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Association between treatment for erectile dysfunction and death or cardiovascular outcomes after myocardial infarction
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  • Published on:
    Older Chinese patients will benefit more from treatment for erectile dysfunction
    • Xiaobo Zhang, urological surgeon Department of Geriatrics, Xiangya International Medical Center, Xiangya Hospital, Central South University
    • Other Contributors:
      • Mingquan Chen, urological surgeon
      • Yuxin Tang, urological surgeon
      • Dongjie Li, urological surgeon

    We read with great interest this paper which demonstrated erectile dysfunction (ED), not only as a preclinical predictor of cardiovascular disease (CVD), treatment for ED. But also has a role in a reduced mortality and heart failure hospitalization1.However, a multi-country and region population-based survey indicated that the majority of Asian men have never sought treatment for ED because of cultural factors or sexual conservatism2.
    Unfortunately, this situation is more serious in China. A multi-center investigation of 3327 subjects showed that although the proportion of severe cases (IIEF<8) among the Chinese elderly is the highest in all age groups, most elderly men are reluctant to visit the hospital just for the loss of erectile function (EF). They consider the loss of libido and EF with increasing age to be a natural process of aging3. Moreover, even the old men who seek help for ED were more concerned about the side effects of Western medicine (e.g., PDE5i); only a few of them (19%) used Western medicine as the first choice4. Furthermore, Chinese physicians seldom ask patients about their sexual health during routine consultations, their neglect of the health education about ED also aggravated this vicious circle2, 4.
    Hence, there is a substantial need for promoting Andersson et al 's 1 findings on health education of elderly ED patients in China. The improved awareness and cultural factors would lead more Chinese elderly to visit the hospi...

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    Conflict of Interest:
    None declared.