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Comparison between primary angioplasty and thrombolytic therapy on erectile dysfunction after acute ST elevation myocardial infarction

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Asian Journal of Andrology 2012年第5期14卷 784-787页

作者： Ramazan Akdemir Ozlem Karakurt Salih Orcan Nihat Karakoyunlu Mustafa Mucahit Balci Levent Sagnak hamit ersoy Mehmet Bulent Vatan Harun Kilic Ekrem Yeter Department of Cardiology Faculty of MedicineSakarya UniversitySakarya 54054Turkey Department of Cardiology Batikesir Government HospitalBalikesir 10100Turkey Department of Urology Diskapr Yildinm Beyazpt Research and Education HospitalAnkara 06110Turkey Department of Cardiology Yuksek I htisas Research and EducationAnkara 06590Turkey Department of Cardiology Diskapl Yddtnm Beyazlt Research and Education HospitalAnkara 06110Turkey

Acute ST elevation myocardial infarction has high mortality and morbidity rates. The majority of patients with this condition face erectile dysfunction in addition to other health problems. In this study, we aimed to investigate the effects of two different reperfusion strategies, primary angioplasty and thrombolytic therapy, on the prevalence of erectile dysfunction after acute myocardial infarction. Of the 71 patients matching the selection criteria, 45 were treated with primary coronary angioplasty with stenting, and 26 were treated with thrombolytic agents. Erectile function was evaluated using the International Index of Erectile Function in the hospital to characterize each patient＇s sexual function before the acute myocardial infarction and 6 months after the event. The time required to restore blood flow to the artery affected by the infarct was found to be associated with the occurrence of erectile dysfunction after acute myocardial infarction. The increase in the prevalence of erectile dysfunction after acute myocardial infarction was 44.4% in the angioplasty group and 76.9% in the thrombolytic therapy group （P= 0.008）. In conclusion, this study has shown that reducing the time of reperfusion decreases the erectile dysfunction prevalence, and primary angioplasty is superior to thrombolytic therapy for decreasing the prevalence of erectile dysfunction after acute myocardial infarction.

关键词： coronary angioplasty erectile dysfunction fibrinolysis myocardial infarction myocardial reperfusion

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