Functional health status in male patients without restenosis following successful ptca

Abstract

Summary:In a prospective pilot study, subjective and objective parameters of the health status were assessed in 148 male patients (mean age 56 k 8.4 years) before and 4 months after successful coronary angioplasty (PTCA). Restenosis was defined as residual diameter stenosis >50%. Although % patients (65%) had not developed restenosis at 4 months' invasive follow-up, subjective asessment of general well-being was unchanged in 26% or worse in 7 1 %; overall anginal status and exercise performance had however improved. Of 7 1 men younger than 60 years who had no restenosis at follow-up, 4 men retired and 13 remained on medical leave. The striking disparity between subjective and objective parameters was not related to sigxuficant differences of age, exercise capacity, and left ventricular ejection fraction, as well as to baseline characteristics (previous myocardial infarction, extent of coronary heart disease, comorbidity) compared with 52 patients with restenosis. Thus, despite documented sustained success after PTCA, the majority of patients failed to resume the status of subjective well-being.

Effects of beta-blockers on sexual performance in men with coronary heart disease. A prospective, randomized and double blinded study

“…2,15,16 According to the results of our study educational, social as well as psychological factors might play the dominant role in the development of impotence as has been indicated in other studies dealing with quality of life in patients with coronary heart disease. 1,17 Further work is however needed to clarify the role of betablockers on the erectile function in different and larger populations.…”