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Кардиоваскулярная терапия и профилактика

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Эректильная дисфункция и сердечно-сосудистые заболевания: новый взгляд на старую проблему

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Аннотация

Большое количество экспериментальных и клинических данных, указывают на то, что артериогенная форма эректильной дисфункции (ЭД) является не поздним осложнением сердечно-сосудистых заболеваний (ССЗ), а ранним проявлением системной сосудистой патологии. Важным механизмом, объединяющим ЭД и ССЗ, служит эндотелиальная дисфункция, поражающая различные сосудистые системы и в т.ч. эндотелий кавернозных тел. Последнее снижает синтез и/или биодоступность оксида азота, являющегося основным медиатором эрекции. Системный характер сосудистого поражения у больных артериогенной ЭД подтверждается наличием у них признаков эндотелиальной дисфункции крупных артериальных сосудов и объясняет повышенную вероятность наличия скрытой ишемической болезни сердца. Это подчеркивает важность активного раннего выявления ЭД не только врачами-урологами, но также кардиологами и терапевтами, для которых наличие у больного ЭД должно свидетельствовать о необходимости более тщательного обследования и раннего начала лечения.

Об авторах

С. И. Гамидов
Российский государственный медицинский университет Росздрава. Москва
Россия


В. В. Иремашвили
Российский государственный медицинский университет Росздрава. Москва
Россия


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Для цитирования:


Гамидов С.И., Иремашвили В.В. Эректильная дисфункция и сердечно-сосудистые заболевания: новый взгляд на старую проблему. Кардиоваскулярная терапия и профилактика. 2006;5(6):123-128.

For citation:


Gamidov S.I., Iremashvili V.V. Erectile dysfunction and cardiovascular disease: old problem, new approaches. Cardiovascular Therapy and Prevention. 2006;5(6):123-128. (In Russ.)

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