Abstract 18240: Poor Sexual Outcome Among Male ICD Patients Who Have Received Shock and Antitachycardia Pacing Therapy

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Pernille Palm Johansen ◽  
Ann-Dorthe Zwisler ◽  
Jesper Hastrup Svendsen ◽  
Selina K Berg
Keyword(s):  
Erectile Dysfunction ◽  
Primary Prevention ◽  
Secondary Prevention ◽  
Erectile Function ◽  
Test Reliability ◽  
Antitachycardia Pacing ◽  
Cross Sectional ◽  
Scale Range ◽  
Male Patients ◽  
Function Domain

Purpose: To investigate (i) the prevalence of erectile dysfunction (ED) in male patients with implantable cardioverter defibrillator (ICD), and (ii) the association between ICD, indication, therapy and poor sexual outcome. Methods: This cross-sectional study included male patients with ICD. Inclusion criteria were NYHA I-II. Exclusion criteria were no partner and no known urinary tract diseases. Participants completed the International Index of Erectile Function questionnaire that concerns sexual function and meet psychometric criteria for test reliability and validity. The study was conducted as a postal survey and questionnaires were mailed out to 818 patients from two university hospitals. Data on indication (primary prevention vs secondary prevention) and therapy (shock and antitachycardia pacing ) was collected from local databases. Results: Data from the 370 responders (response rate 45.2 %) were analyzed. Mean age of patients was 63.9 ± 12.1. International Index of Erectile Function total mean score was 39.6 ± 24.2 (scale range 5 to 75, with higher score indicating better function). The Erectile Function domain mean score was 14.5 ± SD 11.5 (Scale range 1 to 30). The Erectile Function domain was distributed between 48.9 % having severe ED, 7.6 % moderate ED, 7.0 % moderate to mild ED, 7.0 % mild ED and 29.5 % having no ED. Age was highly associated with ED (OR 0.91, 95% CI: 0.88-0.93). Adjusted for age, ED was associated with therapy from the ICD (OR 1.84, 95% CI: 1.07-3.2) and primary prevention indication (OR 1.90, 95% CI: 1.19 - 3.06) compared to patients having an ICD on secondary prevention indication. Conclusions: Erectile dysfunction was present in more than 70 % of male patients with ICD and more than 48 % had severe erectile dysfunction, resulting in inability to perform a sexual intercourse. Age, primary prevention indication and therapy from the ICD were all associated with a poor sexual outcome.

scholarly journals Appropriateness of aspirin prescribing for primary and secondary prevention of cardiovascular disease in type 2 diabetes in different care settings

2021 ◽  
Author(s):  
Shi Ying Tan ◽  
Heather Cronin ◽  
Stephen Byrne ◽  
Adrian O’Donovan ◽  
Antoinette Tuthill
Keyword(s):  
Type 2 Diabetes ◽  
Cardiovascular Disease ◽  
Primary Care ◽  
Primary Prevention ◽  
Secondary Prevention ◽  
Shared Care ◽  
University Hospital ◽  
Cross Sectional ◽  
Prevention Of Cardiovascular Disease

Abstract Background Type 2 diabetes is associated with an increased cardiovascular risk. Use of aspirin has been shown to be of benefit for secondary prevention of cardiovascular disease in patients with type 2 diabetes; benefits in primary prevention have not been clearly proven. Aims This study aims to (a) determine if aspirin is prescribed appropriately in type 2 diabetes for primary or secondary prevention of cardiovascular disease (CVD) and (b) evaluate whether there are differences in aspirin prescribing according to where people receive their care. Design Cross-sectional study Methods The medical records of individuals with type 2 diabetes aged over 18 years and attending Elmwood Primary Care Centre and Cork University Hospital Diabetes outpatient clinics (n = 400) between February and August 2017 were reviewed. Results There were 90 individuals exclusively attending primary care and 310 persons attending shared care. Overall, 49.0% (n = 196) of those were prescribed aspirin, of whom 42.3% were using it for secondary prevention. Aspirin was used significantly more in people attending shared care (p < 0.001). About 10.8% of individuals with diabetes and CVD attending shared care met guidelines for, but were not prescribed aspirin. Conclusion A significant number of people with type 2 diabetes who should have been prescribed aspirin for secondary prevention were not receiving it at the time of study assessment. In contrast, a substantial proportion who did not meet criteria for aspirin use was prescribed it for primary prevention.

