title: [Myocardial ischemia after administration de sildenafil: description of a case and review of the literature].
abstract: Erectile dysfunction is a common condition in middle-aged and older men and frequently occurs in association with various chronic illnesses, particularly cardiovascular diseases. As there is a degree of cardiac risk associated with sexual activity, clinicians should consider the patient's cardiovascular status before initiating any treatment for erectile dysfunction. This is particularly relevant for men with decreased exercise tolerance as a result of their ischemic heart disease. We examined 2 patients with no history of cardiovascular disease suffering from myocardial ischemia after sildenafil administration. The literature about a correlation between sildenafil and coronary artery disease is reviewed.
authors.affiliation: UTIC-DEA I Livello, Ospedale S. Giovanni Evangelista, Tivoli, RM. mandimara@libero.it
authors.forename: M
authors.initials: M
authors.lastname: Piccoli
authors.forename: L M
authors.initials: LM
authors.lastname: De Santis
mesh_terms: D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000139:chemically induced* / Q000175:diagnosis / Q000188:drug therapy; D010726:Phosphodiesterase Inhibitors / Q000009:adverse effects*; D010879:Piperazines / Q000009:adverse effects*; D011687:Purines; D000068677:Sildenafil Citrate; D013450:Sulfones
chemical_list: D010726:Phosphodiesterase Inhibitors; D010879:Piperazines; D011687:Purines; D013450:Sulfones; D000068677:Sildenafil Citrate