title: Erectile dysfunction: cardiovascular risk and the role of the cardiologist.
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.
authors.affiliation: Department of Cardiology, St Thomas' Hospital, London, UK.
authors.forename: H
authors.initials: H
authors.lastname: Solomon
authors.forename: J
authors.initials: J
authors.lastname: Man
authors.forename: A S
authors.initials: AS
authors.lastname: Wierzbicki
authors.forename: T
authors.initials: T
authors.lastname: O'Brien
authors.forename: G
authors.initials: G
authors.lastname: Jackson
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016507:Cardiology Service, Hospital; D002318:Cardiovascular Diseases / Q000097:blood / Q000150:complications*; D003925:Diabetic Angiopathies / Q000150:complications; D006801:Humans; D006973:Hypertension / Q000150:complications; D018783:Impotence, Vasculogenic / Q000097:blood / Q000209:etiology*; D008055:Lipids / Q000097:blood; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000150:complications; D010819:Physician's Role; D018570:Risk Assessment; D012307:Risk Factors
chemical_list: D008055:Lipids