title: Erectile dysfunction in heart failure patients.
abstract: Chronic heart failure (HF) and erectile dysfunction (ED) are 2 highly prevalent disorders that frequently occur concomitantly. Coronary artery disease, HF, and ED share several common risk factors, including diabetes mellitus, hypertension, smoking, and dyslipidemia. Additionally, the distinct physiologic sequelae of HF create unique organic and psychologic factors contributing to ED in this patient population. Standard HF therapy with beta-receptor blockers, digoxin and thiazide diuretics may worsen sexual dysfunction owing to medication side effects. This may, in turn, lead to noncompliance in misguided efforts to retain satisfactory sexual activity, with secondary worsening of cardiac capacity. This review describes the unique aspects of ED in the HF population.
authors.affiliation: Division of Cardiology, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California 90048, USA. ernst.schwarz@cshs.org
authors.forename: Ernst R
authors.initials: ER
authors.lastname: Schwarz
authors.forename: Saurabh
authors.initials: S
authors.lastname: Rastogi
authors.forename: Vishal
authors.initials: V
authors.lastname: Kapur
authors.forename: Nasir
authors.initials: N
authors.lastname: Sulemanjee
authors.forename: Jennifer J
authors.initials: JJ
authors.lastname: Rodriguez
mesh_terms: D002303:Cardiac Output, Low / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D003863:Depression / Q000209:etiology / Q000628:therapy; D007172:Erectile Dysfunction / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology / Q000523:psychology; D006801:Humans; D008297:Male; D012731:Sex Counseling