Document Detail

Severity of coronary artery disease and symptoms of erectile dysfunction in males with a positive exercise treadmill test.
MedLine Citation:
PMID:  17681065     Owner:  NLM     Status:  MEDLINE    
AIM: The objective of this study is to investigate the significance of erectile dysfunction in males with a positive exercise treadmill test (ETT) to predict the severity of coronary artery disease (CAD). MATERIALS AND METHOD: With no previous marked CAD, and applying to our clinic with chest pain, 105 male patients (mean age: 56 +/- 8 years) underwent coronary angiography after the ETT. These patients met our criteria and were included in our study. All patients were requested to complete a brief, 5-item form by the International Index of Erectile Function, and the Sexual Health Inventory for Men (SHIM), and were classified into four groups according to coronary angiography results as follows: normal coronary artery (NCA), single-vessel CAD (1 V), two-vessel CAD (2 V) and three-vessel CAD (3 V). The relation between SHIM scores and the number of arteries with significant lesions was evaluated. RESULTS: The median SHIM score was found to be significantly lower in both the 2 V, 15 (IQR: 12-20) and 3 V, 13 (IQR: 11-16) groups compared to the NCA, 22 (IQR: 17-23) and the 1 V, 22 (IQR: 17-23) groups (P < 0.05). Grouped as group I (NCA + 1 V) and group II (2 V + 3 V), the patients were recompared. The SHIM score is an independent parameter to define the presence of significant lesions in two or more coronary arteries (odds ratio, 0.84; 95% CI, 0.73-0.97; P = 0.019). CONCLUSION: The fact that the SHIM score is <18 in ETT positive males may suggest that the probability of multivessel CAD should be high.
Hakan Akilli; Hasan Gok; Ahmet Soylu; Mehmet Kayrak
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of urology : official journal of the Japanese Urological Association     Volume:  14     ISSN:  0919-8172     ISO Abbreviation:  Int. J. Urol.     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-07     Completed Date:  2008-02-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9440237     Medline TA:  Int J Urol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  733-7     Citation Subset:  IM    
Department of Cardiology, Meram Medical School of Selcuk University, Konya, Turkey.
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MeSH Terms
Coronary Angiography
Coronary Artery Disease / epidemiology*,  radiography*
Erectile Dysfunction / epidemiology*
Exercise Test*
Logistic Models
Middle Aged
Odds Ratio
Predictive Value of Tests
Risk Factors
Severity of Illness Index*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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