Rates and Predictors of Physician-Recommended and Self-Reported Aspirin Use in 2015

2020 ◽  
Vol 35 (12) ◽  
pp. 556-565
Author(s):  
Taylor Naberhaus ◽  
Nicole K. Early ◽  
Kathleen A. Fairman ◽  
Kelsey Buckley
Keyword(s):  
Cardiovascular Disease ◽  
Primary Prevention ◽  
Secondary Prevention ◽  
Task Force ◽  
Community Dwelling ◽  
Behavioral Risk ◽  
Medication History ◽  
Cross Sectional ◽  
Study Results ◽  
History Of

OBJECTIVE: This study assesses the rate of providerrecommended aspirin use through the National Ambulatory Medical Care Survey (NAMCS) database versus self-reported aspirin use through the Behavioral Risk Factor Surveillance System (BRFSS) database and identifies factors that predict initiation of aspirin. This study provides insight into the rate of providerrecommended aspirin use versus self-reported aspirin use prior to the 2016 United States Preventive Service Task Force primary prevention recommendation update.<br/> DESIGN: Retrospective, cross-sectional analysis of US population data obtained from medical records (NAMCS) and community-dwelling residents in four states (BRFSS) in 2015.<br/> SETTING: Physician offices (NAMCS) and households or telephone (BRFSS).<br/> PATIENTS, PARTICIPANTS: NAMCS: visits made by patients 40 years of age or older to physicians who permitted federal employees to abstract officevisit data. BRFSS: household or telephone interview respondents 40 years of age or older.<br/> INTERVENTIONS: Comparisons of persons with (secondary prevention) versus without (primary prevention) cardiovascular disease.<br/> MAIN OUTCOME MEASURED: Recommended (NAMCS) or self-reported (BRFSS) use of aspirin.<br/> RESULTS: The sample included 19 170 patients (NAMCS), with 2 205 having a history of cardiovascular disease and 14 872 respondents (BRFSS) with 2 024 having a history of cardiovascular disease. For both primary and secondary prevention, respondents from BRFSS reported higher rates of aspirin use (27.7% primary, 65.6% secondary prevention) compared with prescribed rates from NAMCS (11.7% primary, 45.6% secondary prevention).<br/> CONCLUSIONS: Study results highlight the value of obtaining a complete medication history, including aspirin use, from all patients.

scholarly journals Role of lifestyle and psychological variables in erectile dysfunction: a cross-sectional study

2017 ◽  
Vol 5 (3) ◽  
pp. 799
Author(s):  
Raja Langer ◽  
Elias Sharma ◽  
Rushali Gupta ◽  
Bhavna Langer ◽  
Rashmi Kumari ◽  
...  
Keyword(s):  
Physical Activity ◽  
Erectile Dysfunction ◽  
Life Style ◽  
Psychological Factors ◽  
Erectile Function ◽  
Burden Of Illness ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Psychological Variables

Background: Erectile dysfunction (ED) is a highly prevalent yet underestimated disorder among men, associated with a significant burden of illness. The understanding of pathophysiological factors has led to better assessment of the disease yet a lot of patients are left dissatisfied and undertreated. The study was undertaken to elicit the various life style and psychological variables associated with ED.Methods: A cross-sectional study was conducted on cases of ED reporting in urology OPD in 3 months period. A pretested semi structured questionnaire was used as a data collection tool. ED was addressed in five domains using International index of erectile function (IIEF) scale. Information collected included socio demographic factors, life style variables and psychological factors [perceived stress (PT), self-esteem (SST) and erectile performance anxiety (ET)]. Data collected was analyzed using independent sample t test.Results: A total of 155 cases of ED participated in the study. Their mean age was 33.93±5.05 years (range 25-48).  80.6% were non-smokers, 54.8% were alcoholic and 22.6% patients performed light physical activity. There was no statistically significant association between different life style variables with five domains of International index of erectile function except for the domain of orgasmic function with consumption of drugs (p=0.017) and intercourse satisfaction with physical activity(p=0.045). Barring the domain of overall satisfaction most of the other domains of ED showed a significant association with psychological variables.Conclusions: Contrary to lifestyle factors, psychological factors are significantly related to ED and need to be addressed effectively for improving patient treatment outcome.

scholarly journals GAMBARAN DISFUNGSI EREKSI DAN HUBUNGAN DIABETES MELITUS DAN HIPERTENSI TERHADAP KEJADIAN DISFUNGSI EREKSI PADA PENDERITA STROKE DI POLI NEUROLOGI RSUP PROF. DR. R. D. KANDOU MANADO

e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Richie Irvanto Ciandra ◽  
Corry N. Mahama ◽  
Melke J. Tumboimbela
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factor ◽  
Erectile Dysfunction ◽  
Erectile Function ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Consecutive Sampling ◽  
Risk Of Disease ◽  
The Relationship ◽  
Diabetes Melitus

