Key result
Erectile dysfunction strongly predicts silent CAD and future CV events in patients with diabetes.
Why the study?
Recent longitudinal studies have shown that erectile dysfunction predicts future cardiovascular events and is strongly associated with silent coronary artery disease in diabetic patients.
Does erectile dysfunction predict coronary artery disease and future cardiovascular events in patients with diabetes?
Does erectile dysfunction predict coronary artery disease and future cardiovascular events in patients with diabetes?
Erectile dysfunction serves as a clinical marker for silent coronary artery disease and elevated cardiovascular risk in patients with diabetes.
ED may prompt CAD evaluation in diabetic men; leaves open whether screening improves outcomes.
The review deals with recent findings regarding the association between erectile dysfunction (ED) and coronary artery disease (CAD) in patients with diabetes. Indeed recent longitudinal studies have shown that ED is able to predict future cardiovascular events not only in nondiabetic but also in diabetic patients. In addition, in diabetic patients ED seems to be strongly associated with the presence of silent CAD. The mechanism by which ED is linked to CAD seems to be the presence of endothelial dysfunction. This pathophysiological mechanism has been extensively analysed. The possible clinical usefulness of ED to identify diabetic patients with silent CAD or at particularly high cardiovascular risk has been discussed in the review. At last, the review reports current guidelines and recent data available in the literature on the treatment of ED in patients with and without CAD and on the prevention of CAD in patients with ED.
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Gazzaruso et al. (2011) conducted a review in Diabetes, Erectile dysfunction, Coronary artery disease. Erectile dysfunction was evaluated on Coronary artery disease and cardiovascular events. Erectile dysfunction is strongly associated with silent coronary artery disease and predicts future cardiovascular events in patients with diabetes.
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