TY - JOUR
T1 - Erectile dysfunction is a marker for cardiovascular disease
T2 - Results of the Minority Health Institute Expert Advisory Panel
AU - Billups, Kevin L.
AU - Bank, Alan J.
AU - Padma-Nathan, Harin
AU - Katz, Stuart
AU - Williams, Richard
N1 - Funding Information:
This article was derived from the Minority Health Institute Expert Advisory Panel held on August 3, 2003, at the National Medical Association 2003 Annual Convention & Scientific Assembly in Philadelphia, Pennsylvania and the “Erectile Dysfunction and Cardiovascular Disease—A New Practice Model: Implications for African Americans” symposium convened on August 4, 2003, at the National Medical Association 2003 Annual Convention & Scientific Assembly in Philadelphia, Pennsylvania. The Expert Advisory Panel and symposium were coorganized by the Minority Health Institute Inc., Beverly Hills, California, and TenenbaumReisch, Mt. Kisco, New York. The symposium was supported by an unrestricted educational grant from Pfizer, Inc.
PY - 2005
Y1 - 2005
N2 - Introduction. Cardiovascular disease and its related comorbidities are associated with significant morbidity and mortality and affect a disproportionately large number of African Americans and Hispanics. The prevalence of cardiovascular disease is increasing worldwide, which underscores the urgency to improve methods of prevention and early detection. Aim. To develop a risk assessment and management algorithm for primary care patients with erectile dysfunction (ED) that facilitates diagnosis, early intervention, and prevention of cardiovascular disease. Methods. The Minority Health Institute (MHI) convened an Expert Advisory Panel of cardiologists and urologists to design a new practice model algorithm that uses ED as a clinical tool for early identification of men with systemic vascular disease. A draft of the algorithm was presented at a national symposium and comments from symposium participants were considered in the development of the final algorithm. Main outcome measures and results. Erectile dysfunction is common and has long been considered a secondary complication of cardiovascular disease, diabetes, hypertension, and dyslipidemia. However, a growing body of evidence challenges this view, suggesting instead that ED is an early manifestation of atherosclerosis and a precursor to systemic vascular disease. Endothelial dysfunction is the etiologic factor linking ED and cardiovascular disease. Conclusions. The recognition of ED as an early sign of systemic cardiovascular disease offers an opportunity for prevention, particularly in high-risk and underserved minority populations. The MHI algorithm stipulates that all men 25 years old and older regardless of sexual dysfunction complaints should be asked about ED. The presence of ED should prompt an aggressive assessment for cardiovascular risk and occult systemic vascular disease.
AB - Introduction. Cardiovascular disease and its related comorbidities are associated with significant morbidity and mortality and affect a disproportionately large number of African Americans and Hispanics. The prevalence of cardiovascular disease is increasing worldwide, which underscores the urgency to improve methods of prevention and early detection. Aim. To develop a risk assessment and management algorithm for primary care patients with erectile dysfunction (ED) that facilitates diagnosis, early intervention, and prevention of cardiovascular disease. Methods. The Minority Health Institute (MHI) convened an Expert Advisory Panel of cardiologists and urologists to design a new practice model algorithm that uses ED as a clinical tool for early identification of men with systemic vascular disease. A draft of the algorithm was presented at a national symposium and comments from symposium participants were considered in the development of the final algorithm. Main outcome measures and results. Erectile dysfunction is common and has long been considered a secondary complication of cardiovascular disease, diabetes, hypertension, and dyslipidemia. However, a growing body of evidence challenges this view, suggesting instead that ED is an early manifestation of atherosclerosis and a precursor to systemic vascular disease. Endothelial dysfunction is the etiologic factor linking ED and cardiovascular disease. Conclusions. The recognition of ED as an early sign of systemic cardiovascular disease offers an opportunity for prevention, particularly in high-risk and underserved minority populations. The MHI algorithm stipulates that all men 25 years old and older regardless of sexual dysfunction complaints should be asked about ED. The presence of ED should prompt an aggressive assessment for cardiovascular risk and occult systemic vascular disease.
KW - Cardiovascular risk
KW - Endothelial dysfunction
KW - Erectile dysfunction
KW - Preventive medicine
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U2 - 10.1111/j.1743-6109.2005.20104_1.x
DO - 10.1111/j.1743-6109.2005.20104_1.x
M3 - Article
C2 - 16422903
AN - SCOPUS:16344387690
SN - 1743-6095
VL - 2
SP - 40
EP - 50
JO - Journal of Sexual Medicine
JF - Journal of Sexual Medicine
IS - 1
ER -