ISSN 1016-5169 | E-ISSN 1308-4488
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Elastic properties of the aorta in patients with erectile dysfunction: assessment by conventional and color tissue Doppler echocardiography [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2006; 34(5): 292-297

Elastic properties of the aorta in patients with erectile dysfunction: assessment by conventional and color tissue Doppler echocardiography

Ergün Seyfeli1, Sadık Görür2, Ferit Akgül1, Mustafa Gür3, Tünzale Seydaliyeva1, Fatih Yalçın1, Ahmet Namık Kiper2
1Mustafa Kemal University, School of Medicine, Department of Cardiology, Antakya/HATAY
2Mustafa Kemal University, School of Medicine, Department of Urology, Antakya/HATAY
3Harran University, School of Medicine, Department of Cardiology, Şanlıurfa


OBJECTIVES
It has been suggested that erectile dysfunction (ED) may be the first clinical reflection of vascular disease. We investigated the stiffness and elastic properties of the aorta by conventional and color tissue Doppler echocardiography (TDE) in patients with ED of vascular origin.

STUDY DESIGN
Thirty male patients with ED (mean age 52±8 years; range 41 to 73 years) were studied. Systolic and diastolic aortic diameters were measured by M-mode echocardiography to asses elastic properties of the aorta. Tissue Doppler velocities (S, E, and A cm/sec) of the upper and inferior aortic wall were measured by color TDE. Aortic strain and elasticity, and aortic stiffness index (ASI) were calculated. The results were compared with those of 30 healthy male controls (mean age 49 years).

RESULTS
Systolic and diastolic pressures and aortic systolic and diastolic diameters differed significantly between the two groups (p=0.001, p=0.034, p=0.045, p=0.004, respectively). Compared to controls, ASI was significantly higher (p=0.007), and aortic strain (p=0.002) and S wave velocity of the upper wall (p=0.001) were significantly lower in patients with ED. Significant correlations were found between S wave velocity of the upper wall with ASI (r=-0.389, p=0.004), aortic strain (r=0.444, p=0.001) and elasticity (r=0.504, p<0.001), and between S wave velocity of the mitral lateral annulus and ASI (r=-0. 472, p<0.001) and aortic elasticity (r=0.533, p<0.001).

CONCLUSION
Erectile dysfunction of vascular origin is associated with increased aortic stiffness and decreased aortic elasticity, this may foreshadow other vascular system diseases having a silent course.

Keywords: Aorta/ultrasonography, arteriosclerosis/complications; coronary disease/physiopathology; echocardiography, doppler; impotence, vasculogenic.

How to cite this article
Ergün Seyfeli, Sadık Görür, Ferit Akgül, Mustafa Gür, Tünzale Seydaliyeva, Fatih Yalçın, Ahmet Namık Kiper. Elastic properties of the aorta in patients with erectile dysfunction: assessment by conventional and color tissue Doppler echocardiography. Turk Kardiyol Dern Ars. 2006; 34(5): 292-297

Corresponding Author: Ergün Seyfeli, Türkiye
Manuscript Language: Turkish


Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
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per Paper:
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SCImago Journal Rank: 0.348

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