Is Erectile Dysfunction a CVD Equivalent?
Is it merely coincidental that cardiovascular disease (CVD) and erectile dysfunction (ED) share similar risk factors? Advanced age, hypertension, diabetes, smoking, obesity, and dyslipidemia are common to both.1 Try these 2 short questions whose answers may illuminate whether ED should be taken seriously as a CVD equivalent.
The correct answer is: A. In men with known CVD, hypertension, or type 2 diabetes, the prevalence of ED is 70%.
ED is extremely common in men with CVD, hypertension, and diabetes.1 In the ONTARGET/TRANSCEND trials,2 the presence of ED was significantly predictive of all-cause mortality as well as cardiovascular death and hospitalization for heart failure.1 In fact, the strength of ED in predicting presence of CVD is stronger in younger men.1 The association of ED with chest pain and coronary syndromes is a striking 50%, not 25%.1