Эректильная дисфункция и сердечно-сосудистые заболевания: новый взгляд на старую проблему
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
Россия
В. В. Иремашвили
Российский государственный медицинский университет Росздрава. Москва
Россия
Россия
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Рецензия
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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