Common grounds for erectile dysfunction and coronary artery disease

PURPOSE OF REVIEWEvidence is accumulating to consider erectile dysfunction as a vascular problem. This review focuses on background, pathophysiological mechanisms and clinical evidence of the link between erectile dysfunction and coronary artery disease. RECENT FINDINGSThe link between erectile dysf...

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Veröffentlicht in:Current opinion in urology 2004-11, Vol.14 (6), p.361-365
Hauptverfasser: Montorsi, Piero, Ravagnani, Paolo M, Galli, Stefano, Rotatori, Francesco, Briganti, Alberto, Salonia, Andrea, Dehò, Federico, Montorsi, Francesco
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container_end_page 365
container_issue 6
container_start_page 361
container_title Current opinion in urology
container_volume 14
creator Montorsi, Piero
Ravagnani, Paolo M
Galli, Stefano
Rotatori, Francesco
Briganti, Alberto
Salonia, Andrea
Dehò, Federico
Montorsi, Francesco
description PURPOSE OF REVIEWEvidence is accumulating to consider erectile dysfunction as a vascular problem. This review focuses on background, pathophysiological mechanisms and clinical evidence of the link between erectile dysfunction and coronary artery disease. RECENT FINDINGSThe link between erectile dysfunction and coronary artery disease is suggested by the following. (1) Common risk factors for atherosclerosis are frequently found in erectile dysfunction. (2) Erectile dysfunction is frequently found in vascular syndromes such as coronary artery disease, hypertension, cerebrovascular disease, peripheral arterial disease and diabetes. (3) A similar pathogenic involvement of the NO pathway leading to impairment of endothelium-dependent vasodilatation and late structural vascular abnormalities is shared by erectile dysfunction and vascular disorders. Given this background, the ‘artery-size hypothesis’ is a recently proposed pathophysiological mechanism to explain the link between sexual dysfunction and myocardial ischemia. SUMMARYErectile dysfunction and coronary artery disease appear to be linked tightly each other.
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subjects Coronary Artery Disease - complications
Coronary Artery Disease - epidemiology
Humans
Impotence, Vasculogenic - complications
Impotence, Vasculogenic - epidemiology
Male
title Common grounds for erectile dysfunction and coronary artery disease
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