ArticleUrology2026
Erectile Dysfunction as a Predictor of Subclinical Atherosclerosis: A Community Health Assessment Using Coronary Calcium Scoring in Underserved Cleveland, Ohio.
Article in Urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Erectile dysfunction and sexual health counselling after myocardial infarction treated with percutaneous coronary intervention.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2026Article
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo examine the relationship between erectile dysfunction severity and coronary artery calcium (CAC) burden, including its distribution and potential use as a predictor of elevated calcium scores in a high-risk community.
methodsThis cross-sectional, community-based study recruited men aged ≥40 years with ≥1 cardiovascular risk factor. Erectile dysfunction was measured using the International Index of Erectile Function-5 (IIEF-5), while coronary artery calcium scores were obtained using non-contrast computed tomography and were analyzed continuously and categorically using standard thresholds (≥1, ≥10, ≥100, ≥400). Spearman's rank correlation was used to assess the relationship between IIEF-5 scores and CAC.
resultsAmong our study participants (mean age 59.7 years), 61.7% reported ED of varying severity. The median coronary artery calcium score was 1.5 (IQR: 0.0-97.2), with 11.7% exhibiting severe plaque burden (>400). A significant inverse correlation was observed between IIEF-5 scores and CAC burden (ρ = -.414, p = .001). Higher ED severity corresponded with an increasing CAC category. An IIEF-5 score ≤21 demonstrated high sensitivity (93.3%) and negative predictive value (95.7%) for identifying individuals with CAC ≥100.
conclusionErectile dysfunction severity tracked closely with coronary plaque burden, supporting its role as a sentinel clinical marker of subclinical atherosclerosis. Community-based sexual health screening may offer a simple and low-cost approach for early identification of individuals at risk for future cardiovascular disease.
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