Manage Erectile Dysfunction in Patients with Hearth Disease - Intermediate Risk Patients

The Princeton guidelines define Intermediate Risk as patients with:

Intermediate or indeterminate risk: evaluate to reclassify as high or low risk

Asymptomatic and ≥3 CAD risk factors (excluding gender)

  -> Increased risk for acute MI and death

  -> ETT may be appropriate, particularly in sedentary patients

Moderate, stable angina pectoris

  -> ETT may clarify risk

MI >2 weeks but <6 weeks

  -> Increased risk of ischemia, reinfarction, and malignant arrhythmias

  -> ETT may clarify risk

LVD/congestive heart failure (CHF) (NYHA class II)

  -> Moderate risk of increased symptoms

Cardiovascular evaluation and rehabilitation may permit reclassification as low risk

Non-cardiac atherosclerotic sequelae (peripheral arterial disease, history of stroke, or transient ischemic attacks)

  -> Increased risk of MI

  -> Cardiological evaluation should be considered

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