Prof. Dr.Mohamed Hamdy Abouel-Hassan

Bottom Line: Q
tiesticnnaires
Review of literature
may be too cumbersome for the average
clinician. They serve a useful purpose, in that they provide a mechanism to
quantitative certain aspects of, in this case, sexual behavior. If the clinician
is not comfortable with a certain topic in this arena, then the questionnaires
are extremely helpful in providing an assessment tool .Emerging concept of
ED as a predictor of cardiovascular disease. While the association of
cardiovascular risk factors, such as hypertension and ED is known, data
appear to be emerging that supports ED as a potential risk factor for
cardiovascular disease. While the public health implications are significant,
the data are still emerging and are thus evolving. Having said that, there is
still ample opportunity to intervene
Assessing the cardiovascular risk prior to instituting erectogenic
therapy
The erectogenic agents, and in particular the oral PDE5 inhibitors, have
created an aura of uncertainty with respect to cardiovascular safety inasmuch
as they are mild peripheral vasodilators.
Guidelines were developed which allow the clinician to categorize the
individual patient cardiovascular risk profile and provide guidance with
respect to proceeding to direct erectogenic treatment or further cardiac
evaluation. Essentially, the patient is classified based on cardiac risk factors
as outlined in the table I
be offered, or further stratification is needed.
. Based on this assessment, erectogenic agents can
Cardiovascular disease risk assessment-questionnaire (table 1) [DeBusk R.,
(2000)]
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