Erectile Dysfunction can improve the effectiveness of the current guidelines for the screening for asymptomatic coronary artery disease in diabetes

Carmine Gazzaruso, Adriana Coppola, Tiziana Montalcini, Cinzia Valenti, Adriana Garzaniti, Gabriele Pelissero, Fabrizio Salvucci, Pietro Gallotti, Arturo Pujia, Colomba Falcone, Sebastiano B. Solerte, Andrea Giustina

Research output: Contribution to journalArticlepeer-review

Abstract

About 40% of diabetic patients with asymptomatic coronary artery disease (CAD) are missed on the basis of the current screening guidelines. Erectile Dysfunction (ED) is a powerful marker of asymptomatic CAD. Aim of the study is to evaluate whether ED can improve the effectiveness of the current guidelines for the screening of CAD in diabetes. From among 299 consecutive men with newly diagnosed type 2 diabetes without any apparent vascular complication, 293 (mean age 56.6 ± 5.9 years) were enrolled. Among them, 219 did not have myocardial ischemia (NO CAD group) and 74 men had a coronary stenosis angiographically proven (CAD group). Five risk factors (RFs) of the current screening guidelines (hypertension, dyslipidemia, family history for CAD, smoking e micro/macroalbuminuria) and ED were assessed. ED was significantly more prevalent in the CAD than in the NO CAD group (37.8 versus 15.1%; P

Original languageEnglish
Pages (from-to)273-279
Number of pages7
JournalEndocrine
Volume40
Issue number2
DOIs
Publication statusPublished - Oct 2011

Keywords

  • Diabetes
  • Erectile dysfunction
  • Guidelines
  • Screening
  • Silent coronary disease

ASJC Scopus subject areas

  • Endocrinology
  • Endocrinology, Diabetes and Metabolism

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