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Review paper
Received: 13.08.2018. >> Accepted: 18.11.2018. >> Published: 24.08.2018. Biochemistry
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https://doi.org/10.17392/981-19

Effect of myocardial infarction on the occurrence of erectile dysfunction

By
Enisa Hodžić Orcid logo ,
Enisa Hodžić
Contact Enisa Hodžić

Clinic for Heart, Blood Vessel and Rheumatic Diseases, Clinical Center, University of Sarajevo, Sarajevo, Bosnia and Herzegovina

Department for Internal Medicine, School of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina

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Adnan Durek ,
Adnan Durek

Department of Psychiatry, Cantonal Hospital Travnik, Travnik, Bosnia and Herzegovina

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Edin Begić ,
Edin Begić

Department of Pharmacology, Faculty of Medicine, Sarajevo School of Science and Technology, Sarajevo, Bosnia and Herzegovina

Department of Cardiology, General Hospital ‘’Prim. dr. Abdulah Nakaš’’, Sarajevo, Bosnia and Herzegovina

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Nirvana Šabanović Bajramović ,
Nirvana Šabanović Bajramović

Clinic for Heart, Blood Vessel and Rheumatic Diseases, Clinical Center, University of Sarajevo, Sarajevo, Bosnia and Herzegovina

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Azra Durak Nalbantić
Azra Durak Nalbantić

Clinic for Heart, Blood Vessel and Rheumatic Diseases, Clinical Center, University of Sarajevo, Sarajevo, Bosnia and Herzegovina

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Abstract

Aim
 To investigate etiological link between acute myocardial infarction (AMI) and the accompanying impotence/erectile dysfunction (ED).
Methods
Study included 99 male patients (48 who had AMI-patient group, and 51 healthy examinees without previous cardiovascular disease-control group). All patients completed a standardized questionnaire, the International Index of Erectile Function (IIEF-5).
Results
 Older patients had significantly lower IIEF-5 score (negative correlation) (p <0.05), but higher ED degree (significant positive correlation) (rho=0.522; p=0.0001). In the patient group, 37 (77.1%) patients had ED, while in the control group it was found in 26 (51%) examinees (p<0.05). A clear correlation was found between incidence of ED and diabetes, dyslipidaemia, hypertension and positive family history (they were more common in patients with ED, with no statistically significant difference). There was no statistically significant difference between patients with ED and patients without ED according to the beta-blocker usage (p=0.824): ED was reported in 11 (68%) patients in the group who used carvedilol, 14 (82.3%) in the group who used metoprolol, and nine (81.8%) who used nebivolol.
Conclusion
Myocardial infarction as well as age are directly related to the occurrence of ED. Cardiovascular risk factors are in direct correlation for the occurrence of erectile dysfunction after myocardial infarction.

Keywords:

cardiovascular disease,
impotence,
risk factors

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Vol 16, Issue 1, 2019
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