News & Events

Added to My Toolbox
Removed from My Toolbox
Added to My Toolbox
Removed from My Toolbox
Jul 13, 2018

Erectile Dysfunction Associated with Increased Risk for Heart Attack and Stroke

Men with erectile dysfunction should discuss their risk for heart disease with their clinician.

Men with erectile dysfunction face nearly twice the risk for heart attack and stroke, based on a recent study of nearly 1,800 U.S. men. Results were published in the American Heart Association journal Circulation and suggest that erectile dysfunction could be a warning sign for heart health.

Erectile dysfunction and heart disease are both vascular conditions that have many similarities. Both conditions share numerous risk factors, such as obesity, high blood pressure, diabetes and smoking. And both occur when there’s reduced blood flow in the heart’s vessels and arteries.

In many cases, erectile dysfunction is caused by narrowing of the small arteries in the penis. The same narrowing that occurs in those vessels can also impact larger vessels, like the ones in your heart. Although not all cases of erectile dysfunction have the same cause, it can be a warning sign of build-up in the arteries. Experts wonder how well erectile dysfunction may predict risk for future heart events.

To learn more, researchers analyzed data from the MESA study (Multi-Ethnic Study of Atherosclerosis), which tracks the heart health of adults from six communities in the United States. The recent analysis included a diverse group of 1,757 male study participants, all of who provided information about their sexual activity.

Specifically, participants were told that erectile dysfunction (sometimes called impotence) means being unable to get and keep an erection that is rigid enough for satisfactory sexual activity. They were then asked if they were always, usually, sometimes or never able to get and keep an erection good enough for sexual intercourse.

Individuals answered “sometimes” or “never” were defined as having erectile dysfunction.

After following participants for an average of 3.8 years, researchers found that men with erectile dysfunction were nearly twice as likely to have a heart attack, stroke or heart-related death as men without the condition. This association existed after taking into account factors like age, race, ethnicity and medication use.

Interestingly, nearly 50% of participants had erectile dysfunction. Authors note that participants with erectile dysfunction were more likely to have diabetes and a family history of heart disease. Participants with erectile dysfunction were also more likely to be taking blood pressure and cholesterol-lowering medication, as well as antidepressant medication.

The average age of participants was 69, and all were free of heart disease at the start of the study.

According to authors, findings confirm the link between erectile dysfunction and heart disease. They also suggest that erectile dysfunction could be an independent risk factor for heart disease, similar to risk factors like diabetes and high blood pressure.

Authors note that additional research is needed to confirm this association. However, men with erectile dysfunction should talk to their doctor about their condition and discuss their risk for heart disease.


Questions for You to Consider

  • How can I reduce my risk for heart disease?
  • You can reduce your risk for heart disease by maintaining a healthy weight, eating a heart-healthy diet and staying physically active. Any additional risk factors, such as high blood pressurecholesterol and diabetes, should be properly addressed and controlled through lifestyle changes and working with your healthcare provider.

Featured Video

It's important for men to recognize the symptoms of a heart attack, remain calm and quickly call 911. Under no circumstances should men try to "tough it out."

Related

Shift Workers at Increased Risk for Heart Attack and Stroke

Studies have shown that irregular work shifts are associated with high blood pressure, diabetes, and obesity.

Sleep Apnea Increases Cardiovascular Risk in Women

Breathing interruptions during sleep increases cardiovascular risk in both men and women but can be treated in simple ways.

Discontinuation of Aspirin and Heart Attack Risk

Discontinuing aspirin use can increase heart attack risk by 2/3 in patients who have had a heart attack or stroke.

Common Painkillers Increase Heart Risks

Study finds that taking high doses of NSAIDs for prolonged periods of time increases risk for heart attack and stroke.

A New Strategy to Prevent One Million Heart Attacks and Strokes

Experts hope to reduce heart attack and stroke rates by coupling a new risk estimation tool with a new insurance model.

Infographic: Health Tips for Older Adults

Living with Coronary Artery Disease?