,
Clinic for Heart, Blood Vessel and Rheumatic Diseases, Clinical Center, University of Sarajevo , Sarajevo , Bosnia and Herzegovina
Department for Internal Medicine, School of Medicine, University of Sarajevo , Sarajevo , Bosnia and Herzegovina
Department of Psychiatry, Cantonal Hospital Travnik , Travnik , Bosnia and Herzegovina
Department of Pharmacology, Faculty of Medicine, Sarajevo School of Science and Technology , Sarajevo , Bosnia and Herzegovina
Department of Cardiology, General Hospital ‘’Prim. dr. Abdulah Nakaš’’ , Sarajevo , Bosnia and Herzegovina
Clinic for Heart, Blood Vessel and Rheumatic Diseases, Clinical Center, University of Sarajevo , Sarajevo , Bosnia and Herzegovina
Clinic for Heart, Blood Vessel and Rheumatic Diseases, Clinical Center, University of Sarajevo , Sarajevo , Bosnia and Herzegovina
Aim
To investigate etiological link between acute myocardial infarction (AMI) and the accompanying impotence/erectile dysfunction (ED).
Methods
Study included 99 male patients (48 who had AMI-patient group, and 51 healthy examinees without previous cardiovascular disease-control group). All patients completed a standardized questionnaire, the International Index of Erectile Function (IIEF-5).
Results
Older patients had significantly lower IIEF-5 score (negative correlation) (p <0.05), but higher ED degree (significant positive correlation) (rho=0.522; p=0.0001). In the patient group, 37 (77.1%) patients had ED, while in the control group it was found in 26 (51%) examinees (p<0.05). A clear correlation was found between incidence of ED and diabetes, dyslipidaemia, hypertension and positive family history (they were more common in patients with ED, with no statistically significant difference). There was no statistically significant difference between patients with ED and patients without ED according to the beta-blocker usage (p=0.824): ED was reported in 11 (68%) patients in the group who used carvedilol, 14 (82.3%) in the group who used metoprolol, and nine (81.8%) who used nebivolol.
Conclusion
Myocardial infarction as well as age are directly related to the occurrence of ED. Cardiovascular risk factors are in direct correlation for the occurrence of erectile dysfunction after myocardial infarction.
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