Evidence map›Paper›PMID 41346650›Full record

ReviewGlobal cardiology science & practice2025

The impact of PDE5 inhibitors on cardiovascular outcomes.

Imad Ghantous, Mohamad Tlais, Ali El Khatib, Georges Ghantous, George Maroun, Anthony Challita, Mohamad Ayek, Giorgio Barmo, Maria Sahyoun, Georges El Kari

Abstract readReview
In one paragraph

Review in Global cardiology science & practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

10 authors.

Imad GhantousDepartment of Urology, Saint George Hospital University Medical Center, Beirut, Lebanon.
Mohamad TlaisFaculty of Medicine and Medical Sciences, University of Balamand, Beirut, Lebanon.
Ali El KhatibDepartment of Urology, Saint George Hospital University Medical Center, Beirut, Lebanon.
Georges GhantousDepartment of Urology, Saint George Hospital University Medical Center, Beirut, Lebanon.
George MarounDepartment of Urology, Saint George Hospital University Medical Center, Beirut, Lebanon.
Anthony ChallitaDepartment of Urology, Saint George Hospital University Medical Center, Beirut, Lebanon.
Mohamad AyekDepartment of Urology, Saint George Hospital University Medical Center, Beirut, Lebanon.
Giorgio BarmoFaculty of Medicine and Medical Sciences, University of Balamand, Beirut, Lebanon.
Maria SahyounFaculty of Medicine and Medical Sciences, University of Balamand, Beirut, Lebanon.
Georges El KariDepartment of Urology, Saint George Hospital University Medical Center, Beirut, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Erectile dysfunction and cardiovascular disease share common underlying mechanisms, with the former being an early marker of cardiovascular risk. Phosphodiesterase-5 inhibitors, widely used as first-line therapy for erectile dysfunction, also exhibit systemic vasodilatory properties with potential cardiovascular implications. This systematic review evaluates their impact on cardiovascular outcomes in patients with coexisting erectile dysfunction and cardiovascular disease. A comprehensive analysis of 13 studies identified significant cardiovascular benefits, including reduced risks of myocardial infarction, heart failure, and overall mortality. The mechanisms underlying these effects include improved endothelial function, reduced systemic inflammation, and enhanced exercise capacity. Despite these benefits, neutral or adverse outcomes have been noted in specific conditions and populations, such as heart failure with preserved ejection fraction and post-stroke patients. These findings highlight the importance of patient-specific factors in determining the appropriateness of phosphodiesterase-5 inhibitors. These results underscore the potential of these therapies to provide cardioprotective effects while emphasizing the necessity for tailored treatment strategies to maximize benefits and mitigate risks in high-risk populations.

Identifiers

PMID41346650
PMCPMC12673857

What OpenQuestion holds

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LicenceCC BY
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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.