Gupta Nikhil, Herati Amin, Gilbert Bruce R
The Arthur Smith Institute for Urology, Hofstra North Shore LIJ School of Medicine, 450 Lakeville Road, Suite M41, New Hyde Park, NY, 11040, USA,
Curr Urol Rep. 2015 Mar;16(3):16. doi: 10.1007/s11934-015-0482-1.
Cardiovascular disease is a major cause of morbidity and mortality in the USA. Traditional risk factors such as obesity, physical inactivity, and diet are used to screen for cardiovascular disease. However, these risk factors miss a significant population who are at risk for future cardiac events. Erectile dysfunction (ED) has many associated conditions in common with cardiovascular disease and has been shown to be an independent risk factor for cardiovascular. Measurements made on penile Doppler ultrasound (PDU), such as cavernosal artery peak systolic velocity (PSV), cavernosal artery intima-medial thickness, and the finding of cavernosal artery calcification, are indicators of generalized vascular disease. Thus, elements of PDU can identify men at higher risk for cardiovascular disease. This review outlines the proper technique for PDU and the literature supporting the use of PDU to predict cardiovascular disease in men with erectile dysfunction.
在美国，心血管疾病是发病和死亡的主要原因。肥胖、缺乏运动和饮食等传统风险因素被用于筛查心血管疾病。然而，这些风险因素遗漏了大量未来有心脏事件风险的人群。勃起功能障碍（ED）与心血管疾病有许多共同的相关病症，并且已被证明是心血管疾病的独立风险因素。阴茎多普勒超声（PDU）测量结果，如海绵体动脉收缩期峰值流速（PSV）、海绵体动脉内膜中层厚度以及海绵体动脉钙化的发现，是全身性血管疾病的指标。因此，PDU的各项指标可以识别出心血管疾病风险较高的男性。本综述概述了PDU的正确技术以及支持使用PDU来预测勃起功能障碍男性心血管疾病的文献。
