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Cardiovascular risk stratification in males with erectile dysfunction[1,2]

Cardiovascular risk stratification in males with erectile dysfunction[1,2]
Low-risk category Intermediate-risk category High-risk category
Asymptomatic, <3 risk factors for CAD (excluding sex) ≥3 risk factors for CAD (excluding sex) High-risk arrhythmias
  Mild or moderate, stable angina Unstable or refractory angina
  Previous (>6 to 8 week) or recent (2 to 6 week) MI Recent (<2 week) MI
LVD/CHF (NYHA class I or II) LVD/CHF (NYHA class III) LVD/CHF (NYHA class IV)
Post-successful coronary revascularization Noncardiac sequelae of atherosclerotic disease (eg, stroke, peripheral vascular disease) Hypertrophic obstructive and other cardiomyopathies
Controlled hypertension   Uncontrolled hypertension
Mild valvular disease   Moderate-to-severe valvular disease
The Princeton Consensus (Expert Panel) Conference is dedicated to optimizing sexual function and preserving cardiovascular health[1]. Patients with ED can be stratified into three cardiovascular risk categories as summarized in this table, which can be used as the basis for a treatment algorithm for initiating or resuming sexual activity[1,2].
CAD: coronary artery disease; MI: myocardial infarction; LVD: left ventricular dysfunction; CHF: congestive heart failure; NYHA: New York Heart Association; ED: erectile dysfunction.
References:
  1. Wespes E, Eardley I, Guiliano F, et al. European Association of Urology Guidelines on Male Sexual Dysfunction: erectile dysfunction and premature ejaculation. 2013. Available at: www.uroweb.org/gls/pdf/14_Male%20Sexual%20Dysfunction_LR.pdf (Accessed on November 24, 2013).
  2. Nehra A, Jackson G, Miner M, et al. The Princeton III Consensus recommendations for the management of erectile dysfunction and cardiovascular disease. Mayo Clin Proc 2012; 87:766.
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