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Phosphodiesterase type 5 inhibitors improve endothelial function and may benefit cardiovascular conditions.

Authors: Bryan G Schwartz|||Graham Jackson|||Vera J Stecher|||Deborah M Campoli-Richards|||Robert A Kloner

Journal: The American journal of medicine

Publication Type: Journal Article

Date: 2013

DOI: 10.1016/j.amjmed.2012.08.015

ID: 23410557

Affiliations:

Affiliations

    Heart Institute, Good Samaritan Hospital, Los Angeles, Calif 90017-2395, USA.||||||||||||

Abstract

The effects of phosphodiesterase type 5 inhibitors on vasodilation mediated via nitric oxide-cyclic guanosine monophosphate are well described. Less is known about other mechanisms through which phosphodiesterase type 5 inhibitors benefit endothelial function, including normalization of serum biomarkers, increased levels of endothelial progenitor cells, ischemia-reperfusion protection mechanisms, and other actions specific to patients with diabetes. These various mechanisms are reviewed. Their impact on several cardiovascular diseases, including erectile dysfunction, pulmonary hypertension, heart failure, high-altitude pulmonary edema, Raynaud's phenomenon, coronary artery disease, diabetes, and atherosclerosis, is presented.


Chemical List

    Phosphodiesterase 5 Inhibitors