Purpose of Review We review the recent literature on the between subclinical CVD, ED, and clinical CVD, we rec- hypothesized temporal relationship between subclinical ommend that all men with vascular ED should undergo cardiovascular disease (CVD), vascular erectile dysfunc- cardiovascular risk assessment. We further recommend tion (ED), and clinical CVD. In addition, we combine using CAC scores for advanced risk assessment in pa- emerging research with expert consensus guidelines such tients at low–intermediate to intermediate risk (5–20% as The Princeton Consensus III to provide a preventive CVD risk), with risk driving subsequent lifestyle and cardiologist’s perspective toward an ideal approach to pharmacologic treatment decisions. evaluating and managing CVD and ED risk in patients. . . Recent Findings Development of ED was found to occur dur- Keywords Erectile dysfunction Cardiovascular disease . . ing the progression from subclinical CVD to clinical CVD. A Subclinical disease Coronary calcium score strong association was observed between subclinical CVD Risk assessment Princeton III Consensus as assessed by coronary artery calcium (CAC) and carotid plaque and subsequent ED, providing evidence for the role of subclinical CVD in predicting ED. ED is also identified Introduction as a substantial independent risk factor for overt clinical CVD, and
Current Sexual Health Reports – Springer Journals
Published: Oct 23, 2017
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