ABSTRACT: Stroke is a big health problem in all industrial nations. In Indonesia, the prevalence of stroke keeps on increasing with each passing year. In addition to physical complaints suffered, sexual function may affect the patient’s. Erectile dysfunction is a problem that often arises in stroke patients. Purpose: This research is aimed in understanding describe of erectile dysfunction and the relationship between the risk factor namely diabetes mellitus and hypertension among stroke patients. Methods: The research method used is analytic descriptive with cross sectional approach. The study subjects were 40 men stroke patients, recruited by consecutive sampling in Polyclinic Neurology RSUP Prof. Dr. R. D. Kandou Manado during the period of November to December 2013. The measurement of erectile dysfunction used International Index of Erectile function/IIEF-5. Conclusion: Stroke patients who experience erectile dysfunction by 85%, with the highest amount on mild erectile dysfunction and mild to moderate erectile dysfunction at  35% dan 32,5%. Age most experienced erectile dysfunction are in the age group 35-44 years and >75 years. Low levels of education may suffer from erectile dysfunction is higher than the high education level. And the insiden of erectile dysfunction among stroke patients having risk factor of diabetes mellitus were higher than haven’t (OR=2,391). While hypertension risk factors correlated with a reduced risk of disease (OR=0,771). Keywords: Stroke, erectile dysfunction, diabetes mellitus, hypertension   ABSTRAK: Stroke merupakan masalah kesehatan yang besar di negara-negara industri, prevalensi stroke di Indonesia terus meningkat dari tahun ke tahun. Selain keluhan fisik yang diderita, keadaan fungsi seksual dapat mempengaruhi penderita. Disfungsi ereksi merupakan masalah yang sering timbul pada pasien stroke. Tujuan: Penelitian ini bertujuan untuk mengetahui gambaran disfungsi ereksi dan hubungan diabetes melitus dan hipertensi terhadap kejadian disfungsi ereksi pada pasien stroke. Metode: Jenis penelitian yang digunakan adalah deskriptif analitik dengan pendekatan cross sectional. Jumlah sampel sebanyak 40 pasien stroke laki-laki yang diambil secara consecutive sampling di Poliklinik Neurologi RSUP Prof. Dr. R. D. Kandou Manado selama bulan November - Desember 2013. Pengukuran disfungsi ereksi menggunakan International Index of Erectile Function/IIEF-5. Simpulan: Pasien stroke yang mengalami disfungsi ereksi sebesar 85% dengan jumlah terbanyak pada disfungsi ereksi ringan dan disfungsi ereksi ringan sampai sedang sebesar 35% dan 32,5%. Umur terbanyak mengalami disfungsi ereksi terletak pada kelompok umur 35-44 tahun dan >75 tahun. Tingkat pendidikan rendah dapat mengalami disfungsi ereksi lebih tinggi daripada yang tingkat pendidikannya tinggi. Dan insiden disfungsi ereksi diantara pasien stroke yang mempunyai faktor resiko diabetes melitus adalah lebih tinggi daripada yang tidak mempunyai faktor resiko tersebut (OR=2,391). Sedangkan faktor resiko hipertensi berkorelasi dengan berkurangnya resiko penyakit (OR=0,771). Kata Kunci: Stroke, disfungsi ereksi, diabetes melitus, hipertensi

scholarly journals PENGARUH KONSUMSI MINUMAN ALKOHOL TERHADAP DISFUNGSI EREKSI PADA SOPIR PEROKOK DI TERMINAL ANGKUTAN UMUM KAROMBASAN MANADO

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Irene M. Rotinsulu ◽  
Grace L. A. Turalaki ◽  
Janette M. Rumbajan
Keyword(s):  
Erectile Dysfunction ◽  
Alcohol Consumption ◽  
Public Transport ◽  
Erectile Function ◽  
Sampling Method ◽  
Alcoholic Beverages ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
A Value ◽  
The World

