Evidence map›Paper›PMID 34652581›Full record

ReviewCardiovascular drugs and therapy2023

Cardiac Effects of Phosphodiesterase-5 Inhibitors: Efficacy and Safety.

Sumon Roy, Robert A Kloner, Fadi N Salloum, Ion S Jovin

Open access · greenAbstract readReview
In one paragraph

Review in Cardiovascular drugs and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Sildenafil helps the beat go on.Experimental physiology · 2026
    Article
  6. Review
  7. Treatment With Phosphodiesterase 5 Inhibitors and Long-Term Outcomes in Patients Undergoing Coronary Angiography and Cardiac Catheterization.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Sumon RoyPauley Heart Center, Virginia Commonwealth University Medical Center, McGuire VAMC, 1201 Broad Rock Boulevard, 111J, Richmond, VA, 23249, USA.ORCID http://orcid.org/0000-0003-4591-3252
Robert A KlonerHuntington Medical Research Institute, Pasadena, CA, USA.ORCID http://orcid.org/0000-0002-6258-0544
Fadi N SalloumPauley Heart Center, Virginia Commonwealth University Medical Center, McGuire VAMC, 1201 Broad Rock Boulevard, 111J, Richmond, VA, 23249, USA.ORCID http://orcid.org/0000-0002-8947-9315
Ion S JovinPauley Heart Center, Virginia Commonwealth University Medical Center, McGuire VAMC, 1201 Broad Rock Boulevard, 111J, Richmond, VA, 23249, USA. isjovin@yahoo.com.ORCID http://orcid.org/0000-0002-4187-2919
Hunter Holmes McGuire VA Medical Center · USUniversity of Southern California · USVeterans Health Administration · US

Funding

Managing Cardiac Toxicities of Cancer TherapyR35HL155651 · NHLBI · VIRGINIA COMMONWEALTH UNIVERSITY · PI Fadi N Salloum · 2021 to 2026
$4.6M
NHLBI NIH HHS R35 HL155651NIH HHS R35 HL155651
6 · The paper itself

Abstract

The coexistence of cardiovascular disease and erectile dysfunction is widespread, possibly owing to underlying endothelial dysfunction in both diseases. Millions of patients with cardiovascular disease are prescribed phosphodiesterase-5 (PDE5) inhibitors for the management of erectile dysfunction. Although the role of PDE5 inhibitors in erectile dysfunction therapy is well established, their effects on the cardiovascular system are unclear. Preclinical studies investigating the effect of PDE5 inhibitors on ischemia-reperfusion injury, pressure overload-induced hypertrophy, and chemotoxicity suggested a possible clinical role for each of these medications; however, attempts to translate these findings to the bedside have resulted in mixed outcomes. In this review, we explore the biologic preclinical effects of PDE5 inhibitors in mediating cardioprotection. We then examine clinical trials investigating PDE5 inhibition in patients with heart failure, coronary artery disease, and ventricular arrhythmias and discuss why the studies likely have yet to show positive results and efficacy with PDE5 inhibition despite no safety concerns.

Indexed as

Cardiovascular DiseasesErectile DysfunctionCyclic Nucleotide Phosphodiesterases, Type 5HeartHumansMalePhosphodiesterase 5 InhibitorsCyclic Nucleotide Phosphodiesterases, Type 5Phosphodiesterase 5 InhibitorsCardioprotectionCardiovascular diseaseHeart failurePhosphodiesterase 5 inhibitor

Identifiers

PMID34652581
PMCPMC9010479
OpenAlexW3205487275

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.