The aim of this study was to evaluate changes in men’s sexual function after percutaneous transluminal coronary angioplasty (PTCA) treatment for acute myocardial infarction (MI). Sixty men aged 18–70 years old were included in the study. All patients had acute MI and underwent PTCA. They underwent two post PCTA visits: 3 days and between 4 and 6 months after PTCA. During the first and second visit a standard medical interview was carried out and sexual function data collected using Changes in Sexual Functioning Questionnaire and International Index of Erectile Function (IIEF-15). The results showed no statistical differences in IIEF and CSQF scores before and after PTCA. However, when cutoff points were used, a significant decrease in severe erectile dysfunction (ED) prevalence according to IIEF (25.0% vs 16.7%; P=0.02) was observed. Based on the results, we concluded that sexual function significantly improved in the subset of men with severe ED who underwent PTCA as a treatment for acute MI, 4–6 months after the procedure.
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Jackson G, Montorsi P, Adams MA, Anis T, El-Sakka A, Miner M et al. Cardiovascular aspects of sexual medicine. J Sex Med 2010; 7: 1608–1626.
Levine GN, Steinke EE, Bakaeen FG, Bozkurt B, Cheitlin MD, Conti JB et alAmerican Heart Association Council on Clinical Cardiology; Council on Cardiovascular Nursing; Council on Cardiovascular Surgery and Anesthesia; Council on Quality of Care and Outcomes Research.. sexual activity and cardiovascular disease: a scientific statement from the American Heart Association. Circulation 2012; 125: 1058–1072.
Lunelli RP, Rabello ER, Stein R, Goldmeier S, Moraes MA . Sexual activity after myocardial infarction: taboo or lack of knowledge? Arq Bras Cardiol 2008; 90: 156–159.
van Driel MF . Words of wisdom. Re: Sexual activity and cardiovascular disease: a scientific statement from the American Heart Association. Eur Urol 2012; 62: 349.
Rastogi S, Rodriguez JJ, Kapur V, Schwarz ER . Why do patients with heart failure suffer from erectile dysfunction? A critical review and suggestions on how to approach this problem. Int J Impot Res 2005; 17 (Suppl 1): S25–S36.
Nascimento ER, Maia AC, Pereira V, Soares-Filho G, Nardi AE, Silva AC . Sexual dysfunction and cardiovascular diseases: a systematic review of prevalence. Clinics 2013; 68: 1462–1468.
Kazemi-Saleh D, Pishgou B, Assari S, Tavallaii SA . Fear of sexual intercourse in patients with coronary artery disease: a pilot study of associated morbidity. J Sex Med 2007; 4: 1619–1625.
Filipiak KJ, Głuchowski W, Stolarz P, Kochman J, Stawicki S, Karpinski G et al. The sexual activity of young men six months after myocardial infarction. Kardiol Pol 2002; 56: 40–47.
Ruzić A, Persić V, Miletić B, Vcev A, Mirat J, Soldo I et al. Erectile dysfunction after myocardial infarction—myth or a real problem? Coll Antropol 2007; 31: 185–188.
Vacanti LJ, Caramelli B . Age and psychologic disorders. Variables associated to post-infarction sexual dysfunction. Arq Bras Cardiol 2005; 85: 110–114.
Papadopoulos C, Shelley SI, Piccolo M, Beaumont C, Barnett L . Sexual activity after coronary bypass surgery. Chest 1986; 90: 681–685.
Langeluddecke P, Fulcher G, Baird D, Hughes C, Tennant C . A prospective evaluation of the psychosocial effects of coronary artery bypass surgery. J Psychosom Res 1989; 33: 37–45.
Foruzan-Nia SK, Abdollahi MH, Hekmatimoghaddam SH, Seyedeh Mahdiyeh Namayandeh SM, Mortazavi MH . Incidence of sexual dysfunction in men after cardiac surgery in Afshar hospital, Yazd. Ira J Repro Med 2011; 9: 89–94.
Schumann J, Zellweger MJ, Di Valentino M, Piazzalonga S, Hoffmann A . Sexual dysfunction before and after cardiac rehabilitation. Rehabil Res Pract 2010; 2010: 823060.
Tasić I, Lazarević G, Stojanović M, Kostić S, Rihter M, Djordjević D et al. Health-related quality of life in patients with coronary artery disease after coronary revascularization. Central Eur J Med 2013; 8: 618–626.
Puchalski B, Szymański FM, Kowalik R, Filipiak KJ . The assessment of men sexual behavior during the first 9 months after myocardial infarction. Polish Sexol 2013; 11: 24–28.
Lukkarinen H, Lukkarinen O . Sexual satisfaction among patients after coronary bypass surgery or percutaneous transluminal angioplasty: eight-year follow-up. Heart Lung 2007; 36: 262–269.
