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Published on: October 15, 2010
Erectile dysfunction: cardiovascular risk and the role of the cardiologist
H Solomon1, J Man, A S Wierzbicki
1Department of Cardiology, St Thomas' Hospital, London, UK.
Insights
Erectile dysfunction (ED) often indicates underlying cardiovascular disease. Many men with ED have intermediate or high cardiac risk, requiring further assessment before ED treatment.
Area of Science:
- Cardiology
- Urology
- Endocrinology
Background:
- Erectile dysfunction (ED) shares risk factors with coronary artery disease (CAD).
- Assessing cardiovascular risk in men with ED is crucial for early detection of occult disease.
Purpose of the Study:
- To evaluate the prevalence of occult cardiovascular disease in men presenting with ED.
- To stratify cardiac risk in patients with ED using established guidelines.
Main Methods:
- 174 men with ED underwent cardiac risk stratification based on the Princeton Consensus Guidelines.
- Evaluation included assessment of lipid profiles, HbA1C/glucose levels, hypertension, and angina symptoms.
Main Results:
- 30% of men were classified as intermediate/high cardiovascular risk.
- Abnormal lipid profiles (37%), elevated HbA1C/glucose (24%), uncontrolled hypertension (17%), and suspected angina (6%) were common findings.
Conclusions:
- Erectile dysfunction is frequently associated with significant, undiagnosed cardiovascular disease.
- Cardiologists play a vital role in managing men with ED by addressing underlying cardiac risks.
Abstract:
Erectile dysfunction (ED) shares the same risk factors as coronary artery disease, so the level of occult cardiovascular risk in men with ED was assessed. A total of 174 men presenting with ED underwent cardiac risk stratification according to the Princeton Consensus Guidelines. Thirty per cent were stratified as intermediate/high cardiovascular risk and had ED treatment deferred until further cardiological assessment; 37% had abnormal lipid profiles; 24% had elevated HbA1C/glucose levels; 17% had uncontrolled hypertension; and 6% were suspected of having significant angina. ED is associated with a high incidence of occult cardiovascular disease. We suggest that cardiologists can significantly contribute to the management of ED.
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