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Introduction Different studies have shown the relationship between erectile dysfunction, metabolic syndrome and cardiovascular disease. The objective of this study was to evaluate the presence of arteriopathy performing carotid ultrasound in patients with and without erectile dysfunction. Material and methods We conducted a case–control study on 44 patients consulting for erectile dysfunction and 20 controls. All subjects completed the IIEF-5 test and we studied the criteria for metabolic syndrome, and a carotid ultrasound to study the intima-media thickness and the presence of atherosclerotic plaques was done. Results Mean intima-media thickness was 0.71 mm ± 0.21 for the right and of 0.71 ± 0.17 for the left carotid in patients with erectile dysfunction. In the control group, the means were 0.54 ± 0.11 and 0.59 ± 0.15 mm respectively, and statistically significant differences were P = 0.02 and P = 0.05 respectively. No plaque was found in any control, but in 25% of both carotid arteries of patients with erectile dysfunction ( P = 0.01). As metabolic syndrome, according to the American Heart Association, was diagnosed in 52.8% of patients with erectile dysfunction, and in 16.7% of controls, and according to the International Diabetes Federation, 52.3% of patients with erectile dysfunction and 25% of controls met diagnostic criteria. In both cases there were significant differences ( P P = 0.02 respectively). We found a positive linear correlation between waist circumference and the intima-media thickness in both carotids ( P Conclusions Patients with erectile dysfunction may be at increased risk of cardiovascular disease, as determined by the presence of arterial disease in the carotid arteries, which indicates that we should make a more thorough and comprehensive study of patients with erectile dysfunction. |
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