Javaroni Valter, Neves Mario Fritsch
Department of Clinical Medicine, State University of Rio de Janeiro, 20551030 Rio de Janeiro, RJ, Brazil.
Int J Hypertens. 2012;2012:627278. doi: 10.1155/2012/627278. Epub 2012 May 9.
Erectile dysfunction (ED) is a common complaint in hypertensive men and can represent a systemic vascular disease, an adverse effect of antihypertensive medication or a frequent concern that may impair drug compliance. ED has been considered an early marker of cardiovascular disease. The connection between both conditions seems to be located in the endothelium, which may become unable to generate the necessary dilatation in penile vascular bed in response to sexual excitement, producing persistent impairment in erection. On the other hand, the real influence of antihypertensive drugs in erectile function still deserves discussion. Therefore, regardless of ED mechanism in hypertension, early diagnosis and correct approach of sexual life represent an important step of cardiovascular evaluation which certainly contributes for a better choice of hypertension treatment, preventing some complications and restoring the quality of life.
勃起功能障碍（ED）是高血压男性常见的主诉，可能代表一种全身性血管疾病、抗高血压药物的不良反应，或是一个可能影响药物依从性的常见问题。ED被认为是心血管疾病的早期标志物。这两种情况之间的联系似乎在于内皮，内皮可能无法在性兴奋时在阴茎血管床产生必要的扩张，从而导致勃起持续受损。另一方面，抗高血压药物对勃起功能的实际影响仍值得探讨。因此，无论高血压中ED的机制如何，早期诊断和正确对待性生活都是心血管评估的重要一步，这无疑有助于更好地选择高血压治疗方案，预防一些并发症并恢复生活质量。
