Evidence map›Paper›PMID 30713402›Full record

ArticleActa Cardiologica Sinica2019

Evaluation of Erectile Dysfunction and Left Ventricular Diastolic Parameters in Lead Exposed Workers.

Ugur Nadir Karakulak, Sercan Okutucu, Utku Lokman, Ovunc Bilgin, Engin Tutkun, Omer Hinc Yilmaz, Ali Oto

Abstract read
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Article in Acta Cardiologica Sinica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Hypertension and erectile dysfunction: The role of endovascular therapy in Asia.Journal of clinical hypertension (Greenwich, Conn.) · 2021
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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Ugur Nadir KarakulakDepartment of Cardiology, Occupational Diseases Hospital.
Sercan OkutucuDepartment of Cardiology, Memorial Ankara Hospital.
Utku LokmanDepartment of Urology, Occupational Diseases Hospital, Ankara.
Ovunc BilginDepartment of Urology, Occupational Diseases Hospital, Ankara.
Engin TutkunFaculty of Medicine, Department of Public Health, Bozok University, Yozgat.
Omer Hinc YilmazDepartment of Clinical Toxicology, Occupational Diseases Hospital, Ankara, Turkey.
Ali OtoDepartment of Cardiology, Memorial Ankara Hospital.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLead exposure causes a wide range of vascular diseases through oxidative stress, sympathetic hyperactivity and impairment in nitric oxide bioavailability. In this study, the association between the effects of lead exposure on left ventricular diastolic indices and erectile function were assessed.

methodsA total of 94 lead-exposed workers without known cardiovascular diseases or risk factors and 30 healthy subjects were enrolled. Systolic and diastolic functions were measured using transthoracic echocardiography. All participants were non-smokers. The International Index of Erectile Function Questionnaire (IIEF-5) was used to diagnose and grade erectile dysfunction (ED). Echocardiographic parameters, IIEF-5 score and blood lead level (BLL) were analyzed.

resultsThe mean age and median BLL were 32.3 ± 6.4 years and 19 μg/dL in the workers, respectively. Sixty-five (69.1%) workers and 9 control subjects (30%) had ED. The IIEF-5 score was lower in the workers (17.0 ± 6.1) than in the controls (22.7 ± 2.1). In the workers, E and e' waves and E/A ratio were lower, and A wave, E/e' ratio, and left atrial volume index (LAVI) were higher than in the controls. Additionally, BLL was correlated with IIEF-5 score, e' wave, and E/e' ratio. IIEF-5 score was correlated with e' wave, E/e' ratio and LAVI. BLL was an independent risk factor for a decreased e' wave and IIEF-5 score and increased E/e' ratio in the lead-exposed workers.

conclusionsImpairment of diastolic and erectile functions, despite a younger age and in the absence of accompanying risk factors, was correlated with increased BLL.

Indexed as

Diastolic dysfunctionEchocardiographyErectile dysfunctionLead exposure

Identifiers

PMID30713402
PMCPMC6342843

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