[Drug treatment of erection disorders in patients with cardiovascular disease]. / Medicamenteuze behandeling van erectiestoornissen bij cardiovasculair belaste patiënten.
Ned Tijdschr Geneeskd
; 145(4): 167-71, 2001 Jan 27.
Article
de Nl
| MEDLINE
| ID: mdl-11213561
ABSTRACT
Erectile dysfunction is a frequent condition in cardiovascular patients. Since the arrival of oral erection-supporting medication, patients want to know how safe sexual activity is in cardiovascular disease in general and during use of erection-supporting medication in particular. Sexual intercourse with a steady partner causes no more cardiovascular risk than normal daily activities such as ironing, 2 kilometers of walking without climbing, paperhanging, playing golf or gardening. The relative risk of myocardial infarction during sexual activity is not significantly higher than for healthy persons. The incidence of cardiovascular morbidity and mortality is not higher among users of sildenafil. Sildenafil is contraindicated in patients using long-acting nitrates or who may need to use short-acting nitrates, because the combination may cause a sharp fall of the blood pressure. No interactions have been observed with beta-receptor blockers, calcium antagonists, thiazide and loop diuretics and ACE inhibitors. Before prescribing a symptomatic (pharmaceutical) treatment for patients with an erection disorder, attention should be given tot the sexological, psychological and medical backgrounds of the disorder. Secondary prevention of atherosclerotic risk factors is also important regulation of blood pressure and blood sugar level, hyperlipidaemia and obesity, as well as a change of lifestyle (giving up smoking, adapting of diet and more physical exertion). Patients with a very low cardiac capacity should be advised to refrain from treatment of the erection disorder.
Recherche sur Google
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Inhibiteurs de la phosphodiestérase
/
Pipérazines
/
Maladies cardiovasculaires
/
Donneur d'oxyde nitrique
/
Dysfonctionnement érectile
Type d'étude:
Etiology_studies
/
Guideline
/
Risk_factors_studies
Limites:
Humans
/
Male
Pays/Région comme sujet:
Europa
Langue:
Nl
Journal:
Ned Tijdschr Geneeskd
Année:
2001
Type de document:
Article