Sexual dysfunction in men in the first 9 months after myocardial infarction
Journal Title: Psychiatria Polska - Year 2013, Vol 47, Issue 5
Abstract
Objectives. The aim of the study is to assess the frequency of sexual dysfunction in men after myocardial infarction (MI). Methods. 62 men were asked to fill IIEF 15 to assess sexual dysfunction 3 and 9 months after MI. Results. Erectile dysfunction (ED), orgasmic dysfunction, decreased sexual desire, decreased intercourse satisfaction, decreased overall satisfaction were recognized respectively by: 61.3%, 24.2%, 62.9%, 71%, 54.8% of men 3 months after MI, and 51.6%, 17.7%, 58.1%, 77.4%, 59.7% of men 9 months after MI. Men with ED had higher serum CRP (5.8 vs. 3.8; p=0.04) and creatinine (1 vs. 0.9; p=0,04) levels in the peri-infarction period and higher serum BNP (47.4 vs. 24.6; p=0.04) measured 3 months after MI than men without ED. They had also higher serum testosterone levels than men without ED (12.6 vs. 10.6; p=0.03). Men with decreased sexual desire had significantly lower serum DHEAs (dehydroepiandrosterone sulfate) levels in the peri-infarction period than men with normal sexual desire (191.1 vs. 224.3; p=0.044). Men with ED 9 months after MI had higher serum CRP levels in the peri-infarction period (7.5 vs. 4.6; p=0.0371). Men with orgasmic dysfunction had lower left ventricular ejection fraction (EF) measured in the peri-infarction period (0.4 vs. 0.5; p=0.0318). Conclusions. 1.Men with ED have higher serum CRP and creatinine levels in the peri-infarction period. 2. DHEAs level has an influence on sexual desire and on erectile function after MI. 3.BNP level in post-MI patients affects erectile function. 4.EF has an impact on orgasmic function.
Authors and Affiliations
Bartosz Puchalski, Filip Szymański, Robert Kowalik, Krzysztof Filipiak
Keywords
Related Articles
- EP ID EP162092
- DOI -
- Views 98
- Downloads 0
Dissociative fugue in a maternity ward patient – a case report
Summary Aim. To pay attention to the role of stress connected with delivery, obstetric history, as to the pathologies in the infant as predictors of dissociative disturbances in the patient of the maternity ward. Meth...
“Addiction” to phenelzine – case report
The use of non-selective monoamine oxidase inhibitors (IMAO) may be associated with the risk of addiction, which is confirmed by case studies published so far. Harmful use of antidepressants in patients with affective di...
Objawy obsesyjno-kompulsyjne, tiki, stereotypie ruchowe czy dążność do zachowania stałości otoczenia? Występowanie powtarzalnych aktywności u pacjentów z całościowymi zaburzeniami rozwoju – opis przypadków
Streszczenie Jednym z kryteriów diagnostycznych charakteryzujących grupę całościowych zaburzeń rozwoju (CZR) są ograniczone i powtarzające się zachowania, które mogą przyjmować postać zaangażowania w stereotypowe zainte...
Skala Manii Becha–Rafaelsena i Skala Manii Younga – porównanie właściwości psychometrycznych dwóch narzędzi do oceny nasilenia zespołu maniakalnego
The newest therapeutic directions in the rehabilitation of patients with mental disorders
In this paper, the authors attempted to present the comprehensive literature review on the newest therapeutic interventions such as cognitive remediation therapy (CRT), mindfulness-based cognitive therapy (MBCT), social...