A STUDY OF ASSESSMENT OF RISK IN MALE PATIENTS WITH ACUTE CORONARY SYNDROME- A CROSS SECTIONAL STUDY.

Dr. Prasad Potdukhe, Dr. Pranay Gandhi

Abstract


There has been an association between erectile dysfunction and coronary artery disease and hence this study was to find out if ED could predict the presence of LM/3VD in ACS patients.

Materials and methods:

A total of 100 male patients with ACS in the department of general medicine from 1st January 2017 to 31st march 2017 were included in the study. Clinical assessment, estimation of international index of erectile function (IIEF) score, and coronary angiography were performed in all patients.

Results

Out of the total 100 male patients patients with IIEF score <17 had significantly higher prevalence of LM CAD (6.2% versus 21.4%, p = 0.01), 3VD (18% versus 42.5%, p = 0.01) and LM/3VD (20.2% versus 59.3%, p = 0.001). The independent predictors of LM/3VD in order of significance were: age, heart rate, IIEF <17, Killip class >1, and ST-depression or ST-elevation in lead aVR ≥1 mV.

Conclusion

The presence of moderate or severe ED in men with ACS is associated with more incidence of LM/3VD. IIEF score <17 was an independent predictor of LM/3VD.

 


Keywords


ACS

Full Text:

PDF

References


J. Figueras, R.M. LidónCoronary reserve, extent of coronary disease, recurrent angina and ECG changes during pain in the in-hospital prognosis of acute coronary syndromes. Eur Heart J, 14 (1993), pp. 185-194

M. Kosuge, T. Ebina, K. Hibi, et al.An early and simple predictor of severe left main and/or three-vessel disease in patients with non-ST-segment elevation acute coronary syndrome Am J Cardiol, 107 (2011), pp. 495-500

NIH consensus conference. Impotence. NIH consensus development panel on impotence. JAMA, 270 (1993), pp. 83-90

M. Reriani, A.J. Flammer, J. Li, et al.Microvascular endothelial dysfunction predicts the development of erectile dysfunction in men with coronary atherosclerosis without critical stenosis. Coron Artery Dis., 25 (2014), pp. 552-557

A. Karagöz, Z.Y. Günaydin, O. Bektaş, E. Benli, A. KayaSubclinical left ventricular deterioration in patients with erectile dysfunction. Acta Cardiol, 71 (2016), pp. 557-563

E.A. Amsterdam, N.K. Wenger, R.G. Brindis, et al.AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes: a report of the American College of Cardiology/American Heart Association task force on practice guidelines J Am Coll Cardiol, 2014 (64) (2014), pp. e139-e228

C. Gazzaruso, A. Coppola, A. Pujia, et al.Erectile dysfunction as a predictor of asymptomatic coronary artery disease in elderly men with type 2 diabetes. J Geriatr Cardiol, 13 (2016), pp. 552-556

N. Katsiki, A.S. Wierzbicki, D.P. MikhailidisErectile dysfunction and coronary heart disease Curr Opin Cardiol, 30 (2015), pp. 416-421

W.S. Andrade, P. Oliveira, H. Laydner, E.J. Ferreira, J.A. Barreto-FilhoSeverity of erectile dysfunction is highly correlated with the syntax score in patients undergoing coronariography. Int Braz J Urol, 42 (2016), pp. 123-131

E.A. Amsterdam, N.K. Wenger, R.G. Brindis, et al.AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation, 130 (2014), pp. e344-426

J.C. Cappelleri, R.C. Rosen, M.D. Smith, A. Mishra, I.H. OsterlohDiagnostic evaluation of the erectile function domain of the International Index of Erectile Function

Urology, 54 (1999), pp. 346-351

D. Powell, C.F. MoxeyDiagnostic catheterization S. Watson, K.A. Gorski (Eds.), Invasive Cardiology: A Manual for Cath Lab Personnel (3rd ed.), Jones & Bartlett Learning, Sudbury, MA, USA (2011), pp. 143-162

G.G. GensiniA more meaningful scoring system for determining the severity of coronary heart disease Am J Cardiol, 51 (1983), p. 606

M.E. Sullivan, C.S. Thompson, M.R. Dashwood, et al.Nitric oxide and penile erection: is erectile dysfunction another manifestation of vascular disease Cardiovasc Res, 43 (1999), pp. 658-665

T. Caskurlu, A.I. Tasci, S. Resim, T. Sahinkanat, E. ErgenekonThe etiology of erectile dysfunction and contributing factors in different age groups in Turkey

Int J Urol, 11 (2004), pp. 525-529

K.P. Nunes, H. Labazi, R.C. WebbNew insights into hypertension-associated erectile dysfunction Curr Opin Nephrol Hypertens, 21 (2012), pp. 163-170

M.I. Maiorino, G. Bellastella, K. Esposito Diabetes and sexual dysfunction: current perspectives Diabetes Metab Syndr Obes, 7 (2014), pp. 95-105

T. Yamada, K. Hara, H. Umematsu, R. Suzuki, T. KadowakiErectile dysfunction and cardiovascular events in diabetic men: a meta-analysis of observational studies PLoS One, 7 (2012), p. e43673

J.Y. Dong, Y.H. Zhang, L.Q. QinErectile dysfunction and risk of cardiovascular disease: meta-analysis of prospective cohort studies. J Am Coll Cardiol, 58 (2011), pp. 1378-1385

L. Canat, G. Cicek, G. Atis, C. Gurbuz, T. CaskurluIs there a relationship between severity of coronary artery disease and severity of erectile dysfunction. Int Braz J Urol, 39 (2013), pp. 465-473

S.K. Foroutan, M. RajabiErectile dysfunction in men with angiographically documented coronary artery disease Urol J, 4 (2007), pp. 28-32


Refbacks

  • There are currently no refbacks.