events in the future. Thus, there is potential clinical utility in the early detection and treatment of erectile dysfunction in the prevention of cardiovascular diseases, namely coronary heart disease.
Erectile dysfunction, defined as a man’s persistent inability to obtain and/or maintain a penile erection sufficient to ensure satisfactory sexual performance, has seen its prevalence rise in recent years. Of all types of erectile dysfunction, the organic vasculogenic is the most prevalent. In addition to advanced age, this disease has risk factors that overlap those of coronary heart disease, that is, cardiovascular risk factors. Coronary heart disease is currently the disease associated with greater morbidity and mortality globally. Its main risk factors are dyslipidemia, diabetes mellitus, hypertension, obesity and smoking. These two entities have the endothelial lesion as a common link, which leads to the accumulation of atherosclerotic plaques in blood vessels. As the accumulation of atherosclerosis occurs, the first repercussions of blood obstruction appears, namely erectile dysfunction and, years later, coronary heart disease. As the clinical expression of erectile dysfunction often precedes coronary heart disease, the development of symptomatic erectile dysfunction may serve as a strong predictor of cardiovascular events in the future. Thus, there is potential clinical utility in the early detection and treatment of erectile dysfunction in the prevention of cardiovascular diseases, namely coronary heart disease.
Description
Keywords
Aterosclerose Disfunção Endotelial Disfunção Erétil Doença Cardiovascular Doença Coronária