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All men with erectile dysfunction should be monitored for heart and vascular disease

August 30, 2005

An Italian study of men with erectile dysfunction ( ED ) and coronary artery disease ( CAD ) has shown for the first time that the rates of dysfunction differ according to the type and severity of the disease.

It is low among men who have acute coronary syndrome ( ACS ), mainly acute myocardial infarction with one blood vessel affected, but high in those with chronic coronary syndrome ( CCS ), mainly effort-induced angina pectoris and involving many arteries narrowed by atherosclerosis.

They have also shown in their study of nearly 300 men, that among patients with chronic coronary syndrome who had both ED and CAD, 93% reported symptoms of erectile dysfunction between one and three years before experiencing angina, with two years being the average time.

The results have prompted the researchers, from the University of Milan and the University Vita-Salute Ospedale S. Raffaele, also in Milan, to call for long-term medical surveillance in patients with erectile dysfunction and multiple risk factors, but with no clinical signs of coronary artery disease. They say their research has fuelled the concept of erectile dysfunction as ‘sentinel of the heart’.

Their warning has been reinforced in an accompanying editorial by Graham Jackson, at the Cardiothoracic Centre at Guy’s and St Thomas’ NHS Foundation Trust in London, UK.

Read the complete study here:
http://www.xagena.it/news/medicinenews_net_news/24e6e6721e0a39950780dfb8f91e53ed.html

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