Dr. Michael J. Blaha MD MPH is Associate Professor of Cardiology and Epidemiology and presently serves as the Director of Clinical Research for the Johns Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease. His clinical interests include primary and secondary prevention of cardiovascular disease, with emphasis on early intervention in patients with advanced subclinical atherosclerosis detected with cardiac computed tomography.
Hip pain, bad breath, unexplained fatigue and nighttime urination are all lesser known and surprising signs of cardiovascular disease.
Diabetes or chronic stress can cause erectile dysfunction (ED), but it may be a sign of budding heart disease. ED is often a blood-flow problem, and risk factors — from smoking to hypertension — are similar for vascular ED and atherosclerotic cardiovascular disease (hardening of the arteries). The root cause of both issues is endothelial dysfunction, in which blood vessels have difficulty expanding and contracting properly, which reduces blood flow to the heart and the penis.