Erectile dysfunction as a harbinger for increased cardiometabolic risk

K. L. Billups, A. J. Bank, H. Padma-Nathan, S. D. Katz, R. A. Williams

Research output: Contribution to journalReview articlepeer-review

43 Scopus citations


In August 2003, the Minority Health Institute (MHI) convened an Expert Advisory Panel of cardiologists and urologists to design a new practice model algorithm that uses erectile dysfunction (ED) as a clinical tool for early identification of men with systemic vascular disease. The MHI algorithm noted ED as a marker for the presence of cardiovascular disease and suggested that ED may well be a cardiovascular risk equivalent warranting aggressive secondary prevention management strategies, even in the absence of other cardiac or peripheral vascular symptoms. The MHI algorithm stipulates that all men 25 years of age and older should be asked about ED as a routine part of the cardiovascular history during any office visit. The presence of ED should prompt an aggressive assessment for occult vascular disease; many men with erectile difficulty would benefit from early, aggressive management of cardiovascular risk factors with both lifestyle modification and pharmacotherapy to achieve optimal target goals under the existing treatment guidelines. Since publication of the algorithm in 2005, additional research studies have further supported the advisory panel recommendations.

Original languageEnglish (US)
Pages (from-to)236-242
Number of pages7
JournalInternational Journal of Impotence Research
Issue number3
StatePublished - May 2008
Externally publishedYes


  • Atherosclerosis
  • Cardiovascular disease
  • Endothelial
  • Erectile dysfunction

ASJC Scopus subject areas

  • Urology


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