Erectile dysfunction in patients with cardiovascular disease

Erectile dysfunction is a highly prevalent disease, especially in cardiovascular-compromised men. Many of the well-established risk factors for cardiovascular disease are also risk factors for erectile dysfunction. A correlation between erectile dysfunction and endothelial dysfunction is well established. It is postulated that erectile dysfunction with an arteriovascular aetiology can predate and be an indicator of potential coronary artery disease. In this paper we will attempt to increase awareness among cardiologists for the predictive value of erectile dysfunction for future cardiovascular disease in order to optimise cardiovascular risk management. The treatment of erectile dysfunction and cardiovascular interactions is also discussed in detail. Healthcare pharmacy

Erectile dysfunction (ED), defined by the World Health Organisation as the inability to achieve and/or maintain an erection satisfactory for sexual intercourse, is a very common but frequently ignored condition. The Massachusetts Male Aging Study showed symptoms of erectile dysfunction in 52% of 1290 males between 40 and 70 years of age. Erectile dysfunction is highly prevalent, the incidence is age-related, it is a progressive condition and it is significantly undertreated. In 1995 it was estimated that 152 million males worldwide suffered from ED. Due to an increase in life expectancy it is estimated that by the year 2025, 322 million males will suffer from ED worldwide, showing the importance of this widespread medical condition. An age-stratified sample of men >40 years in Boxmeer, the Netherlands showed that ED was a common disorder within the population. To the question regarding problems in getting an erection 13% of all men answered affirmatively. The prevalence was higher among older age groups but they regarded ED as less of a problem than the younger age groups. online pharmacy

Normal erectile function is dependent on a fine-tuned interaction of multiple organ systems, including psychosocial, endocrine, neurological, genitourinary and cardiovascular systems. Impairment of normal erectile function may occur with malfunctioning of any of these systems. The aetiology of ED is organic in the majority of patients, arteriovascular abnormalities being the most common cause. Buy Cialis Jelly

Because the penis is essentially a vascular organ that requires the two corpora cavernosa to fill with and retain blood, the relation between cardiovascular disease and ED has become a new area of focus and research. Many of the well-established risk factors for cardiovascular disease such as smoking, diabetes, hypertension and lipid abnormalities are also risk factors for ED. Erectile dysfunction is not uncommon among men who have cardiovascular disease. It is postulated that ED with an arteriovascular aetiology can predate and be an indicator of potential coronary artery disease. This article is intended to increase awareness in cardiologists of ED and its cardiovascular implications and is not intended to be all-inclusive. generic pharmacy

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