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Autonomic neuropathy and sexual impotence in diabetic patients: analysis of cardiovascular reflexes.
Andrologia. 1989 Jul-Aug; 21(4):346-52.A

Abstract

Four cardiovascular tests exploring autonomic nervous function (Deep Breathing, 30:15 ratio, Lying to Standing, Hand Grip) have been performed in 38 diabetic patients with erectile failure (mean age 53.2 years, range 34.5-60.5) and in 35 diabetic subjects without sexual dysfunctions (mean age 52.8 years, range 45-60.5). In our study Deep Breathing test was abnormal in 21 patients with erectile failure (55.3%) and in 9 patients without sexual dysfunction (25.7%) (P less than 0.05). Seven patients with sexual impotence (18.4%) and 2 subjects without sexual dysfunction (5.7%) showed abnormal results of 30:15 ratio test. The Lying to Standing test was not abnormal both in impotent and in non impotent subjects, while the Hand Grip test was abnormal in 7 patients with impotence (18.4%) and in 8 patients without sexual dysfunction (22.9%). Results obtained from Deep Breathing test were significantly lower (P less than 0.01) in impotent (10.25 +/- 6.10 beats/min) than in non impotent patients (14.63 +/- 6.85 beats/min). Lower 30:15 ratios were also found in patients with erectile failure (1.09 +/- 0.10 vs 1.12 +/- 0.09). The tests exploring the sympathetic function did not show any difference between the two groups of patients. The present study confirms the major role of parasympathetic impairment in the pathogenesis of sexual dysfunctions in diabetic men. Cardiovascular tests can be a first-step diagnostic tool in the assessment of diabetic impotence.

Authors+Show Affiliations

Dipartimento di Medicina e Oncologia Sperimentale, Università di Torino, Ospedale San Vito, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

2782638

Citation

Quadri, R, et al. "Autonomic Neuropathy and Sexual Impotence in Diabetic Patients: Analysis of Cardiovascular Reflexes." Andrologia, vol. 21, no. 4, 1989, pp. 346-52.
Quadri R, Veglio M, Flecchia D, et al. Autonomic neuropathy and sexual impotence in diabetic patients: analysis of cardiovascular reflexes. Andrologia. 1989;21(4):346-52.
Quadri, R., Veglio, M., Flecchia, D., Tonda, L., De Lorenzo, F., Chiandussi, L., & Fonzo, D. (1989). Autonomic neuropathy and sexual impotence in diabetic patients: analysis of cardiovascular reflexes. Andrologia, 21(4), 346-52.
Quadri R, et al. Autonomic Neuropathy and Sexual Impotence in Diabetic Patients: Analysis of Cardiovascular Reflexes. Andrologia. 1989 Jul-Aug;21(4):346-52. PubMed PMID: 2782638.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Autonomic neuropathy and sexual impotence in diabetic patients: analysis of cardiovascular reflexes. AU - Quadri,R, AU - Veglio,M, AU - Flecchia,D, AU - Tonda,L, AU - De Lorenzo,F, AU - Chiandussi,L, AU - Fonzo,D, PY - 1989/7/1/pubmed PY - 1989/7/1/medline PY - 1989/7/1/entrez SP - 346 EP - 52 JF - Andrologia JO - Andrologia VL - 21 IS - 4 N2 - Four cardiovascular tests exploring autonomic nervous function (Deep Breathing, 30:15 ratio, Lying to Standing, Hand Grip) have been performed in 38 diabetic patients with erectile failure (mean age 53.2 years, range 34.5-60.5) and in 35 diabetic subjects without sexual dysfunctions (mean age 52.8 years, range 45-60.5). In our study Deep Breathing test was abnormal in 21 patients with erectile failure (55.3%) and in 9 patients without sexual dysfunction (25.7%) (P less than 0.05). Seven patients with sexual impotence (18.4%) and 2 subjects without sexual dysfunction (5.7%) showed abnormal results of 30:15 ratio test. The Lying to Standing test was not abnormal both in impotent and in non impotent subjects, while the Hand Grip test was abnormal in 7 patients with impotence (18.4%) and in 8 patients without sexual dysfunction (22.9%). Results obtained from Deep Breathing test were significantly lower (P less than 0.01) in impotent (10.25 +/- 6.10 beats/min) than in non impotent patients (14.63 +/- 6.85 beats/min). Lower 30:15 ratios were also found in patients with erectile failure (1.09 +/- 0.10 vs 1.12 +/- 0.09). The tests exploring the sympathetic function did not show any difference between the two groups of patients. The present study confirms the major role of parasympathetic impairment in the pathogenesis of sexual dysfunctions in diabetic men. Cardiovascular tests can be a first-step diagnostic tool in the assessment of diabetic impotence. SN - 0303-4569 UR - https://www.unboundmedicine.com/medline/citation/2782638/Autonomic_neuropathy_and_sexual_impotence_in_diabetic_patients:_analysis_of_cardiovascular_reflexes_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0303-4569&date=1989&volume=21&issue=4&spage=346 DB - PRIME DP - Unbound Medicine ER -