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Heart Dieases And Erectile Dysfunction – Treatable With Newer Drugs
(ED) is defined as the inability to attain and/or maintain penile erection sufficient for satisfactory sexual act. ED may also be an early sign of cardiovascular disease. Risk factors (Hypertension, Diabetes Mellitus, High Level of Low Density Lipids, Smoking) for heart disease and ED are the almost same. It is commonly seen that there is high incidences of ED in the patients having history of cardiovascular disorders.
Cardiac and metabolic expenditures during sexual intercourse will vary
depending on the type of sexual activity. A retrospective case-crossover study has shown that sexual activity can trigger the onset of heart attack, the relative risk in the 2 h after sexual activity was low. Sexual activity was a likely contributor to the onset of myocardial infarction only 0.9% of the time. Regular exercise appears to prevent this onset. The heamodynamic changes associated
with sexual activity may be far greater with an unfamiliar partner, in unfamiliar settings, and after excessive eating and drinking. The Princeton Consensus Table for estimation of cardiovascular risk during sexual intercourse gives a first orientation regarding the question which patients can perform sex safely and which subgroup needs further diagnosis and treatment.
It is recommended that the patient should tell the sex clinician about his illnesses (like diabetes,
hypertension, any cardiac disease or any other chronic illness) while coming for treatment of ED.