Distress: associated variables of erectile dysfunction post-acute myocardial infarction. A pilot study.

This study aimed to identify the associated variables of erectile dysfunction (ED) in post myocardial infarction (MI) patients without previous sexual dysfunction (SD). Out of the 37 patients, 15 (40%) had ED. Patients significantly reduced the frequency of coitus (P<0.05). Out of nine patients with distress, eight presented ED, and of 28 patients without distress, seven presented ED (89 versus 25%, P=0.001). The two groups (distress versus without distress) were similar regarding confounding variables. We concluded that patients without SD prior the MI had a significant incidence of ED and distress was an associated variable of ED post-infarction.

[Thoracic pain and early repolarization syndrome at the cardiologic emergency unit]. / Dor torácica e síndrome da repolarização precoce na unidade de emergência cardiológica.

PURPOSE: To analyze the clinical and electrocardiographic characteristics of early repolarization syndrome (EP) in patients with thoracic pain. METHODS: Patients with thoracic pain and early repolarization were studied. EP was diagnosed on the basis of the presence of two or more criteria: ST elevation; upward concavity; notch or slur on QRS; assymetrical T waves of large amplitude; U waves. RESULTS: Of 350 patients treated in the emergency department, 17 were studied. Sixteen were men, mean age 43.9 years. Four were black. The thoracic pain was atypical in 15. All the patients had ST elevation with upward concavity, most frequently in leads V2. Tall, peaked, positive waves were found in nine patients and U waves were present in 14. CONCLUSION: The electrocardiographic characteristics of ST elevation with upward concavity most frequently observed in precordial leads in patients with atypical precordial pain are important to establish a differential diagnosis, to be confirmed by previous electrocardiogram and cardiac enzymes.