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Experts call for urgent action to tackle strong links between impotence and heart disease
Date:5/19/2010

International experts are calling for all men experiencing impotence to undergo thorough medical assessments, after an extensive review showed that a significant proportion of men with erectile dysfunction (ED) exhibit early signs of coronary artery disease (CAD).

A paper published in the June issue of IJCP, the International Journal of Clinical Practice, shows that men with ED will often develop coronary symptoms within two to three years of impotence and actually experience a cardiovascular event, such as a heart attack, within three to five years.

The authors stress that it is vital that clinicians stabilise cardiovascular function and control any symptoms before even considering initiating any ED therapy.

Dr Graham Jackson, a London-based cardiologist and Chair of the Sexual Advice Association, teamed up with 11 experts from all over the UK, Italy, Greece and the USA to analyse the findings of more than a hundred studies on the links between ED and CAD.

They concluded that:

  • ED in otherwise healthy men and those with type 2 diabetes may be associated with early subclinical signs of CAD, including reduced blood flow and calcification of the arteries.

  • Men with ED generally exhibit more severe CAD and dysfunction in the left ventricle of the heart than those without ED and the severity of the ED may also be correlated with the severity of the CAD.

  • In around two-thirds of men, CAD is preceded by ED. The association in younger men aged between 40 and 69 is much clearer than in men over 70.

  • ED is associated with an increase in all-cause mortality, primarily through its associated with CAD.

A number of studies have sought to quantify the increased risk.

  • One study found that men aged between 30 and 39 with moderate to severe ED have a 14 per cent higher risk of developing CAD within ten years than men without CAD (4.9 per cent
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Contact: Annette Whibley
Wizard.media@virgin.net
Wiley-Blackwell
Source:Eurekalert  

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