par Roumeguere, Thierry
Référence Louvain médical, 135, 8, page (487-492)
Publication Publié, 2016-10
Article révisé par les pairs
Résumé : Erectile dysfunction (ED) affects millions of men worldwide, and its implications reach far beyond sexual activity. Nowadays, ED is recognized as an early marker for cardiovascular diseases and diabetes mellitus. While being an essential quality-of-life component, ED is also associated with an independent risk of future cardiovascular events. ED has a similar predictive value for cardiovascular events as traditional risk factors. Coronary artery disease is more prevalent and often more severe in patients with ED than in those without. Of particular relevance is the increased risk of cardiovascular event in ED men aged 50 years or less. Prevention of arteriosclerosis should be a priority therapeutic target, especially in agerelated ED patients. Correcting the reversible causes or risk factors involved in atherosclerotic pathogenesis remains the first approach to adopt in order to improve endothelial function. Practitioners should be able to identify and prevent cardiovascular diseases for which ED could be a warning signal.