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Banana up or down: it may be a sign!

Assessment of erectile dysfunction (ED) may help identify early atherosclerosis in men, because ED has been observed several years before coronary symptoms and assumed to be an independent marker of cardiovascular disease risk. This study aimed to gain insight into the underlying pathogenesis of ED in young men under the age of 40 years without widely-known risk factors. For young men with normal results from physical examination, those with relatively high carotid intima-media thickness and homeostatic model assessment index, and relatively low flow mediated vasodilation have a higher risk of ED. The results suggest ED may appear before the detection of traditional cardiovascular risk factors and may be the earliest clinical sign of subclinical cardiovascular disease. Please refer to pages 400-404 by Yao et al. for details. (Artwork is displayed by Xiang Chen)

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