Association between erectile dysfunction and coronary artery disease

A case report study

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Evidence is accumulating in favor of classifying erectile dysfunction (ED) as a vascular disorder. There are three main clinical scenarios in which ED and coronary artery disease (CAD) may coexist: the patient with ED who later develops CAD, the patient with overt CAD who is casually found to have ED, and the patient with acute coronary syndrome who has normal sexual function. This study presents three cases and discusses a "putative" pathophysiological mechanism underlying all these clinical presentations. Further studies, coupling functional and structural changes of coronary circulation with those of penile (i.e., dynamic penile test) circulation in each of these situations are mandatory to support this hypothesis.

Original languageEnglish
Pages (from-to)575-582
Number of pages8
JournalJournal of Sexual Medicine
Volume2
Issue number4
DOIs
Publication statusPublished - 2005

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Erectile Dysfunction
Coronary Artery Disease
Coronary Circulation
Acute Coronary Syndrome
Blood Vessels

Keywords

  • Diagnostic testing
  • Epidemiology
  • Examination

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynaecology

Cite this

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title = "Association between erectile dysfunction and coronary artery disease: A case report study",
abstract = "Evidence is accumulating in favor of classifying erectile dysfunction (ED) as a vascular disorder. There are three main clinical scenarios in which ED and coronary artery disease (CAD) may coexist: the patient with ED who later develops CAD, the patient with overt CAD who is casually found to have ED, and the patient with acute coronary syndrome who has normal sexual function. This study presents three cases and discusses a {"}putative{"} pathophysiological mechanism underlying all these clinical presentations. Further studies, coupling functional and structural changes of coronary circulation with those of penile (i.e., dynamic penile test) circulation in each of these situations are mandatory to support this hypothesis.",
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AU - Montorsi, Piero

AU - Ravagnani, Paolo M.

AU - Galli, Stefano

AU - Briganti, Alberto

AU - Salonia, Andrea

AU - Dehò, Federico

AU - Schulman, Claude

AU - Montorsi, Francesco

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AB - Evidence is accumulating in favor of classifying erectile dysfunction (ED) as a vascular disorder. There are three main clinical scenarios in which ED and coronary artery disease (CAD) may coexist: the patient with ED who later develops CAD, the patient with overt CAD who is casually found to have ED, and the patient with acute coronary syndrome who has normal sexual function. This study presents three cases and discusses a "putative" pathophysiological mechanism underlying all these clinical presentations. Further studies, coupling functional and structural changes of coronary circulation with those of penile (i.e., dynamic penile test) circulation in each of these situations are mandatory to support this hypothesis.

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