The authors conducted an analytical cross-sectional study over a period of 3\nmonths among hypertensive patients, in order to determine the frequency of\nthe erectile dysfunction (ED), and to identify the predictive factors. It included\ntreated hypertensive patients, presenting an ED, defined as the incapacity\nto obtain or maintain an erection sufficient for satisfactory sexual activity.\nOn 265 hypertensive patients, 172 (65%) presented an ED. The average\nage was 58.2 Â} 9.7 years. The associated cardiovascular risk factors were\noverweight/obesity in 99 cases (37.4%), sedentariness in 90 cases (34%), diabetes\nmellitus in 50 cases (19%), dyslipidemia in 12 cases (4.5%), and tobacco\naddiction in 6 cases (2.3%). Arterial hypertension (HTN), old of 6.7 Â} 5.8\nyears, was treated by bitherapy in 129 cases (48.7%), and tritherapy in 102\ncases (38.5%). The principal therapeutic classes used were ACE inhibitors/\nARBs in 213 cases (81%), calcium antagonists in 205 cases (78%), thiazides\nin 137 cases (52.1%), and beta-blockers in 82 cases (31%). ED, severe in\n124 cases (72%), and moderate in 48 cases (28%), consisted of a difficulty to\nmaintain the erection in 78 cases (45.3%), to obtain the erection in 30 cases\n(17.4%), and the two partners in 64 cases (37.2%). In multivariate analysis,\nonly the age, seniority of HTN, and the existence of diabetes mellitus were the\npredictive factors of ED. The early and effective assumption of responsibility\nof the AHT, as well as other cardiovascular risk factors whose diabetes, would\nmake it possible to reduce the frequency of it, thus improving quality of life of\nthe hypertensive patients.
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