Abstract: Consumption of alcoholic beverages in the world led to the deaths of more than 3.3 million people every year, or 5.9% of all deaths, if not preventable, the number of deaths will increase annually in line with the increasing number of drinkers. A smoker who consumes alcoholic beverages can cause a variety of health problems, one of which is erectile dysfunction. The purpose of this study was to find the effect of consumption of alcoholic beverages to the erectile dysfunction in smoker drivers. This study is an analytic survey with cross sectional approach. The study was conducted in Karombasan Public Transport Terminal from October 2015 to January 2016, with a population of 60 smoker drivers. The sampling of this study uses purposive sampling method to determine which sample meets the criteria. The number of samples obtained is 48 people. Erectile function was assessed using IIEF questionnaire (International Index of Erectile Function). This study showed that from 60 smoker drivers who consumes alcohol beverages, 80% of them had sustained erectile dysfunction with the degree of dysfunction at most is mild, i.e. 45%. This shows that there are significant effects of alcohol consumption on erectile dysfunction in smoker drivers with a value of p = 0.001 (p<0.05). It can be concluded that smoker drivers who consumes alcoholic beverages can significantly influence the occurrence of erectile dysfunction.Keywords: erectile dysfunction, consumption of alcoholic beverages, the driver smokersAbstrak: Konsumsi minuman beralkohol di dunia menyebabkan kematian lebih dari 3,3 juta orang setiap tahunnya atau 5,9% dari semua kematian, bila tidak dapat dicegah maka jumlah kematian akan bertambah setiap tahunnya seiring bertambahnya jumlah peminum. Seorang perokok yang mengkonsumsi minuman alkohol dapat menyebabkan berbagai gangguan kesehatan pada tubuh salah satunya adalah disfungsi ereksi.Tujuan penelitian ini adalah untuk mengetahui pengaruh konsumsi minuman beralkohol terhadap disfungsi ereksi pada sopir perokok. Penelitian ini merupakan jenis penelitian survei analitik dengan pendekatan cross sectional.Penelitian dilakukan di Terminal Angkutan Umum Karombasan Manado pada bulan Oktober 2015 sampai Januari 2016 dengan jumlah populasi 60 sopir perokok.Penentuan sampel penelitian yaitu yang memenuhi kriteria inklusi dan eksklusi dengan menggunakan teknik purposive sampling dan jumlah sampel yang didapatkan yaitu 48 orang.Fungsi ereksi dapat dinilai dengan menggunakan kuesioner IIEF (International Index of Erectile Function). Hasil Penelitian ini menunjukkan bahwa dari 60 sopir perokok yang mengkonsumsi minuman beralkohol didapatkan 80% mengalami disfungsi ereksi dengan derajat disfungsi paling banyak terdapat pada disfungsi ringan yaitu sebesar 45%. Ini menunjukkan bahwa terdapat pengaruh konsumsi alkohol terhadap disfungsi ereksi pada sopir perokok dengan nilai p<0,05 atau p=0,001. Dari hasil penelitian ini dapat disimpulkan bahwa sopir perokok yang mengkonsumsi minuman beralkohol dapat berpengaruh signifikanterhadap terjadinya disfungsi ereksi.Kata kunci: disfungsi ereksi, konsumsi minuman beralkohol, sopir perokok

scholarly journals ERECTILE DYSFUNCTION

2016 ◽  
Vol 23 (03) ◽  
pp. 268-273
Author(s):  
Ansari Muhammad Rafique ◽  
Pooran Mal ◽  
Jairamani Bhagwan Das ◽  
Shafique-Ur-Rehman Memon ◽  
Syed M Tahir ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Erectile Dysfunction ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Maintenance Hemodialysis ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Male Patients

Objectives: Erectile dysfunction (ED) is a very common and distressing healthproblem in chronic maintenance hemodialysis patients. There is no such data available fromSind province of Pakistan on this issue; we want to highlight the factors and prevalence oferectile dysfunction among hemodialysis patients in this part of our country. Study Design:This hospital based observational, cross-sectional study Setting: It was conducted at 04hemodialysis centers of Hyderabad city Perod: In 2014 Methods: The Study was conductedby using International Index of Erectile Dysfunction (IIEF-5) for determination of prevalence& severity of ED among these patients. Comparative analysis for frequency of ED was alsodone between urban & rural patients. Adapted Urdu version of IIEF-5 was used for those whocannot understand English pro forma. Results: There were total 62 male patients; all of themwere on maintenance hemodialysis for more than 6 months. Their ages were between 20 to59 years with mean 36±11. In this series of patients 80% (n=50) were < 50 years of age whilethe diabetic patients were 58% (n=36). The overall prevalence of ED observed in patients was88.7% (n=55) in our study. Severe ED was seen in 30 (48.4%) patients. The prevalence &severity of ED was significantly higher in diabetes mellitus and over 50 years of age. There washigher incidence of ED 94% observed in patients who are living in rural areas as compared tourban areas patients 82%. Conclusions: It has been concluded in this study that majority ofmale hemodialysis patients were suffering from ED problem. Diabetes mellitus and & > 50 yearsof age has the highest prevalence of ED. Erectile dysfunction is very common and distressinghealth related issue among hemodialysis patients and this should be addressed with routine

scholarly journals Erectile dysfunction: prevalence and determinants among T2DM men attending a tertiary care hospital in northern India

