| Severity of coronary artery disease and symptoms of erectile dysfunction in males with a positive exercise treadmill test. | |
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MedLine Citation:
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PMID: 17681065 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Hakan Akilli; Hasan Gok; Ahmet Soylu; Mehmet Kayrak |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 2007-08-07 Completed Date: 2008-02-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9440237 Medline TA: Int J Urol Country: Australia |
Other Details:
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Languages: eng Pagination: 733-7 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Meram Medical School of Selcuk University, Konya, Turkey. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Coronary Angiography Coronary Artery Disease / epidemiology*, radiography* Erectile Dysfunction / epidemiology* Exercise Test* Humans Logistic Models Male 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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