Abstract
Erectile dysfunction (ED) is common in cardiac patients and shares the same risk factors--smoking, hypertension, hyperlipidaemia and diabetes mellitus. Sexual activity is not unduly stressful to the heart and, providing patients are properly assessed using established guidelines, sexual intercourse can be enjoyed without increased risk. The treatment of ED in patients with cardiovascular disease has been transformed by the introduction of the oral phosphodiesterase type 5 inhibitors, the first of which was sildenafil. Success in restoring erectile function is possible in up to 80% of patients (depending on the aetiology) with minimal adverse effects. A synergistic hypotensive effect with nitrates, and almost certainly nicorandil, is the only major contraindication. ED in asymptomatic patients may be a marker of silent vascular disease or increased vascular risk factors and should alert the physician to the need for cardiac risk screening. ED is common in patients with cardiovascular disease and should be routinely enquired about. ED is a distressing condition for the man and his partner, and severely impairs quality of life. Patients with cardiovascular disease and patients with diabetes represent the largest group of patients ...Continue Reading
References
Apr 15, 1995·The American Journal of Cardiology·Y DroryA Pines
Jan 1, 1994·The Journal of Urology·H A FeldmanJ B McKinlay
Aug 1, 1993·Australian Family Physician·G S Reisner
Apr 1, 1996·Chest·Y DroryA Pines
Jun 1, 1997·Urology·R C RosenA Mishra
Oct 7, 1997·International Journal of Impotence Research·A GreensteinZ Braf
May 6, 1998·International Journal of Andrology·A BortolottiM Landoni
Jun 22, 1999·JAMA : the Journal of the American Medical Association·C Marwick
Aug 12, 1999·BJU International·I A AytaR J Krane
Dec 14, 1999·Circulation·J T Willerson
Jun 1, 2000·The New England Journal of Medicine·H C HerrmannP D Mahoney
Jul 6, 2000·The New England Journal of Medicine·T D Coulter, H P Wiedemann
Jul 29, 2000·The American Journal of Cardiology·R DeBuskR Zusman
Apr 6, 2001·World Journal of Urology·J P Heaton
Aug 9, 2001·International Journal of Impotence Research·H PorstT Bandel
Oct 18, 2002·Journal of the American College of Cardiology·Julian P J HalcoxArshed A Quyyumi
Nov 7, 2002·International Journal of Cardiology·Hunter C GilliesGraham Jackson
Dec 12, 2002·Journal of the American College of Cardiology·Udho ThadaniPavur Sundaresan
Jan 11, 2003·The American Journal of Cardiology·Hemant SolomonGraham Jackson
Jan 31, 2003·Congestive Heart Failure·S D Katz
Feb 20, 2003·Heart·H SolomonG Jackson
Dec 9, 2003·European Heart Journal·Kim M FoxUNKNOWN CAESAR I (Clinical American and European Studies of Angina and Revascularization) investigators
Jan 23, 2004·Journal of the American College of Cardiology·Daniel R KaiserAlan J Bank
Citations
Jan 25, 2005·Current Diabetes Reports·Glenn MatfinVivian A Fonseca
Feb 17, 2007·Cardiology in Review·Gautham RavipatiWilliam H Frishman
Aug 19, 2010·Pharmacological Reviews·Sharron H FrancisDavid Sibley
Aug 31, 2007·The Journal of Sexual Medicine·Jorge Eduardo ToblliMiguel Rivero
Jan 21, 2006·The Journal of Sexual Medicine·Hermann van AhlenMarcus Neureither
Nov 6, 2015·Nitric Oxide : Biology and Chemistry·Riccardo LacchiniJose E Tanus-Santos
Feb 23, 2007·BJU International·Lorna HazellSaad A W Shakir
Jun 17, 2006·European Journal of Pharmacology·Gong ZhaoThomas H Hintze
Aug 25, 2017·Current Cardiology Reports·Jay Pravin PatelCharles N Walker