Erectile Dysfunction in Men With Angiographically Documented Coronary Artery Disease

Abstract

Introduction: We evaluated erectile function of men with coronary artery disease (CAD) and the relation between the degree of erectile dysfunction (ED) and the extent of coronary artery stenosis on cardiac angiography. Materials and Methods: Nondiabetic men with CAD documented by angiography were evaluated for ED. Erectile function was assessed by a 5-item version of the International Index of Erectile Dysfunction, the Sexual Health Inventory for Men (SHIM). Results: Of 401 men, 186 (46.4%) had ED (SHIM score, 21 or less). Men with ED were more likely to have more than 1 stenotic cardiac vessel (P P P P = .21). Symptoms of ED had appeared prior to CAD detection in 78 out of 189 patients (41.9%) with a mean time interval of about 23 months (range, 10 to 36 months). Conclusion: Our finding showed that the prevalence of ED is relatively high in patients with CAD, and has a relationship with the extent of CAD. Furthermore, ED may occur before CAD with an average interval of 2 years.

Keywords

• erectile dysfunction
• coronary artery disease
• vascular diseases
• myocardial infarction
• cardiac catheterization