Is Erectile Dysfunction a CVD Equivalent?


The answer, and the evidence behind it, are essential knowledge for primary care.


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.

Question 1. Which one of the following statements is correct?

A. In men with known CVD, hypertension, or type 2 diabetes (T2DM), the prevalence of ED is 70%.
B. In the ONTARGET/TRANSCEND trials, the association of ED with all-cause and cardiac death did not achieve significance.
C. The optimal predictive strength of ED’s association with CVD is only present in older men.
D. One-quarter of men with acute chest pain and angiographically evident coronary disease also have ED.
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