Heart Health Articles

Erectile Dysfunction Predicts Extension Of Coronary Artery Disease By Angiography In Acute Coronary Syndromes. The Dead Goose Study

June 18, 2017

UroToday - The authors of this study point out that erectile dysfunction (ED) and coronary artery disease (CAD) frequently coexist. In this study, they investigated whether the prevalence of ED is related to the extent of CAD in 182 men undergoing coronary angiography for a first acute coronary syndrome (ACS.)

Significant coronary stenosis was considered as >50% reduction in the diameter of any coronary artery and ED was considered to be present if the total score of the 5 item version of the International Index of Erectile Function (IIEF) was less than 22.

The average IIEF score in their patients without ED was 24 and in their patients with ED was 13.6. ED was found in 74 (41%) of the 182 men. The number of diseased coronary arteries, age and diabetes were statistically significant and independent predictors of ED. The prevalence of single vessel disease was 62% in men without ED and 37% in men with ED but the prevalence of two or three vessel disease was 27% in men without ED and 73% in men with ED. ED caused a four-fold increase in the risk of multi-vessel CAD.

Editor's Note: ED is not just a lifestyle choice! Coronary heart disease is not an outcome any man would elect. Erectile dysfunction is a disease; failure to identify and treat men with Ed has consequences beyond quality of life.

AUA 2006 - Abstract 1340: Montorsi P et al.

Reviewed by UroToday Contributing Editor Ira Sharlip, MD

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