“…A recent study by Szymanski et al showed that in fact, AF patients with ED tend to have higher thromboembolic risk as assessed by the CHA 2 DS 2 -VASc score, which follows the above-mentioned hypothesis and might potentially add to the risk assessment scheme. 28,29 Unfortunately, the fact that baseline characteristics including cardiovascular risk factors in the majority of aspects did not differ between the groups with and without sexual dysfunctions shows that there is no easy, clinical, parameterbased way to distinguish patients with ED and other sexual dysfunctions from healthy subjects. Therefore, given the high prevalence of the disorders and their negative impact on the quality of life, routine screening of AF patients for ED, using tools like IIEF, should be highly encouraged.…”