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Erectile dysfunction in men with angiographically documented coronary artery disease

Seyed Kazem Foroutan1, Mohammadreza Rajabi

  • 1Department of Urology, Mostafa Khomeini Hospital, Shahed University, Tehran, Iran. skf356@yahoo.com

Urology Journal
|May 22, 2007
PubMed

Insights

Erectile dysfunction (ED) is common in men with coronary artery disease (CAD) and correlates with the extent of arterial blockage. ED can also precede CAD diagnosis by approximately two years.

Area of Science:

  • Cardiology
  • Urology
  • Vascular Health

Background:

  • Coronary artery disease (CAD) affects a significant number of men.
  • Erectile dysfunction (ED) is a common condition that can impact quality of life.

Purpose of the Study:

  • To evaluate erectile function in men with CAD.
  • To determine the relationship between the severity of ED and the extent of coronary artery stenosis.

Main Methods:

  • Assessed erectile function using the Sexual Health Inventory for Men (SHIM) in 401 non-diabetic men with CAD.
  • Coronary artery stenosis was documented via cardiac angiography.

Main Results:

  • 46.4% of men had ED (SHIM score ≤ 21).
  • ED was more prevalent and SHIM scores were lower in men with multi-vessel CAD.
  • ED symptoms preceded CAD diagnosis in 41.9% of patients, with an average interval of 23 months.

Conclusions:

  • ED is highly prevalent in men with CAD.
  • The severity of ED correlates with the extent of CAD.
  • ED may serve as an early indicator of underlying CAD, appearing up to two years prior to diagnosis.
Abstract

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