Sexual health of male cardiac patients – present status and expectations of patients with coronary heart disease
| Autor: | Łukasz Karpiński, Jana Gebala, Małgorzata Rusiecka, Witold Pilecki, Lesław Rusiecki, Dariusz Kałka, Ewa S. Krauz, K. Womperski, Anna Biełous-Wilk, Magdalena Piłot |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
erectile dysfunction lcsh:Medicine 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Clinical Research Internal medicine Diabetes mellitus medicine risk factors In patient 030212 general & internal medicine Myocardial infarction coronary heart disease Reproductive health cardiologist Framingham Risk Score business.industry lcsh:R General Medicine medicine.disease Coronary heart disease cardiac rehabilitation Erectile dysfunction cardiosexology Physical therapy Sexual function business |
| Zdroj: | Archives of Medical Science, Vol 13, Iss 2, Pp 302-310 (2017) Archives of Medical Science : AMS |
| ISSN: | 1734-1922 |
| DOI: | 10.5114/aoms.2017.65332 |
| Popis: | Introduction: Due to the pathogenetic association between erectile disorders and cardiovascular diseases, cardiologists consult many patients with erectile dysfunction (ED). The aim of the study was to evaluate sexual function in patients with coronary heart disease (CHD) and the use of sexual knowledge in cardiology practice, both current use and that expected by patients. Material and methods : One thousand one hundred and thirty-six patients (average age: 60.73 ±9.20) underwent a dedicated survey which encompassed demographic data and the presence of modifiable ED risk factors. The presence of ED was assessed using the International Index of Erectile Function (IIEF-5) Questionnaire. Results : Sexual problems were discussed by cardiologists with 45 (3.96%) patients. The frequency of initiating the topic was significantly associated with the respondents’ education level (p = 0.0031); however, it was not associated with the patients’ age, duration of CHD, presence of ED, or modifiable risk factors. Four hundred and sixteen (36.62%) respondents indicated that they expect their cardiologist to take an interest in their ED. Nine hundred and twenty-six (81.51%) patients claimed good sexual function to be important or very important to them. Attitude to sexual function was significantly associated with age (p < 0.0001), duration of CHD (p = 0.0018), education (p = 0.0011), presence of ED (p = 0.0041), diabetes (p = 0.0283) and hyperlipidaemia (p = 0.0014). Conclusions : The low frequency with which cardiologists initiate the topic of ED is in contrast to the expectations of patients with CHD. The majority of these patients regard good sexual maintenance as an important part of their life. |
| Databáze: | OpenAIRE |
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