{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T01:26:54Z","timestamp":1780536414837,"version":"3.54.1"},"reference-count":33,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2018,5,11]],"date-time":"2018-05-11T00:00:00Z","timestamp":1525996800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2018,5,11]],"date-time":"2018-05-11T00:00:00Z","timestamp":1525996800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["jsm.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Erectile dysfunction (ED) is assumed to be connected with vascular disease caused by endothelial dysfunction, and characterized by the incapability of the smooth muscle cells lining the arterioles to relax, therefore, inhibit vasodilatation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>To assess the predictive value of arteriogenic ED for coronary artery disease in men above the age of 40\u00a0years.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>75 Patients reporting arteriogenic ED and 25 men with normal erectile function were enrolled in the study. Both patients and controls were subjected to the following investigations: lipid profile, fasting blood sugar, body mass index (BMI), waist circumference, penile duplex study, stress electrocardiography (ECG) test, International Index of Erectile Function (IIEF) Type 5 (Arabic version), and cardiovascular (CV) 10-year risk assessment using Framingham and Prospective Cardiovascular M\u00fcnster (PROCAM) scoring systems.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcomes<\/jats:title>\n                  <jats:p>We compare between the study groups regarding the interpretation of exercise testing.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>We observed significant increase in the mean value of age, systolic blood pressure, BMI, weight, height, and waist circumference in the cases; significant prevalence of obesity and overweight in the cases (P\u00a0&amp;lt;\u00a0.001); significant increase in the mean value of total cholesterol, triglycerides (TG), and low-density lipoprotein; and decrease in mean value of high-density lipoprotein in the cases (P &amp;lt; .001). Additionally, there was high incidence of positive stress ECG in the cases (25.3%) vs that in controls (12%), and significant difference between patients with positive stress ECG test and those with negative stress ECG test regarding their lipid profile, age, BMI, and waist circumference with higher values in positive stress ECG for total cholesterol, TG, and low-density lipoprotein, and lower value for high-density lipoprotein (P &amp;lt; .001). According to PROCAM and Framingham scoring systems 10-year risk assessment, there was a high significant difference between the cases and control groups with a higher score in cases than the control group with 30.7% of cases having \u2265 30% risk of developing coronary heart disease, and significant positive correlations between CV risk and BMI, and negative correlations with IIEF-5 cases (P &amp;lt; .001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Translation<\/jats:title>\n                  <jats:p>Ischemic heart disease events were higher in men with documented arteriogenic ED than those without ED.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>All items of metabolic syndrome were investigated and analyzed and we evaluated our groups using both PROCAM and Framingham scoring system. An exercise ECG is suggested before starting treatment of vasculogenic ED at least in patients with CV risk factors.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1016\/j.jsxm.2018.04.639","type":"journal-article","created":{"date-parts":[[2018,5,11]],"date-time":"2018-05-11T13:05:51Z","timestamp":1526043951000},"page":"880-887","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["The Predictive Value of Arteriogenic Erectile Dysfunction for Coronary Artery Disease in Men"],"prefix":"10.1093","volume":"15","author":[{"given":"Sherif Salah","family":"Azab","sequence":"first","affiliation":[{"name":"Urology Department , Cairo, \u00a0 Egypt"},{"name":"Faculty of Medicine , Cairo, \u00a0 Egypt"},{"name":"October 6 University , Cairo, \u00a0 Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hossam","family":"El Din Hosni","sequence":"additional","affiliation":[{"name":"Andrology Department , Cairo, \u00a0 Egypt"},{"name":"Faculty of Medicine , Cairo, \u00a0 Egypt"},{"name":"Cairo University , Cairo, \u00a0 Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taha A.","family":"El Far","sequence":"additional","affiliation":[{"name":"Faculty of Medicine , Cairo, \u00a0 Egypt"},{"name":"Cairo University , Cairo, \u00a0 Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nashaat Nabil","family":"Ismail","sequence":"additional","affiliation":[{"name":"Andrology Department"},{"name":"Faculty of Medicine"},{"name":"Beni-Suef University"},{"name":"Beni-Suef, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasser K.","family":"El Bakdady","sequence":"additional","affiliation":[{"name":"Cardiology Department , Cairo, \u00a0 Egypt"},{"name":"Faculty of Medicine , Cairo, \u00a0 Egypt"},{"name":"Cairo University , Cairo, \u00a0 Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed F.","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Andrology and Sexually Transmitted Diseases Department, Faculty of Medicine , Cairo, \u00a0 Egypt"},{"name":"Cairo University , Cairo, \u00a0 Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2018,5,11]]},"reference":[{"key":"2023012309264689700_bib1","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1001\/jama.1993.03510010089036","article-title":"Consensus development panel on impotence","volume":"270","author":"National Institute of Health","year":"1993","journal-title":"JAMA"},{"key":"2023012309264689700_bib2","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1016\/j.eururo.2010.02.014","article-title":"Re: Penile sonographic and clinical characteristics in men with Peyronie's disease","volume":"57","author":"Hatzimouratidis","year":"2010","journal-title":"Eur Urol"},{"key":"2023012309264689700_bib3","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1016\/S0090-4295(97)00238-0","article-title":"The International Index of Erectile Function (IIEF): a multidimensional scale for assessment of erectile dysfunction","volume":"49","author":"Rosen","year":"1997","journal-title":"Urology"},{"issue":"Suppl","key":"2023012309264689700_bib4","doi-asserted-by":"crossref","first-page":"S22","DOI":"10.1038\/sj.ijir.3900793","article-title":"Prevalence of erectile dysfunction: need for treatment?","volume":"14","author":"Meuleman","year":"2002","journal-title":"Int J Impot Res"},{"key":"2023012309264689700_bib5","doi-asserted-by":"crossref","first-page":"S52","DOI":"10.1038\/sj.ijir.3901429","article-title":"Sexual dysfunction in the elderly: age or disease?","volume":"17","author":"Camacho","year":"2005","journal-title":"Int J Impot Res"},{"key":"2023012309264689700_bib6","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/S0140-6736(05)66885-7","article-title":"Reproductive health problems in aging men","volume":"366","author":"Rosen","year":"2005","journal-title":"Lancet"},{"key":"2023012309264689700_bib7","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/j.ejogrb.2007.02.011","article-title":"Evaluation of endothelial function in women with polycystic ovary syndrome","volume":"134","author":"Lowenstein","year":"2007","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2023012309264689700_bib8","doi-asserted-by":"crossref","first-page":"1405","DOI":"10.1016\/j.jacc.2003.11.041","article-title":"Heart disease risk factors predict erectile dysfunction 25 years later: the Rancho Bernardo study","volume":"43","author":"Fung","year":"2004","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"2023012309264689700_bib9","doi-asserted-by":"crossref","first-page":"2632","DOI":"10.1093\/eurheartj\/ehl142","article-title":"Association between erectile dysfunction and coronary artery disease. 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