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Is there a relationship between severity of coronary artery disease and severity of erectile dysfunction?

Lutfi Canat1, Gokhan Cicek, Gokhan Atis

  • 1Urology Department, Kastamonu State Hospital, Turkey.

International Braz J Urol : Official Journal of the Brazilian Society of Urology
|September 24, 2013
PubMed

Insights

Erectile dysfunction (ED) severity correlates with the number of blocked arteries in men after myocardial infarction (MI). Hypertension significantly worsens ED in severe coronary artery disease (CAD).

Area of Science:

  • Cardiology
  • Urology
  • Men's Health

Background:

  • Erectile dysfunction (ED) is increasingly recognized as a potential predictor of coronary artery disease (CAD).
  • The relationship between the extent of coronary artery occlusion and ED severity requires further investigation.

Purpose of the Study:

  • To evaluate the association between the number of occluded coronary arteries in myocardial infarction (MI) patients and the severity of ED.
  • To investigate the influence of common cardiovascular risk factors on this association.

Main Methods:

  • 183 male patients with acute MI undergoing coronary angiography were assessed for erectile functionality.
  • Data on age, diabetes, smoking, waist circumference, hypertension, and hematologic parameters were collected.

Main Results:

  • 100 out of 183 patients (54.64%) had ED.
  • ED prevalence increased with the number of occluded vessels: 45.36% (single-vessel), 64.5% (two-vessel), and 65.7% (three-vessel).
  • Hypertension aggravated ED in three-vessel disease; elevated total and LDL cholesterol correlated with lower IIEF scores in single- and two-vessel disease.

Conclusions:

  • ED severity is correlated with the number of occluded coronary arteries in male patients with acute MI.
  • Hypertension significantly impacts erectile function, particularly in patients with three-vessel coronary artery disease.
Abstract

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