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KMID : 0356419990170020117
Journal of Korean Andrology
1999 Volume.17 No. 2 p.117 ~ p.120
Relationship Between the Severity of Coronary Arterial Disease and Erectile Function in the Acute Myocardial Infarction Patients
Ryu Je-Woong

Park Kwang-Sung
Ryu Soo-Bang
Park Yang-Il
Jeong Myoung-Ho
Moon Jai-Dong
Abstract
Purpose: Sexual dysfunction has been reported to be frequent in patients with acute myocardial infarction. Our aim was to correlate the erectile function with the severity of coronary arterial disease in the acute myocardial infarction patients.

Materials and Methods: A total of 57 men, median age 55.7 years (range 29 to 81), with acute myocardial infarction who had received coronary angiography were evaluated about their erectile function with 15-item questionnaire, the International Index of Erectile Function (IIEF). History of vascular risk factors such as smoking, diabetes mellitus, and hypercholesterolemia were obtained. We compared the erectile function Score to the number of occluded coronary vessels or patients age.

Results: One coronary vessel was involved in 16 patients (28.1%), more than 2 coronary vessels were involved in 25 patients (43.9%) while 16 patients (28.1%) showed free of occlusion. Seventy-four percent of patients claimed abnormal erectile function, mild erectile dysfunction in 19 patients (33.3%), moderate in 9 patients(15.8%), severe in 14 patients (24.6%). Erectile function score decreased significantly according to increasing in the number of coronary vessels involved 0<0.05) and in patients age 0<0.01).

Conclusion: There was a significant correlation between erectile function and the severity of the coronary arterial disease in acute myocardial infarction patients. The age of patients also had a negative effect on the erectile function.
KEYWORD
Myocardial infarction, Erectile function,
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