Prevention & lipids

Long-term effects of phosphodiesterase-5 inhibitors on cardiovascular outcomes and death: a systematic review and meta-analysis

Eur Heart J Cardiovasc PharmacotherPublished Systematic review and meta-analysis of cohort studies

Authors' conclusion

The use of PDE5i primarily in men with or without known coronary artery disease was associated with a lower risk for cardiovascular events and overall mortality.

Study context

Population
Mostly men (99.4%), median age 61.5 years, with or without known CAD
Participants
1,257,759 men16 studies
Comparison
PDE5i vs other erectile dysfunction (ED) treatment, placebo or no treatment
Outcome
(1) major adverse cardiovascular events (MACE) and (2) all-cause mortality
Follow-up
Median 4.3 years

Pooled result

As reported in the abstract

PDE5i vs ControlRelative risk (95% CI)
MACE
0.78(0.69–0.89)
All-cause mortality (13 studies)
0.70(0.56–0.87)

Original publication

Long-term effects of phosphodiesterase-5 inhibitors on cardiovascular outcomes and death: a systematic review and meta-analysis. Eur Heart J Cardiovasc Pharmacother. Published 30 July 2024. doi:10.1093/ehjcvp/pvae029

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