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Home > Archive > Impotence Support > August 2006 > Impotence Can Foreshadow Coronary Artery Disease
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Impotence Can Foreshadow Coronary Artery Disease
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| kimdavis40@gmail.com 2006-07-27, 4:22 pm |
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Impotence Can Foreshadow Coronary Artery Disease
Doctors should monitor heart health of patients with erectile
dysfunction, study says
By Amanda Gardner
HealthDay Reporter
WEDNESDAY, July 19 (HealthDay News) -- Impotence is more prevalent
among men who have more severe coronary artery disease than among men
with low levels of the disease.
And because impotence -- erectile dysfunction -- manifests itself two
to three years sooner than coronary artery disease, the condition
essentially serves as a "sentinel of the heart" -- or early warning
system for cardiac trouble, a new Italian study found.
"It's an important message to get out," said Dr. Ira Sharlip, a
spokesman for the American Urological Association. "There's an
increasing body of knowledge that tells us that erectile dysfunction is
a form of cardiovascular disease and often predates the onset of other
forms of clinical cardiovascular disease, specifically coronary
disease."
Erectile dysfunction affects, to some degree, 52 percent of men aged 40
to 70 years in the United States and 322 million men worldwide. The
condition is linked with age, risk factors for atherosclerosis
(hardening of the arteries) and heart disease, according to background
information for the study. The paper was expected to be published
Wednesday in the online edition of the European Heart Journal.
Erectile dysfunction and coronary artery disease share many of the same
risk factors, including diabetes, smoking, high blood pressure, high
cholesterol, obesity, depression, and lack of physical activity.
Among people with established coronary artery disease, the prevalence
of erectile dysfunction may run as high as 75 percent, the researchers
said.
For the study, the researchers evaluated the prevalence of erectile
dysfunction and its relationship with coronary atherosclerosis in men
with documented coronary artery disease. They hypothesized that
erectile dysfunction prevalence corresponds to the severity of heart
disease.
The study involved 285 patients with coronary artery disease who were
divided into four groups: those with acute coronary syndrome and
disease in one vessel; those with acute coronary syndrome and disease
in two or three vessels; those with chronic coronary syndrome; and a
control group of patients with suspected coronary artery disease but
who were found by angiography to have normal coronary arteries.
Just over one-fifth (22 percent) of men who had coronary artery disease
in one vessel had erectile dysfunction, compared to more than half (55
percent) of those with two-vessel disease, and nearly two-thirds (65
percent) in the group with chronic coronary syndrome.
Twenty-four percent of those in the control group had erectile
dysfunction.
Despite the difference in prevalence between men with one- and
two-vessel disease, these men had similar symptoms.
Erectile dysfunction was associated with a four-fold increased risk of
multi-vessel disease as opposed to single-vessel disease.
Ninety-three percent of men with both erectile dysfunction and coronary
artery disease reported symptoms of erectile dysfunction one to three
years before experiencing angina, with two years the average time.
Men with erectile dysfunction should be watched closely for coronary
artery disease, the authors stated. Others agreed.
"Men who have erectile dysfunction but no known coronary disease should
be evaluated for occult coronary disease and should be counseled about
lifestyle," Sharlip confirmed. "The most important point is that
primary-care physicians need to learn to ask whether a patient has
erectile dysfunction, because it can be an early sign of heart
disease."
Dr. James M. Cummings, chief of the division of urology at Saint Louis
University School of Medicine, said, "What is further significant is
the growing body of literature linking the onset of erectile
dysfunction to the symptomatic onset of coronary artery disease, thus
giving clinicians a true window of opportunity to evaluate and prevent
significant ischemic heart disease in a subgroup of men.
"It is more apparent than ever that men with onset of erectile
dysfunction without already well-defined risk factors should probably
have some type of cardiovascular evaluation," he added.
More information
The National Institute of Diabetes and Digestive and Kidney Diseases
can tell you more about erectile dysfunction (kidney.niddk.nih.gov
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| Hawii Mahal 2006-07-27, 9:21 pm |
| Most men would rather see a physician for CAD than ED therefore
this will serve no purpose.
ED does not occur just one morning out of blue but CAD does.
<kimdavis40@gmail.com> wrote
> Impotence Can Foreshadow Coronary Artery Disease
> Doctors should monitor heart health of patients with erectile
> dysfunction, study says
>
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| Michael 2006-07-29, 2:23 am |
| Who would have thought it? All older men are going to have cardiac trouble.
> And because impotence -- erectile dysfunction -- manifests itself two
> to three years sooner than coronary artery disease, the condition
> essentially serves as a "sentinel of the heart" -- or early warning
> system for cardiac trouble, a new Italian study found.
>
> "It's an important message to get out," said Dr. Ira Sharlip, a
> spokesman for the American Urological Association. "There's an
> increasing body of knowledge that tells us that erectile dysfunction is
> a form of cardiovascular disease and often predates the onset of other
> forms of clinical cardiovascular disease, specifically coronary
> disease."
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| Michael wrote:
> Who would have thought it? All older men are going to have cardiac trouble.
>
>
>
>
>
How about changing "all" to "many." Keep in mind that all cases of E.D.
aren't driven by vascular difficulties. ...Lmac
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| Michael 2006-07-29, 4:21 pm |
| Actually, I agree..and I was joking, because the quoted article gave the
impression that all, if not most cases of ED were warnings of cardiovascular
problems.
"LMac" <lmac5491@yahoo.com> wrote in message
news:P5Eyg.19887$_c1.17416@fed1read05...
> How about changing "all" to "many." Keep in mind that all cases of E.D.
> aren't driven by vascular difficulties. ...Lmac
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| c palmer 2006-07-29, 9:21 pm |
| From: nirvana@comcast.net (Michael)
Actually, I agree..and I was joking, because the quoted article gave the
impression that all, if not most cases of ED were warnings of
cardiovascular problems.
======
really a lot of truth in what you said.
the reason for cardiovascular problems producing the symptoms of ED is
very simple. it is the stopping up of the small arteries as the first
step of the disease, then it clogs the larger ones that produce the
heart attacks.
the penis area has small arteries and therefore, would be fall victim to
cardiovascular problems.
to take it one step further, a lot of doctors are starting to ask this
question in their check up of the patient. "how's your love life?"
it's not that they are trying to be kinky and want all the details, but
are looking for signs that cardiovascular problems could exist.
~ curtis
knowledge is power - growing old is mandatory - growing wise is optional
"Many more men die with prostate cancer than of it. Growing old is
invariably fatal. Prostate cancer is only sometimes so."
http://community.webtv.net/PALMER_ENT/doc
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kimdavis40@gmail.com wrote:
> Printer Friendly Send to a Friend
> Impotence Can Foreshadow Coronary Artery Disease
> Doctors should monitor heart health of patients with erectile
> dysfunction, study says
>
_________
I read a lot of medical abstracts on ED. It appears that for every
study linking ED to CAD there is another indicating no connection.
Probably there is a connection in SOME cases, however studies like the
one above do not take into account the many causes of ED, including
penile venous leakage, medication-induced ED and so on.
We all need to keep an eye on our hearts as well as our cocks as we age
but I see no reason to call in for a stress test with no indications so
far that I have an unhealthy heart.
Jim
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