Erectile dysfunction as a harbinger for increased cardiometabolic risk.
K L Billups1, A J Bank, H Padma-Nathan
1VA Medical Center, Department of Urology, Minneapolis, MN 55417, USA. Kevin.Billups@va.gov
International Journal of Impotence Research
|January 18, 2008
Summary
Erectile dysfunction (ED) can signal underlying systemic vascular disease. Early screening for ED in men can lead to aggressive cardiovascular risk factor management and secondary prevention strategies.
Area of Science:
- Cardiology
- Urology
- Vascular Medicine
Background:
- Erectile dysfunction (ED) is increasingly recognized as a potential indicator of systemic vascular disease.
- Existing cardiovascular risk assessment may not fully capture all at-risk individuals.
Purpose of the Study:
- To introduce a practice model algorithm using ED as a clinical tool for early identification of systemic vascular disease in men.
- To advocate for ED screening as a routine part of cardiovascular history taking.
Main Methods:
- Convening an Expert Advisory Panel of cardiologists and urologists.
- Developing a practice model algorithm incorporating ED screening.
- Recommending aggressive assessment and management for men with ED.
Main Results:
- The algorithm identifies ED as a marker for cardiovascular disease.
- ED may be considered a cardiovascular risk equivalent.
- The presence of ED warrants aggressive secondary prevention strategies, even without other cardiac symptoms.
Conclusions:
- Routine screening for ED in men aged 25 and older should be implemented during cardiovascular history assessments.
- Early and aggressive management of cardiovascular risk factors in men with ED is recommended.
- Further research supports the advisory panel's recommendations for using ED as an early detection tool.
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