Depressive symptoms and erectile dysfunction in men with coronary arter disease
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Depressive symptoms and erectile dysfunction in men with coronary
artery disease - Abstract
Monday, 21 December 2009
Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
To study the association between erectile dysfunction (ED) and
depressive symptoms in men with coronary artery disease (CAD). A cross-
sectional analysis of data obtained during a prospective study was
carried out.
A cohort of men undergoing coronary angiography filled-out the sexual
health inventory for males (SHIM) and the mental health inventory 5
(MHI5) questionnaires for detection and severity assessment of both ED
and depressive symptoms. CAD documented by coronary angiography was
defined as >/=50% stenosis in at least one of the major epicardial
coronary arteries.
Overall, 242 men, with a mean age of 63.7 +/- 12.0 years, were
included in the study. ED and depressive symptoms were found in 76%
and 47.9% of men, respectively, whereas 94 (38.8%) men suffered from
both. The prevalence of diabetes mellitus and the mean age were
significantly higher, whereas the mean MHI5 scores were significantly
lower, in the group with ED than that without. ED was associated
independently with age (P < .0001) and depressive symptoms (P = .007),
but not with the number of obstructed coronary arteries, history of
diabetes mellitus, hypertension, or smoking. After controlling for age
and diabetes mellitus, the scores of SHIM were positively correlated
with MHI5 scores (r = .14; P = .03).
These results validate the high prevalence of both ED and depressive
symptoms in men with CAD. ED in men with CAD might be associated with
age and depressive symptoms.
Written by:
Mulat B, Arbel Y, Mashav N, Saar N, Steinvil A, Heruti R, Banai S,
Justo D. Are you the author?
Reference:
Urology. 2009 Nov 19. Epub ahead of print.
doi:10.1016/j.urology.2009.09.041
PubMed Abstract
PMID:19931891