The relationship between erectile dysfunction and paroxysmal lone atrial fibrillation

Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing
Samet YılmazSinan Aydoğdu

Abstract

Endothelial dysfunction plays a major role in erectile dysfunction (ED). Atrial fibrillation (AF), regardless of subtype, is associated with a prothrombotic state, which is related to endothelial dysfunction. In this study, we aimed to determine whether AF is an independent risk factor for ED. A total of 50 patients diagnosed with paroxysmal lone AF and 80 age-, gender-, and body mass index-matched controls without AF who admitted to outpatient clinics at a tertiary center were enrolled. Diagnosis of ED was performed by using Sexual Health Inventory for Men (SHIM) questionnaire. Patients with a SHIM score ≤21 were defined as having ED. Mean age of patients were 51.8 ± 7.7 and all of the study population were male. Twenty-nine of 50 patients in lone AF group and 25 of 80 patients in control group were diagnosed with ED (58 vs 31.2 %, p = 0.002). Mean SHIM score was significantly lower in lone AF group compared with controls (20.74 ± 2.67 vs 22.39 ± 2.21, p < 0.001). The multivariate stepwise logistic regression analyses showed that lone AF (OR 1.94 (1.44-2.46), p < 0.001), smoking (OR 1.92 (1.35-2.44), p = 0.003), fasting blood glucose (OR 1.51 (1.10-1.85), p = 0.012), and uric acid levels (OR 1.56 (1.13-1.92), p = 0.009) were i...Continue Reading

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Citations

Jul 18, 2018·International Journal of Urology : Official Journal of the Japanese Urological Association·Ronpichai ChokesuwattanaskulWisit Cheungpasitporn
Jul 26, 2018·Critical Pathways in Cardiology·Stella PakTian Chen
Aug 8, 2019·The Aging Male : the Official Journal of the International Society for the Study of the Aging Male·Adem AltunkolMustafa Topuz
Mar 10, 2020·Interventional Medicine & Applied Science·Can Ramazan Öncel, Ali Akkoç
Jul 10, 2019·Arab Journal of Urology·Narut PrasitlumkumPattara Rattanawong
Aug 6, 2021·Nutrition, Metabolism, and Cardiovascular Diseases : NMCD·Xuehan WangYujiao Zhang

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