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J Sex Med. 2010 Apr;7(4 Pt 2):1608-26. doi: 10.1111/j.1743-6109.2010.01779.x.

Cardiovascular aspects of sexual medicine.

Author information

1
Guy's & St Thomas' Hospitals NHS Trust, Cardiology, London, UK. gjcardiol@talk21.com

Abstract

INTRODUCTION:

Erectile dysfunction (ED) is common and considered to be predominantly of vascular origin.

AIM:

To evaluate the link between ED and coronary artery disease (CAD) and provide a consensus report regarding evaluation and management.

METHODS:

A committee of eight experts from six countries was convened to review the worldwide literature concerning ED and CAD and provide a guideline for management.

MAIN OUTCOME MEASURE:

Expert opinion was based on grading the evidence-based medical literature, widespread internal committee discussion, public presentation, and debate.

RESULTS:

ED and CAD frequently coexist. Between 50-70% of men with CAD have ED. ED can arise before CAD is symptomatic with a time window of 3-5 years. ED and CAD share the same risk factors, and endothelial dysfunction is the common denominator. Treating ED in cardiac patients is safe, provided that their risks are properly evaluated.

CONCLUSION:

ED is a marker for silent CAD that needs to be excluded. Men with CAD frequently have ED that can be treated safely following guidelines.

[Indexed for MEDLINE]

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