Clinical InvestigationCoronary Artery DiseaseErectile dysfunction in the cardiology practice—a patients' perspective
Section snippets
Setting and participants
In February 2013, a total of 650 surveys were mailed to a cross-sectional cohort of adult male patients who consulted a cardiologist in 1 of 2 participating “Cardiology Centers of the Netherlands” (CCN) (G.A.S, I.I.T., CCN location Amsterdam or G. J. d. G., CNN location Voorschoten) between January 2011 and January 2012. Furthermore, 200 questionnaires were randomly distributed to adult male patients visiting the outpatient cardiology department of the Leiden University Medical Center (academic
Demographic data
Mean age of the 296 respondents was 62.9 years (±11.1). For 86.1% of these men, a cardiac diagnosis was made. The other 13.9% came for cardiac screening or check-up, and no cardiovascular problems were found. Of the respondents, 16.1% used 1, 26.5% used 2, and 29.9% used ≥3 cardiac agents (see Table I).
Erectile function and sexual activity
Erectile dysfunction, as defined by an IIEF-5 score of <21, was prevalent in 165 (65%) of the 255 men who completed the IIEF-5 questionnaire. Of these, 240 had been sexually active in the past
Discussion
This study characterized male patients visiting general cardiac outpatient clinics in terms of demographics, cardiac diagnosis, erectile function, and attitudes toward sexual counseling. It adds to the literature as it is the first study to describe views and preferences of sexual health care in a cross-sectional cohort of males visiting an outpatient cardiology practice. Erectile dysfunction was prevalent in more than half of men in this cohort and the most stated reason not to be sexually
References (36)
- et al.
A population-based, longitudinal study of erectile dysfunction and future coronary artery disease
Mayo Clin Proc
(2009) - et al.
Erectile dysfunction in the cardiac patient: how common and should we treat?
J Urol
(2003) - et al.
Diagnosis and treatment of erectile dysfunction for reduction of cardiovascular risk
J Urol
(2013) - et al.
Cardiologists' discussions about sexuality with patients with chronic coronary artery disease
Am Heart J
(2002) - et al.
The health of normally aging men: The Massachusetts Male Aging Study (1987-2004)
Exp Gerontol
(2004) - et al.
Relation of erectile dysfunction to angiographic coronary artery disease
Am J Cardiol
(2003) - et al.
Erectile dysfunction in heart failure patients
J Am Coll Cardiol
(2006) - et al.
Cardiology participation improves outcomes in patients with new-onset heart failure in the outpatient setting
J Am Coll Cardiol
(2003) - et al.
Sexual function in patients with advanced heart failure
Heart Lung
(1996) - et al.
The Princeton III consensus recommendations for the management of erectile dysfunction and cardiovascular disease
Mayo Clin Proc
(2012)
Psychologic distress among spouses of patients undergoing cardiac rehabilitation
Heart Lung
Modifiable risk factors and erectile dysfunction: can lifestyle changes modify risk?
Urology
Erectile dysfunction in the cardiovascular patient
Eur Heart J
Prediction of cardiovascular events and all-cause mortality with erectile dysfunction: a systematic review and meta-analysis of cohort studies
Circ Cardiovasc Qual Outcomes
Erectile dysfunction and coronary artery disease prediction: evidence-based guidance and consensus
Int J Clin Pract
Prevalence of sexual activity and associated factors in men aged 75 to 95 years: a cohort study
Ann Intern Med
Sexual problems in elderly male and female patients with heart failure
Heart
The second Princeton consensus on sexual dysfunction and cardiac risk: new guidelines, new challenges
Int J Clin Pract
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