Predicting Peripheral Arterial Disease in Men With Erectile Dysfunction
关键词
抽象
描述
Erectile dysfunction (ED) is a common complaint in the primary care office. It is frequently found in men with hyperlipidemia, hypertension, or diabetes, and may also be an early warning of peripheral arterial disease. We looked for a relationship between the degree of ED and the presence of PAD as measured by the Ankle Brachial Index (ABI) associated with co-morbid conditions. Men over the age of 50 with hyperlipidemia, diabetes, hypertension, or tobacco use were asked to complete a Sexual Health Inventory for Men (SHIM). An ABI was measured using a hand held Doppler. 175 men from two urban and three suburban Family Practices in Tidewater Virginia participated. Outcome measures included SHIM scores, ABI, Systolic Blood Pressure, LDL, Hemoglobin A1C and tobacco use. Moderate or severe erectile dysfunction (SHIM < 11.0) was identified in 44% of participants. More than 12.5% of men with severe ED (SHIM < 7.0) had an ABI positive for PAD at 0.95 or less. The results were adjusted for the presence of hyperlipidemia, hypertension, diabetes and tobacco use. Men with hypertension did not demonstrate a significant increase in the frequency of PAD compared to diabetics or smokers. Neither race nor age was found to increase the prevalence of ED. The complaint of erectile dysfunction in men over age 50 should prompt a physician to consider peripheral arterial disease. A simple self-administered SHIM test should help identify men at risk for PAD and suggest further evaluation if the score is 7.0 or less.
日期
最后验证: | 08/31/2008 |
首次提交: | 08/27/2008 |
提交的预估入学人数: | 08/27/2008 |
首次发布: | 08/28/2008 |
上次提交的更新: | 09/01/2008 |
最近更新发布: | 09/02/2008 |
实际学习开始日期: | 01/31/2005 |
预计主要完成日期: | 01/31/2008 |
预计完成日期: | 04/30/2008 |
状况或疾病
干预/治疗
Behavioral: Sexual Health Inventory for Men (SHIM)
Procedure: Ankle-Brachial Index (ABI)
相
资格标准
有资格学习的年龄 | 50 Years 至 50 Years |
有资格学习的性别 | Male |
取样方式 | Non-Probability Sample |
接受健康志愿者 | 是 |
标准 | Inclusion Criteria: - Men 50 years old or older - Must have a history of diabetes, hypertension, hyperlipidemia and/or a history of tobacco use Exclusion Criteria: - Men younger than 50 years of age - No co-morbid condition such as diabetes, hypertension, hyperlipidemia and/or tobacco use. |
结果
主要结果指标
1. Sexual Health Inventory for Men (SHIM) [initial visit]
次要成果指标
1. Ankle-Brachial Index (ABI) [Initial Visit]