Pre-hospital ManagementErectile dysfunction (ED ) is very rampant among patient with heart diseases , in particular post myocardial infarction (MI . Behind the main reasons arising from atherosclerosis , another factor is the psychological issues that these patients start to experience contributes to the ontogenesis of ED . Such issues includes the fear of experiencing another MI come on path during intercourse and anxiety ascribable to the post-infarction state . It has been make out that the figure of speech of patients experiencing ED after MI rape are nip and tuck from 38 to 78 (Sainz Amaya Garcia 2004Viagra or Cialis are drugs considered for the treatment of vertical dysfunction . These drugs are healthy known under the compartmentalization phosphodiesterase-5 (PDE-5 ) inhibitors . Sildenafil (Viagra ) and tadalafil (Cialis ) are approximately of the drugs considered as PDE-5 inhibitors The mechanism of proceeding utilized is through the azotic oxide (NO )-cyclic guanosine monophosphate (CGMP ) route which is the known as the natural pathway on how erection is positive .

PDE-5 is an enzyme found in the trabecular smooth muscle that inactivates cGMP , the foundation that causes the cavernosal balance necessary for penial erection to occur (Smeltzer , naked , Hinkle Cheever 2008 . By blocking the inhibition of PDE-5 , these pharmacologic agents facilitate bodily smooth muscle relaxation in response to inner stimulationThese medi cations are usually taken an hour before ! familiar activity and can build efficiency by producing an erection with stimulation the erection usually lasts for about 60 to long hundred minutes . decent attention has been provided for cardiac patients using PDE-5 inhibitors due to the issue of safety...If you expect to get a full essay, mold it on our website:
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