[Evaluation of ambulatory cardiac rehabilitation influence on the intensity of erectile dysfunction in patients with ischemic heart disease]. / Ocena wplywu ambulatoryjnej rehabilitacji kardiologicznej na natezenie zaburzen erekcji u chorych na chorobe niedokrwienna serca.

UNLABELLED: Considering a progressive course of cardiovascular disease, often leading to premature death, and difficulty in obtaining long-lasting stabilization of clinic state, it is deeply justified to take preventive interventions completing repairing actions and pharmacotherapy. Addressing various preventive programs to the patients with CVD, we put a special emphasis to simple and low-cost modification of physical activity, which has a beneficial influence on the circulatory system. As it has been proved, protective action of physical activity on the vessels concerns the whole arterial system including the vessels responsible for erectile dysfunction (ED) creation. THE AIM OF THE STUDY: The analysis of the influence of physical activity modification, taking place within frames of a six-month supervised cardiac rehabilitation, on ED intensification in the population with ischemic heart disease (IHD). MATERIAL AND METHODS: The analysis has been conducted on 129 patients with IHD, whose preliminary test IIEF-5 (International Index of Erectile Function-5) showed < or =21 scores, which justified ED diagnosis. The analyzed group consisted of 98 patients with IHD at the mean age of 62.35 +/- 8.88 years, who were subjected to the six-month cardiologic rehabilitation. The testing group comprises 31 patients with IHD at the mean age of 61.71 +/- 7.35, who were not rehabilitated for objective reasons. The patients of both groups filled in an IIEF-5 questionnaire twice, at the interval of six months. RESULTS: As a result of cardiologic rehabilitation in the analyzed group, a statistically significant increase in scores occurred in the IIEF5 test, from 11.88 +/- 6.2 to 13.69 +/- 7.07, which was not observed in the control group. Moreover, a division of the analyzed group into ED intensity categories (severe, medium-severe, moderate, light) confirmed the occurrence of significant changes of ED intensity for subsequent ED severity categories. For the subsequent ED intensity categories, from the greatest to the lightest, the statistically significant increase of the scores from a sheet IIEF-5: 4.66 +/- 0.98 vs. 5.34 +/- 1.41 (p < 0.01); 9.5 +/- 1.2 vs. 10.9 +/- 1.58 (p < 0.01); 14.67 +/- 1.22 vs. 17.7 +/- 1.80 (p < 0.01) and 19.62 +/- 1.11 vs. 21.85 +/- 1.23 (p < 0.01) has been found. Bearing in mind the dependence of results on the credibility of data from the sheet IIEF-5, the last element was the analysis of 'truthfulness test', which has not shown any statistically significant differences obtained for first and next filling in the questionnaire. CONCLUSIONS: The performed analyses allowed drawing the conclusions. A six-month cardiac rehabilitation cycle led to a significant positive modification of erectile dysfunction intensity. The greatest positive ED modification occurred at the groups of the patients, in whom the erectile dysfunction intensity was the smallest.

[Erectile dysfunction vs. physical capacity and physical activity at invasive treated patients with ischemic heart disease]. / Zaburzenia erekcji a wydolnossc fizyczna i aktywnosc ruchowa leczonych inwazyjnie chorych na chorobe niedokrwienna serca.

UNLABELLED: The numerous researches proved a thesis of the connection between the erectile dysfunction (ED) and atherosclerosis risk factors. The special part among the risk factors plays the low physical activity, which, due to rapid development of civilization, makes a serious problem concerning mainly the well-developed countries. THE AIM OF THE STUDY: Bearing in mind the fact of the physical activity influence on physical capacity and ED intensity, was an analysis of ED intensity in the population of patients with ischemic heart disease (IHD) and the evaluation of the relations connecting quality of erection with physical activity and physical capacity. MATERIAL AND METHODS: The analysis concerned 207 men with IHD at the age of 61-71 years (the mean: 66.77 +/- 2.63 years), treated invasively (163--PTCA, 44--CABG). All the men were professionally inactive for 3.23 +/- 2.12 years. All of them were in the relationships with the same partner for many years. The inclusion criteria were: a correctly filled questionnaire IIEF-5 (all categories), a Framingham questionnaire and ECG treadmill test assessed as a negative one. RESULTS: The erectile dysfunction was recognized when in the questionnaire IIEF-5 the total number of points was < or =21. A parameter of an exercise test subjected to evaluation was the value of metabolic equivalent (MET) and analyzed parameter from the Framingham questionnaire was activity intensity in free from work time (MET/h). In the analyzed group of 207 patients with IHD, the erectile dysfunction showed 71.5% of the population. The average value obtained for the examined IHD patients from the IIEF-5 questionnaire was 14.05 +/- 7.40. Taking into account the number of obtained in the questionnaire points, the patients with ED were divided into four categories: severe--29.5% of the whole group, medium-severe--8.2% of population, medium--20.8% of population and moderate--13% of the IHD population. The effort test and the analysis of Framingham questionnaire revealed information about physical capacity and physical activity of particular patients with IHD. The analysis of dependence between physical capacity and quality of erection conducted for the group of patients with IHD showed the lack of statistically significant correlation between these parameters (Pearson's correlation coefficient r = 0.013). The analysis of dependence between physical activity and quality of erection showed statistically significant correlation between these parameters (Pearson's correlation coefficient r = 0.781). Considering the dependence of results on the credibility of data from the IIEF-5 chart, the last element was the analysis of 'truthfulness test', which did not show any statistically significant difference between the results from the first and the next questionnaire. CONCLUSIONS: High everyday physical activity is significantly connected with the decreasing erectile dysfunction intensity and its evaluation may be a simple method allowing preliminary qualification of the patient to the group being at higher risk. The physical capacity presented by the patients with IHD is not significantly associated with quality of erection.