The prevalence of erectile dysfunction among angiographically detected patients of coronary artery disease in North-India
- Resource Type
- Authors
- Varun S Narain; Sudhanshu Kumar Dwivedi; Rishi Sethi; Gaurav Chaudhary; Ram Kirti Saran; Sharad Chandra; Nirdesh Jain
- Source
- Journal of Indian College of Cardiology. 5:272-276
- Subject
- Coronary angiography
medicine.medical_specialty
business.industry
Disease
medicine.disease
North india
Coronary artery disease
Erectile dysfunction
Male patient
Internal medicine
medicine
Cardiology
In patient
Observational study
cardiovascular diseases
business
- Language
- ISSN
- 1561-8811
Aims Erectile dysfunction (ED) and coronary artery disease (CAD) often coexist and recent observations have given ample evidence that ED might serve as a clinical marker for cardiovascular disease. Sparse data is available on prevalence of ED. We aimed to study the prevalence of ED in North-Indian patients undergoing coronary angiography and to assess whether the severity of ED correlates with angiographic severity of CAD. Methods It was a cross-sectional observational, single centre study, carried out from November 2011 to October 2012. All patients underwent coronary angiography and ED was assessed using the International Index of Erectile Function (IIEF-5) questionnaire. Data were presented in mean ± standard deviation and percentages. Appropriate analytic tests were used. Results A total of 243 male patients enrolled, among them ED was seen in 65.4%. ED was more prevalent in patients with multivessel CAD (MVCD) as compared to those with single vessel disease (79.48% vs. 37.85%; p = 0.043). The prevalence of severe ED was higher in multivessel CAD as compared to (23.60% vs. 2.44%; p = 0.0001) patients with SVCD. Severe ED had frequent coincident diffuse CAD than a focal disease (25.29% vs. 6.35%; p= Conclusion North-Indians with angiographically proven CAD frequently have ED; symptoms of ED precede that of CAD in most patients. MVCD is more common in patients with ED. A quarter of patients with severe ED have diffuse disease. ED might serve as a potential predictor of underlying significant CAD.