Cardiovascular Pharmacotherapy & Male Sexual Function

[madman]

Prof. Dr. Mahmoud Tantawy

 

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Learning Objectives

 

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Why Care? - The 'Penile-Heart Axis"

 

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Correlated Pathophysiology

 

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Risk Stratification - Princeton IV (2024)

 

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Cardiac Medications and its Relation to Erectile Dysfunction

 

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Lipid-Lowering Therapy

 

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Novel Cardio-Metabolic Agents

 

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Anti-Anginals & Nitrates

 

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Antiarrhythmics & Other CV Drugs

 

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PDE-5 Inhibitors - Beyond Erection

PDE-5 Inhibitors - Safety Notes

 

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Testosterone Replacement Therapy (TRT)

 

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Integrated Management Algorithm

 

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Future Horizons (≤2027)

 

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Key Take-Home Messages

 

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Thread 'Recommendations for the Management of ED and Cardiovascular Disease'

Aug 11, 2024

The main lessons from the article are:

1. Independent Risk Marker: Erectile dysfunction (ED) should be considered an independent risk marker for coronary artery disease (CAD). It predates significant cardiac events, including myocardial infarctions and sudden cardiac deaths, often by several years. Thus, it can serve as an early indicator for potential cardiovascular issues.
2. Inclusion in Risk Calculators: The P4 panel advocates for the inclusion of ED as a risk-enhancing factor in cardiovascular risk assessment tools. Currently, only the QRISK calculator incorporates...

• madman
• ed; cvd; pde5i; diagnosis/treatments
• Replies: 21
• Forum: Health & Wellness

 

[madman]

Thread 'The interplay of health and heart health on sexual function: understanding the impact of CVD on sexual dysfunction in men'

Oct 26, 2025

* Erectile dysfunction is a marker of underlying cardiac disease, but many doctors are just not asking!




@Nelson Vergel

This is powerful!

6:00-6:15

* You need to lose about 75% of the lumen of the coronary artery before you get your first cardiac symptom but if you lose even a small amount of the very small penile artery you get sexual problems

https://vimeo.com/1100857015?share=copy&fl=cl&fe=ci
VIDEO HERE

Dr. Mike Kirby

Summary

Take Home Message

• madman
• ed; cvd; cardiovacular health
• Replies: 21
• Forum: When TRT Is Not Enough (ED, Libido, & More)