Jankowska EA, Rozentryt P, Ponikowska B, Hartmann O, Kustrzycka-Kratochwil D, Reczuch K et al. Circulating estradiol and mortality in men with systolic chronic heart failure. JAMA 2009; 301: 1892–1901.
Morgentaler A, Khera M, Maggi M, Zitzmann M . Commentary: Who is a candidate for testosterone therapy? A synthesis of international expert opinions. J Sex Med 2014; 11: 1636–1645.
Corona G, Wu FC, Rastrelli G, Lee DM, Forti G, O’Connor DB et al. Low prolactin is associated with sexual dysfunction and psychological or metabolic disturbances in middle aged and elderly men: The European Male Aging Study (EMAS). J Sex Med 2014; 11: 240–253.
Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A . The international index of erectile function (IIEF) a multidimensional scale for assessment of erectile dysfunction. Urology 1997; 49: 822–830.
Keller A, McGarvey EL, Clayton AH . Reliability and construct validity of the Changes in Sexual Functioning Questionnaire Short-Form (CSFQ-14). J Sex Marital Ther 2006; 32: 43–52.
Clayton AH, McGarvey EL, Clavet GJ . The Changes in Sexual Functioning Questionnaire (CSFQ): development, reliability, and validity. Psychopharmacol Bull 1997; 33: 731–745.
Mohamed OA, Hamed HA, Roaiah MF, Helmy T, Mahran A, Bennett CJ . Correlation between the European System for Cardiac Operative Risk Evaluation and sexual function after coronary artery bypass graft surgery. J Sex Med 2010; 7: 2158–2165.
Lew-Starowicz Z, Krajka K, Darewicz B, Ciesielska B, Robacha A, Jakima S et al. Sexual health—a real challenge for doctor. Polish Sexol 2004; 2: 33–38.
Mohamed OA, Hamed HA, Roaiah MF, Helmy T, Mahran A, Bennett CJ . Vascular risk factors as predictors of sexual function following coronary artery bypass graft. J Sex Med 2009; 6: 2017–2023.
Pournaghash-Tehrani S, Etemadi S . ED and quality of life in CABG patients: an intervention study using PRECEDE-PROCEED educational program. Int J Impot Res 2014; 26: 16–19.
Martin SA, Atlantis E, Lange K, Taylor AW, O’Loughlin P, Wittert GA et al. Predictors of sexual dysfunction incidence and remission in men. J Sex Med 2014; 11: 1136–1147.
Mohamad MJ, Mohammad MA, Karayyem M, Hairi A, Hader AA . Serum levels of sex hormones in men with acute myocardial infarction. Neuro Endocrinol Lett 2007; 28: 182–186.
Tripathi Y, Hegde BM . Serum estradiol and testosterone levels following acute myocardial infarction in men. Indian J Physiol Pharmacol 1998; 42: 291–294.
Forouzannia S, Abdollahi M, Hekmatimoghaddam S, Sayegh S . Sex hormone levels and sexual dysfunction in men after coronary artery bypass graft. Iran J Reprod Med 2012; 10: 425–428.
Maggio M, Ceda GP, Lauretani F, Bandinelli S, Metter EJ, Artoni A et al. Estradiol and inflammatory markers in older men. J Clin Endocrinol Metab 2009; 94: 518–522.
Nehra A, Jackson G, Miner M, Billups KL, Burnett AL, Buvat J et al. The Princeton III Consensus recommendations for the management of erectile dysfunction and cardiovascular disease. Mayo Clin Proc 2012; 87: 766–778.
Buvat J, Maggi M, Gooren L, Guay AT, Kaufman J, Morgentaler A et al. Endocrine aspects of male sexual dysfunctions. J Sex Med 2010; 7: 1627–1656.
Corona G, Rastrelli G, Monami M, Guay A, Buvat J, Sforza A et al. Hypogonadism as a risk factor for cardiovascular mortality in men: a meta-analytic study. Eur J Endocrinol 2011; 165: 687–701.
Pereira-Lima JF, Leães CG, Freitas Neto FM, Barbosa MV, da Silva ALM, Oliveira MdC . Hyperprolactinemia and body weight: prevalence of obesity and overweight in patients with hyperprolactinemia. Res J Endocrinol Metab 2013; 1: 2.
The authors declare no conflict of interest.
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Goławski, C., Dłużniewski, M., Kostarska-Srokosz, E. et al. Percutaneous transluminal coronary angioplasty for acute myocardial infarction: the impact on sexual function in men. Int J Impot Res 29, 142–147 (2017). https://doi.org/10.1038/ijir.2017.11