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Angiology
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Medline Plus Health Information
*Blood Pressure Medicines
*Erectile Dysfunction
*High Blood Pressure
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Hypertension, Antihypertensive Therapy, and Erectile Dysfunction

Athanasios G. Papatsoris, MD

2nd Department of Urology, School of Medicine, University of Athens, "Sismanogleio" Hospital, Athens

Panagiotis G. Korantzopoulos, MD

Department of Cardiology, "G. Hatzikosta" General Hospital of Ioannina, Ioannina, Greece, pkor{at}oneway.gr

Erectile dysfunction represents a common problem in the male hypertensive population. Both erectile dysfunction and hypertension share common pathophysiologic pathways such as atherosclerosis and endothelial dysfunction. Furthermore, traditional cardiovascular risk factors affect both conditions. Notably, several antihypertensive medications seem to adversely affect erectile function whereas others may exert neutral or even favorable effects. Thus, the regular and meticulous clinical evaluation of hypertensive patients, as well as individualization of anti-hypertensive therapy, are important steps in the effective management of such patients. In addition, the administration of phosphodiesterase-5 inhibitors or apomorphine has excellent efficacy and safety profile in hypertensive patients irrespective of taking or not taking anti-hypertensive medications.

Angiology, Vol. 57, No. 1, 47-52 (2006)
DOI: 10.1177/000331970605700107
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