Author/Authors :
Zeighami Mohammadi، Sharareh نويسنده Lecture, School of Nursing and Midwifery, Karaj Branch, Islamic Azad University, Karaj, Iran. , , Shahparian، Mandana نويسنده Cardiologist, Alborz Hospital, Karaj, Iran. , , Fahidy، Farzad نويسنده Nurse, Education Supervisor, Shahriar Hospital, Tehran, Iran , , Fallah، Ebrahim نويسنده Nurse, Shahriar Hospital, Tehran, Iran ,
Abstract :
BACKGROUND: Erectile dysfunction (ED) is the inability to achieve or maintain the adequate
erection for intercourse. Heart failure is a major risk factor for erectile dysfunction. The aim of
this study was to investigate the prevalence and factors associated with erectile dysfunction in
systolic heart failure.
METHODS: In a cross-sectional study 100 male patients with systolic heart failure were selected
using convenience sampling method. IIEF-5 questionnaire (the International Index of Erectile
Function, 5-item version), MLHFQ (Minnesota Living with Heart Failure Questionnaire) and
CES-D (Centre for Epidemiologic Studies Depression Scale) were used to obtain data.
RESULTS: Mean score of erectile dysfunction was 14.02 ± 6.26 and 80% of heart failure patient
had erectile dysfunction. Erectile dysfunction was significantly associated with age (P < 0.001),
education (P = 0.019), occupation (P = 0.002), hemoglobin level (P = 0.003), left ventricular
ejection fraction (P = 0.030), cholesterol level (P = 0.001), renal dysfunction (P = 0.009), use of
digoxin (P = 0.014), angiotensin converting enzyme inhibitors (P < 0.001), beta blocker
(P = 0.001), diuretics (P = 0.035), depression (P < 0.001) and quality of life (P < 0.001).
CONCLUSION: Erectile dysfunction (ED) was common in systolic heart failure and was
associated with age, medical conditions, co morbidities, drugs for treatment and psychological
disorders. In heart failure patients erectile dysfunction had negative impact on quality of life.
