Jackson et al listed criteria for stratifying men with coronary artery disease and erectile dysfunction (ED) for risk of sexual activity. The guidelines were developed at a conference held at Princeton University.
Parameters:
(1) angina
(2) hypertension
(3) myocardial infarction
(4) revascularization procedure
(5) valvular disease
(6) congestive heart failure with NYHA functional status
(7) noncardiac complications of atherosclerotic disease (stroke, etc)
(8) cardiomyopathy
(9) arrhythmias
|
Parameters |
Low Risk |
Intermediate Risk |
High Risk |
|
angina |
mild |
moderate |
unstable |
|
hypertension |
controlled |
NA |
uncontrolled |
|
myocardial infarction |
previous, uncomplicated |
recent (15 to 41 days) |
very recent (<= 14 days) |
|
revascularization |
successful |
NA |
NA |
|
valvular disease |
mild |
NA |
moderate to severe |
|
CHF/NYHA |
NYHA I |
NYHA II |
NYHA III or IV |
|
complications of atherosclerosis |
NA |
present |
NA |
|
cardiomyopathy |
NA |
NA |
present |
|
arrhythmias |
NA |
NA |
high risk |
|
Risk Group |
Features |
|
high risk |
presence of high risk findings, especially unstable angina |
|
low risk |
asymptomatic with <= 2 low risk findings and no intermediate risk findings |
|
intermediate risk |
neither low or high risk |
|
Risk Group |
Recommendation |
|
low |
consider use of phosphodiesterase inhibitor type 5 |
|
intermediate |
refer to cardiologist for evaluation |
|
high |
wait until cardiac status has stabilized |
Specialty: Urology
ICD-10: ,
