Erectile dysfunction in the cardiovascular patient

Charalambos Vlachopoulos, Graham Jackson, Christodoulos Stefanadis, Piero Montorsi

Research output: Contribution to journalArticlepeer-review


Erectile dysfunction is common in the patient with cardiovascular disease. It is an important component of the quality of life and it also confers an independent risk for future cardiovascular events. The usual 3-year time period between the onset of erectile dysfunction symptoms and a cardiovascular event offers an opportunity for risk mitigation. Thus, sexual function should be incorporated into cardiovascular disease risk assessment for all men. A comprehensive approach to cardiovascular risk reduction (comprising of both lifestyle changes and pharmacological treatment) improves overall vascular health, including sexual function. Proper sexual counselling improves the quality of life and increases adherence to medication. This review explores the critical connection between erectile dysfunction and cardiovascular disease and evaluates how this relationship may influence clinical practice. Algorithms for the management of patient with erectile dysfunction according to the risk for sexual activity and future cardiovascular events are proposed.

Original languageEnglish
Pages (from-to)2034-2046
Number of pages13
JournalEuropean Heart Journal
Issue number27
Publication statusPublished - Jul 14 2013


  • Cardiovascular disease
  • Erectile dysfunction
  • Sexual counselling

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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