Booster Shots

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Could impotence warn of impending heart attack?

11:40 AM, October 22, 2008

NewviagraErection problems just aren't disturbing enough. What they really need is the specter of death behind them. Ah, here we go.

Dr. Geoffrey Hackett from Good Hope Hospital in Great Britain has written a letter in the British Medical Journal contending that erectile dysfunction is often an early warning, by two to three years, of a heart attack.

It stands to reason. Though the condition can have many causes, Hackett points out that impotence can also be a sign of vascular disease in the smaller arteries of the body -- and that it suggests a 50% additional risk of coronary events. (a.k.a., "the big one" -- and not in a good way.)

The good doctor is frustrated that many physicians simply treat erectile dysfunction as a lifestyle issue, not a symptom of physical health. To compound the problem, when treating heart disease, they prescribe drugs that worsen erectile dysfunction.

They're related conditions, he says. Related, not separate. He's quite insistent about the matter. He writes:

"Continuing to ignore these issues on the basis that cardiologists feel uncomfortable mentioning the word erection to their patients is no longer acceptable and probably clinically negligent."

Perhaps popping a blue, diamond-shaped pill and proceeding about one's merry way isn't the wisest course after all. In the short run, it could work, sure -- but a long run is better.

Here's what the Mayo Clinic and the National Kidney and Urologic Diseases Information Clearinghouse have to say about erectile dysfunction and what to do about it.

-- Tami Dennis

Photo: Viagra is one way to treat erectile dysfunction, but don't forget the cardio workout.

Credit: Toby Talbot / Associated Press

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A whole foods plant based diet will clear your arteries and solve this and many other health problems.

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Tami Dennis, who takes the word "skeptic" to previously uncharted territory, is the Times' Health and Science editor. She's adamant that pitches promoting awareness days, weeks or months are, by their nature, non-stories. And, because she's an adult, she refuses to use words like "veggies," "tummy" and "yummy."
Rosie Mestel, deputy Health and Science editor, studied genetics before abandoning flies, fungi and DNA for health/medical writing. Her hero is the biologist Ernst Haeckel, whose jellyfish paintings inspired snazzy chandeliers. Her favorite toast-spread is Marmite, a British delicacy made of yeast extract. Her least-favorite word is "millenniums."
Melissa Healy is a staff writer for the Health section reporting from Washington D.C. Healy's a veteran of The Times' National staff, having covered the Pentagon, Congress, poverty and social welfare, the environment, and the White House before shifting to Health in 2003. She writes frequently about mental health and human behavior, about federal health policy, prescription medication and ethics in medicine. More wonk than wellness freak, Healy chooses to believe in the health benefits of coffee and wine, and considers water a better work-out medium than beverage.
Karen Kaplan covers genetics, stem cells and cloning. She and colleague Thomas H. Maugh II comprise about 25% of the unofficial MIT-Alumni-in-Journalism Club, and she is proud to have taken more math (5) than English (0) courses in college. Her contributions to Booster Shots will, she hopes, appear more frequently than postings to her mommy blog.
Thomas H. Maugh II has been a science and medical writer at the Times for 23 years. Before that, he was on the staff of the journal Science for 13 years. He has bachelor's degrees in English and chemistry from MIT and a doctorate in chemistry from UC Santa Barbara.
After a brief stint as a sports writer, Shari Roan turned to health journalism and has covered the topic for The Times for 18 years. She is the author of three books and the mother of two daughters, both teenagers who refer to her as a "health freak." She likes to jog, watch baseball and is very happy that dark chocolate contains some health benefit.
Jeannine Stein writes about fitness, sports medicine and obesity for the Health section. She’s a gym rat from way back and never met an elliptical trainer she didn’t like. Well, maybe one or two. She tempers exercise with a steady diet of reality television because she believes it’s all about balance.