title: Association between erectile dysfunction and coronary artery disease: a case report study.
abstract: Evidence is accumulating in favor of classifying erectile dysfunction (ED) as a vascular disorder. There are three main clinical scenarios in which ED and coronary artery disease (CAD) may coexist: the patient with ED who later develops CAD, the patient with overt CAD who is casually found to have ED, and the patient with acute coronary syndrome who has normal sexual function. This study presents three cases and discusses a "putative" pathophysiological mechanism underlying all these clinical presentations. Further studies, coupling functional and structural changes of coronary circulation with those of penile (i.e., dynamic penile test) circulation in each of these situations are mandatory to support this hypothesis.
authors.affiliation: Institute of Cardiology University of Milan, Centro Cardiologico Monzino, IRCCS, Milan, Italy.
authors.forename: Piero
authors.initials: P
authors.lastname: Montorsi
authors.forename: Paolo M
authors.initials: PM
authors.lastname: Ravagnani
authors.forename: Stefano
authors.initials: S
authors.lastname: Galli
authors.forename: Alberto
authors.initials: A
authors.lastname: Briganti
authors.forename: Andrea
authors.initials: A
authors.lastname: Salonia
authors.forename: Federico
authors.initials: F
authors.lastname: Dehò
authors.forename: Claude
authors.initials: C
authors.lastname: Schulman
authors.forename: Francesco
authors.initials: F
authors.lastname: Montorsi
mesh_terms: D000368:Aged; D015415:Biomarkers; D001775:Blood Circulation / Q000502:physiology; D003324:Coronary Artery Disease / Q000150:complications / Q000503:physiopathology*; D003326:Coronary Circulation / Q000502:physiology; D003331:Coronary Vessels / Q000503:physiopathology; D007172:Erectile Dysfunction / Q000150:complications / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged
chemical_list: D015415:Biomarkers