CASE REPORT: Association Between Erectile Dysfunction and Coronary Artery Disease: A Case Report Study

  1. Piero Montorsi MD1,
  2. Paolo M. Ravagnani MD1,
  3. Stefano Galli MD1,
  4. Alberto Briganti MD2,
  5. Andrea Salonia MD2,
  6. Federico Dehò MD2,
  7. Claude Schulman MD3,
  8. Francesco Montorsi MD2,*

Article first published online: 15 JUN 2005

DOI: 10.1111/j.1743-6109.2005.00084.x

Issue

The Journal of Sexual Medicine

The Journal of Sexual Medicine

Volume 2, Issue 4, pages 575–582, July 2005

Additional Information

How to Cite

Montorsi, P., Ravagnani, P. M., Galli, S., Briganti, A., Salonia, A., Dehò, F., Schulman, C. and Montorsi, F. (2005), CASE REPORT: Association Between Erectile Dysfunction and Coronary Artery Disease: A Case Report Study. The Journal of Sexual Medicine, 2: 575–582. doi: 10.1111/j.1743-6109.2005.00084.x

Author Information

  1. 1

    Institute of Cardiology University of Milan, Centro Cardiologico Monzino, IRCCS, Milan, Italy

  2. 2

    Department of Urology and Sexual Diseases, Università Vita-Salute, San Raffaele Hospital, Milan, Italy

  3. 3

    Department of Urology, Erasme Hospital, University Clinics of Brussels, Brussels, Belgium

*Francesco Montorsi, Cattedra  di  Urologia,  Universita’ Vita  e  Salute,  Ospedale San Raffaele, Via Olgettina 60, 20132 Milan, Italy. Tel: (39) 02-26437286; Fax: (39) 02-26437298; E-mail: montorsi.francesco@hsr.it

Publication History

  1. Issue published online: 15 JUN 2005
  2. Article first published online: 15 JUN 2005

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Keywords:

  • Examination;
  • Epidemiology;
  • Diagnostic Testing

ABSTRACT

Evidence is accumulating in favor of classifying erectile dysfunction (ED) as a vascular disorder. There are three main clinical scenarios in which ED and coronary artery disease (CAD) may coexist: the patient with ED who later develops CAD, the patient with overt CAD who is casually found to have ED, and the patient with acute coronary syndrome who has normal sexual function. This study presents three cases and discusses a “putative” pathophysiological mechanism underlying all these clinical presentations. Further studies, coupling functional and structural changes of coronary circulation with those of penile (i.e., dynamic penile test) circulation in each of these situations are mandatory to support this hypothesis.

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