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Abstract

Erectile Dysfunction (ED), also known as Impotence, is one type of very common medical condition affecting sexual health. Besides age there are other risk factors for ED, which include hypertension, diabetes, coronary artery disease, hyperlipidemia, smoking and depression. We proposed to test the efficacy of viagra in patients with hypertension and other co-morbid conditions. As is well known that uncontrolled blood pressure can itself lead to erectile dysfunction, hence, only hypertensive patients with well controlled BP were selected. A total of 580 charts were reviewed, 173 (30%) were found to have complains of erectile dysfunction. Complaints of ED were predominantly a result of direct questioning by the physician, seldom it was self reported by the patients. Sexual Health Inventory for Men (SHIM) forms were completed by all male patients. Physicians entered the SHIM scores into the existing Dynamic Medical Record Database. After an adequate trial with Viagra, the SHIM scores were again recorded in the database.

To compare the efficacy of viagra in patients with hypertension alone and in those with hypertension and other co-morbid conditions a comparison of pre and post SHIM scores was undertaken, a wilcox and signed-rank test was also performed. These tests revealed a P<0.001 for the efficacy of viagra in Patients with hypertension and coexisting co-morbid conditions when compared to P<0.72 for patients with hypertension alone.

The above study shows beyond doubt that viagra is highly efficacious in patients with hypertension and in those with hypertension and other co-morbid conditions like diabetes, hyperlipidemia and vascular disease etc. However, the effect is markedly pronounced in patients with hypertension with comorbid conditions. Sexual health is an important part of an individual's overall physical and emotional well being. The above observations affecting millions will help physicians achieve this difficult aspect in patient care. (See Table)

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Efficacy of Viagra in Patients With and Without Co-Morbid Conditions

Status of the PatientsPre SHIM ScorePost SHIM ScoreP Value
Hypertension without co-morbid conditions n=8111.89 ± 3.0222.53 ± 1.24<0.001
Hypertension patients with co-morbid conditions13.18 ± 3.2822.53 ± 1.24<0.001
Status of the PatientsPre SHIM ScorePost SHIM ScoreP Value
Hypertension without co-morbid conditions n=8111.89 ± 3.0222.53 ± 1.24<0.001
Hypertension patients with co-morbid conditions13.18 ± 3.2822.53 ± 1.24<0.001
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Efficacy of Viagra in Patients With and Without Co-Morbid Conditions

Status of the PatientsPre SHIM ScorePost SHIM ScoreP Value
Hypertension without co-morbid conditions n=8111.89 ± 3.0222.53 ± 1.24<0.001
Hypertension patients with co-morbid conditions13.18 ± 3.2822.53 ± 1.24<0.001
Status of the PatientsPre SHIM ScorePost SHIM ScoreP Value
Hypertension without co-morbid conditions n=8111.89 ± 3.0222.53 ± 1.24<0.001
Hypertension patients with co-morbid conditions13.18 ± 3.2822.53 ± 1.24<0.001

Impotence, Hypertension, Viagra
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© American Journal of Hypertension, Ltd. 2003
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