Erectile Dysfunction and Incidence of Cardiovascular Disease
- John B. Kostis, MD
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Kostis@umdnj.edu
- Raymond C. Rosen, PhD
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UMDNJ-Robert Wood Johnson Medical School
New Brunswick, NJ
- Robert DeBusk, MD
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Stanford University School of Medicine
Stanford, Calif
Since this article does not have an abstract, we have provided the first 150 words of the full text.
To the Editor: In their study of erectile dysfunction and cardiovascular events, Dr Thompson and colleagues1 state that the Princeton Consensus Panel Guidelines for management of sexual dysfunction2 published in July 2000 imply that no cardiovascular workup is necessary for asymptomatic men with 3 or fewer cardiovascular risk factors as long as hypertension is controlled. However, classification of patients as having a low risk for a coitus–induced cardiovascular event does not imply that all risk factors for cardiovascular disease have been adequately controlled.
The second Princeton Consensus Guidelines,3 published in July 2005, emphasize the relationship between erectile dysfunction and CVD, the commonality of risk factors for the 2 conditions, and the role of endothelial dysfunction in both. Because atherosclerotic disease involving the coronary, cerebral, or peripheral circulation has similar risk factors as erectile dysfunction and because erectile dysfunction is often the earliest symptom of atherosclerotic disease, the …