2019 ◽  
Vol 6 (4) ◽  
pp. 1115 ◽  
Author(s):  
Raja Langer ◽  
Elias Sharma ◽  
Bhavna Langer ◽  
Rajiv K. Gupta ◽  
Rashmi Kumari ◽  
...  
Keyword(s):  
Erectile Dysfunction ◽  
Diabetic Complications ◽  
Family Income ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Northern India ◽  
Male Patients ◽  
Associated Risk Factors

Background: Erectile dysfunction (ED), though an important complication of T2DM is grossly under reported in this part of the world. The present study aimed to determine the prevalence and associated risk factors of ED in T2DM men in northern India.Methods: A cross-sectional study was conducted from January to August 2018 among male patients with T2DM in the medical OPD of a tertiary care teaching hospital in Jammu. IIEF- international index of erectile function was the tool used in the present study.Results: ED prevalence was 62.08%. Among socio-demographic variables, age was significantly associated with ED (p<0.05) while no association was found with education, occupation and family income. Smoking as a life style and hypertension as a co-morbid condition were significantly associated with ED (p<0.05). Duration of diabetes and type of diabetic complications were also found to be statistically significant.Conclusions: Prevalence of ED in T2DM men was quiet high in this region of India. Preventive interventions, early diagnosis and detection of T2DM along with treatment adherence to prevent diabetic complications is strongly recommended. Further research is recommended to establish temporal causality of ED in T2DM.

Vibration disease: erectile dysfunction as a comorbidity problem

2020 ◽  
pp. 36-43
Author(s):  
S. Babanov ◽  
N. Tatarovskay
Keyword(s):  
Erectile Dysfunction ◽  
Questionnaire Survey ◽  
Erectile Function ◽  
Control Group ◽  
Local Vibration ◽  
Vibration Disease ◽  
Male Patients ◽  
And Control ◽  
The Impact ◽  
Second Degree

The article presents data (based on a questionnaire survey) on the impact of vibration disease from the action of local and General vibration on the erectile function of men. The main changes in the parameters of erectile function (frequency, need, etc.) are described in the case of first and second-degree vibrational disease caused by local vibration, and in the case of first-and second-degree vibrational disease caused by General vibration based on data from a questionnaire survey of male patients and control group.

Psychosexual Dysfunctions Among Alcohol-Dependent Individuals: A Cross-Sectional Study from a Tertiary Care Center of Southern India

2019 ◽  
Vol 1 (3-4) ◽  
pp. 257-261
Author(s):  
Priya R. Nair ◽  
Sivin P. Sam ◽  
Roy Abraham Kallivayalil
Keyword(s):  
Erectile Dysfunction ◽  
Sexual Dysfunction ◽  
Alcohol Dependence ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Cross Sectional ◽  
Male Patients ◽  
Psychosexual Dysfunction ◽  
Alcohol Dependent

Background: Chronic alcohol dependence is known to cause psychosexual dysfunction, which leads to marked psychiatric morbidity. There is a dearth of studies from India in this area. Aim: To estimate the frequency of psychosexual dysfunction in individuals with alcohol dependence and to explore the association between psychosexual dysfunction and various socio-demographic and alcohol-related variables. Materials and Methods: This is a cross-sectional descriptive study conducted on 50 male patients in a tertiary care center. The evaluation was conducted using a specially designed intake pro forma and tools such as the severity of alcohol dependence questionnaire, checklist for sexual dysfunction and International Classification of Disease, Tenth Revision, and diagnostic criteria for research. Results: Sexual dysfunction was present in 66% of alcohol-dependent individuals. The most common among them was found to be aversion to sex (32%) followed by erectile dysfunction (24%). In most of the cases, patients having erectile dysfunction were also found to have aversion to sex. Conclusion: Sexual dysfunction is highly prevalent in male patients with alcohol dependence. The study highlights the detrimental effects of alcohol on sexual function apart from other etiological factors.

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