Family history regarding cardiovascular disease and diabetes and erectile dysfunction in patients with coronary artery disease
Kalka, D1; Womperski, M2; Depko, A3; Gebala, J4; Smolinski, R5; Domagala, Z6; Bielous-Wilk, A1; Womperski, K7; Pilecki, W1; Rusiecki, L1
1: Cardiosexuology Unit, Department of Pathophysiology, Wroclaw Medical University, Wroclaw, Poland; 2: Lower Silesian Center for Mental Health, Wroclaw, Poland; 3: Regional Mental Health Facilities in Warsaw. Sexual Health Clinic, Warsaw, Poland; 4: ardiosexuology Students’ Scientific Club, Wrocław Medical University, Wrocław, Poland ; 5: University Hospital of Wroclaw Medical University, Wroclaw, Poland; 6: Division of Anatomy Department of Morphology Wroclaw Medical University, Wroclaw, Poland; 7: Department of Cardiac Rehabilitation, Hospital of the Ministry of Interior
Objectives: Assessment of the connection between the occurrence of cardiovascular diseases and diabetes in the family during medical anamnesis and the presence as well as intensity of ED in a group of patients with CAD.
Material and Methods: A group of 825 patients at the mean age of 59,66±9,47 with diagnosed CAD was evaluated. An own questionnaire as well as the IIEF5 questionnaire have been used to question patients. The questionnaire included questions regarding the presence of CVD such as myocardial infarction (MI) and stroke as well as often CVD related diabetes in parents (taking into account the differentiation of father and mother), siblings and children.
Results: In the analyzed group of patients ED occurred in 76.61% of respondents. In terms of severity of ED in 22.78% there was severe dysfunction, in 13.45% severe to average, in 31.96% average and in 31.80% a mild dysfunction was present. In the family history of the analyzed group MI occurred in 43,03% of respondents, stroke in 17,09% and diabetes in 26,06%. MI in both parents has been reported by 5.45% of patients, 23.88% only in the father, 15.03% only in the mother, 9.33% in siblings and 0.24% in children. A stroke occurred in both parents in 0.85% of respondents, in 7.40% of fathers, in 8.00% of mothers and in 2.55% of siblings. Diabetes occurred in both parents in 2.18% of respondents, in 8.24% of fathers, in 13.82% of mothers , in 5.58% of siblings and in 0.61% of children. For the whole group of analyzed patients the occurrence of ED was not statistically significantly connected to the presence of CVD and diabetes. The intensity of ED was statistically significantly connected to experiencing a MI by a family member (16.19±6,43 vs 15.20±6,46, p=0.0271). The intensity of ED is also statistically significantly connected with the experience of a MI by the fathers of the respondents (16.51±6,43 vs 15.28±6,45, p=0.0276).
Conclusion: Experiencing a MI by a family member or only by the father of men suffering from CAD significantly decreases the intensity of ED.
Work supported by industry: no.Go Back