Document Detail


Comparison between primary angioplasty and thrombolytic therapy on erectile dysfunction after acute ST elevation myocardial infarction.
MedLine Citation:
PMID:  22796737     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Acute ST elevation myocardial infarction has high mortality and morbidity rates. The majority of patients with this condition face erectile dysfunction in addition to other health problems. In this study, we aimed to investigate the effects of two different reperfusion strategies, primary angioplasty and thrombolytic therapy, on the prevalence of erectile dysfunction after acute myocardial infarction. Of the 71 patients matching the selection criteria, 45 were treated with primary coronary angioplasty with stenting, and 26 were treated with thrombolytic agents. Erectile function was evaluated using the International Index of Erectile Function in the hospital to characterize each patient's sexual function before the acute myocardial infarction and 6 months after the event. The time required to restore blood flow to the artery affected by the infarct was found to be associated with the occurrence of erectile dysfunction after acute myocardial infarction. The increase in the prevalence of erectile dysfunction after acute myocardial infarction was 44.4% in the angioplasty group and 76.9% in the thrombolytic therapy group (P=0.008). In conclusion, this study has shown that reducing the time of reperfusion decreases the erectile dysfunction prevalence, and primary angioplasty is superior to thrombolytic therapy for decreasing the prevalence of erectile dysfunction after acute myocardial infarction.
Authors:
Ramazan Akdemir; Ozlem Karakurt; Salih Orcan; Nihat Karakoyunlu; Mustafa Mucahit Balci; Levent Sağnak; Hamit Ersoy; Mehmet Bulent Vatan; Harun Kilic; Ekrem Yeter
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2012-07-16
Journal Detail:
Title:  Asian journal of andrology     Volume:  14     ISSN:  1745-7262     ISO Abbreviation:  Asian J. Androl.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-09-04     Completed Date:  2013-01-22     Revised Date:  2013-09-17    
Medline Journal Info:
Nlm Unique ID:  100942132     Medline TA:  Asian J Androl     Country:  China    
Other Details:
Languages:  eng     Pagination:  784-7     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Faculty of Medicine, Sakarya University, Sakarya 54054, Turkey. rakdemir@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Angioplasty*
Electrocardiography
Erectile Dysfunction / etiology,  therapy*
Humans
Male
Middle Aged
Myocardial Infarction / complications*,  physiopathology
Thrombolytic Therapy*
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