title: [Treatment of erectile dysfunction in patients with ischemic heart disease and angina of effort].
abstract: A total of 58 patients with ischemic heart disease and angina of effort (FC II) (mean age 55.6 years) participating in the study were diagnosed to have erective dysfunction (ED) of a mild (35%), moderate (57%) and severe degree (8%). All the patients were randomized into two groups. Group 1 (n=21, mean age 56.4 years) received standard cardiotropic therapy (nitrates, beta-blockers, ACE inhibitors on demand, diuretics, antioxidants) and placebo. Group 2 (n=37, mean age 54.3 years) received the same standard cardiotropic therapy plus impase (1 tablet each other day for 3 months). The results of the trial show that impase addition to cardiotropic therapy raised exercise tolerance, diminished the number of anginal attacks in mild and moderate exercise, enhanced coronary microcirculatory blood flow, increased reserve circulation index by 34%, improved metabolism of vascular endothelium in the whole body. Impase acts pathogenetically in endothelial insufficiency. Prevention of endothelial dysfunction by impase allows both to stop progression of cardiovascular disease and to prevent erectile dysfunction.
authors.forename: A I
authors.initials: AI
authors.lastname: Neĭmark
authors.forename: R T
authors.initials: RT
authors.lastname: Aliev
authors.forename: N I
authors.initials: NI
authors.lastname: Muzalevskaia
authors.forename: S V
authors.initials: SV
authors.lastname: Kraĭnichenko
authors.forename: E N
authors.initials: EN
authors.lastname: Vorob'eva
mesh_terms: D015720:5'-Nucleotidase / Q000008:administration & dosage; D000319:Adrenergic beta-Antagonists / Q000008:administration & dosage; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000008:administration & dosage; D000975:Antioxidants / Q000008:administration & dosage; D003326:Coronary Circulation / Q000187:drug effects; D004232:Diuretics / Q000008:administration & dosage; D004730:Endothelium, Vascular / Q000378:metabolism / Q000473:pathology; D007172:Erectile Dysfunction / Q000150:complications / Q000188:drug therapy* / Q000378:metabolism / Q000473:pathology; D015444:Exercise; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000150:complications / Q000188:drug therapy* / Q000378:metabolism / Q000473:pathology; D009566:Nitrates / Q000008:administration & dosage
chemical_list: D000319:Adrenergic beta-Antagonists; D000806:Angiotensin-Converting Enzyme Inhibitors; D000975:Antioxidants; D004232:Diuretics; D009566:Nitrates; D015720:5'-Nucleotidase