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Sexual dysfunction in males with systolic heart failure and associated factors

Sharareh Zeighami Mohammadi1, Mandana Shahparian, Farzad Fahidy

  • 1Lecture, School of Nursing and Midwifery, Karaj Branch, Islamic Azad University, Karaj, Iran.

ARYA Atherosclerosis
|October 12, 2012
PubMed

Insights

Erectile dysfunction is common in men with systolic heart failure, affecting 80% of patients. It is linked to age, medical conditions, medications, and depression, negatively impacting quality of life.

Area of Science:

  • Cardiology
  • Urology
  • Psychology

Background:

  • Erectile dysfunction (ED) is the inability to achieve or maintain an erection adequate for intercourse.
  • Heart failure is a significant risk factor for developing ED.
  • This study investigates the prevalence and associated factors of ED in patients with systolic heart failure.

Purpose of the Study:

  • To determine the prevalence of erectile dysfunction in male patients with systolic heart failure.
  • To identify factors associated with erectile dysfunction in this population.
  • To understand the impact of ED on the quality of life for heart failure patients.

Main Methods:

  • A cross-sectional study was conducted with 100 male patients diagnosed with systolic heart failure.
  • Convenience sampling was used for patient selection.
  • Data was collected using the International Index of Erectile Function (IIEF-5) questionnaire, the Minnesota Living with Heart Failure Questionnaire (MLHFQ), and the Center for Epidemiologic Studies Depression Scale (CES-D).

Main Results:

  • The mean score for erectile dysfunction was 14.02 ± 6.26.
  • A high prevalence of ED was observed, with 80% of heart failure patients experiencing it.
  • Significant associations were found between ED and age, education, occupation, hemoglobin levels, left ventricular ejection fraction, cholesterol, renal dysfunction, and the use of digoxin, ACE inhibitors, beta-blockers, and diuretics.

Conclusions:

  • Erectile dysfunction is highly prevalent in patients with systolic heart failure.
  • Factors associated with ED include advanced age, certain medical conditions (e.g., renal dysfunction), comorbidities, specific medications, and psychological disorders like depression.
  • ED significantly diminishes the quality of life for individuals suffering from heart failure.
Abstract

Keywords:
DepressionErectile DysfunctionHeart FailureQuality of Life

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