PMID- 24281316 OWN - NLM STAT- MEDLINE DCOM- 20140902 LR - 20151119 IS - 1940-4034 (Electronic) IS - 1074-2484 (Linking) VI - 19 IP - 1 DP - 2014 Jan TI - Pharmacologic therapy for erectile dysfunction and its interaction with the cardiovascular system. PG - 53-64 LID - 10.1177/1074248413504034 [doi] AB - Phosphodiesterase (PDE) enzymes are widely distributed throughout the body, having numerous effects and functions. The PDE type 5 (PDE5) inhibitors are widely used to treat erectile dysfunction (ED). Recent, intense preclinical and clinical research with PDE5 inhibitors has shed light on new mechanisms and has revealed a number of pleiotropic effects on the cardiovascular (CV) system. To date, PDE5 inhibition has been shown to be effective for the treatment of idiopathic pulmonary arterial hypertension, and both sildenafil and tadalafil are approved for this indication. However, current or future PDE5 inhibitors have the potential of becoming clinically useful in a variety of CV conditions such as heart failure, coronary artery disease, and hypertension. The present review discusses recent findings regarding pharmacologic treatment of ED and its interaction with the CV system and highlights current and future clinical applications beyond ED. FAU - Ioakeimidis, Nikolaos AU - Ioakeimidis N AD - 1First Department of Cardiology, Cardiovascular Diseases and Sexual Health Unit, Athens Medical School, Hippokration Hospital, Athens, Greece. FAU - Kostis, John B AU - Kostis JB LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20131125 PL - United States TA - J Cardiovasc Pharmacol Ther JT - Journal of cardiovascular pharmacology and therapeutics JID - 9602617 RN - 0 (Carbolines) RN - 0 (Phosphodiesterase 5 Inhibitors) RN - 0 (Piperazines) RN - 0 (Purines) RN - 0 (Sulfones) RN - 742SXX0ICT (Tadalafil) RN - BW9B0ZE037 (Sildenafil Citrate) RN - EC 3.1.4.- (Phosphoric Diester Hydrolases) SB - IM MH - Animals MH - Carbolines/pharmacology/therapeutic use MH - Cardiovascular Diseases/*drug therapy/physiopathology MH - Cardiovascular System/drug effects/physiopathology MH - Erectile Dysfunction/*drug therapy/physiopathology MH - Familial Primary Pulmonary Hypertension MH - Humans MH - Hypertension, Pulmonary/drug therapy/physiopathology MH - Male MH - Phosphodiesterase 5 Inhibitors/pharmacology/*therapeutic use MH - Phosphoric Diester Hydrolases/drug effects/metabolism MH - Piperazines/pharmacology/therapeutic use MH - Purines/pharmacology/therapeutic use MH - Sildenafil Citrate MH - Sulfones/pharmacology/therapeutic use MH - Tadalafil OTO - NOTNLM OT - PDE5 inhibitors OT - cardiovascular disease OT - erectile dysfunction EDAT- 2013/11/28 06:00 MHDA- 2014/09/03 06:00 CRDT- 2013/11/28 06:00 PHST- 2013/11/28 06:00 [entrez] PHST- 2013/11/28 06:00 [pubmed] PHST- 2014/09/03 06:00 [medline] AID - 1074248413504034 [pii] AID - 10.1177/1074248413504034 [doi] PST - ppublish SO - J Cardiovasc Pharmacol Ther. 2014 Jan;19(1):53-64. doi: 10.1177/1074248413504034. Epub 2013 Nov 25.