Letters Section Editor: Robert M. Golub, MD, Senior Editor.
To the Editor: In their study of erectile dysfunction and cardiovascular events, Dr Thompson and colleagues1 state that the Princeton Consensus Panel Guidelines for management of sexual dysfunction2 published in July 2000 imply that no cardiovascular workup is necessary for asymptomatic men with 3 or fewer cardiovascular risk factors as long as hypertension is controlled. However, classification of patients as having a low risk for a coitus–induced cardiovascular event does not imply that all risk factors for cardiovascular disease have been adequately controlled.
Kostis JB, Rosen RC, DeBusk R. Erectile Dysfunction and Incidence of Cardiovascular Disease. JAMA. 2006;295(17):1998-2000. doi:10.1001/jama.295.17.1999-b