Can myocardial performance index predict early cardiac risks in erectile dysfunction?

Abstract

Aim: Myocardial performance index (MPI) is an easy-to-apply and non-invasive method that shows both systolic and diastolic functions of the heart. In this study, it was aimed to evaluate the relationship between erectile dysfunction (ED) and MPI. Methods: The study included 45 male patients admitted to the urology outpatient clinic for ED and 48 healthy male volunteers. Echocardiographic evaluation of all participants was performed. Isovolumetric contraction time (IVCT), isovolumetric relaxation time (IVRT) and ejection time (ET) were measured. MPI was calculated using the IVCT þ IVRT/ET formula. Results: The average age of the study population was 50 ± 5.3. Early diastolic mitral inflow (E)/ late diastolic mitral inflow (A) ratio was significantly lower in the ED group (p 0.05). In the TDI evaluation between the groups, while early diastolic mitral annular velocity (Em) was significantly higher in the ED group, there was no significant difference in late diastolic mitral annular velocity (Am) and systolic peak velocities (Sm) (p < 0.01 and p ¼ 0.417 and p ¼ 0.092, respectively). While IVRT was significantly lower in the ED group (p < 0.05), there was no significant difference in IVCT and ET (p ¼ 311 and p ¼ 0.261, respectively). MPI was statistically significantly higher in the ED group (p < 0.05). Conclusion: ED has been found to affect MPI. This parameter, which is easily and non-invasively measured, can be used to predict the risk of CVDs in ED.

Effects of psoriasis and metabolic syndrome on male sexual functions

“…Although Bardazzi et al [16] associated ED especially with patients with mild psoriasis, it was observed in our study that the incidence and severity of ED increased as PASI increased (psoriasis progressed). Ji et al reported that investigating erectile function can help assess cardiovascular status and determine the increased risk of cardiovascular events in patients with plaque psoriasis [17,18]. In psoriasis patients, sexual health problems should be examined in detail both to diagnose cardiovascular diseases early and to increase their quality of life.…”

Kronik böbrek hastalarında anormal kalp geometrisi ve sol ventrikül hipertrofisi

“…The increased risk cannot be attributed only to conventional cardiovascular risk factors, such as advanced age, smoking, hypertension (HTN), hyperlipidemia, and diabetes mellitus (DM). Other risk factors such as inflammation, hypervolemia, malnutrition, anemia, secondary hyperparathyroidism (SHPT), oxidative stress, and bone mineral disorders also play a role in CKD patients [2][3][4][5] . Left ventricular hypertrophy (LVH) and left ventricular mass index (LVMI) are independent predictors of cardiovascular mortality in CKD patients [6][7][8] .…”