Sex and Intimacy Among Patients With Implantable Left-Ventricular Assist Devices

Marcuccilli, Linda; Casida, Jesus; Peters, Rosalind M.; Wright, Susan

doi:10.1097/jcn.0b013e31820e2fae

Cited by 36 publications

(32 citation statements)

References 10 publications

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“…7,18 All studies reported methods to maintain qualitative rigor as measured by the CASP, but the article by Sandau was most transparent, reporting attributes of the non-clinician interviewers and more details regarding the grounded theory approach (see Table 1). 7,8,18–22 Sample sizes ranged from 5-12 patients with a total of 59 patients included in the 7 studies (see Table 2). The mean age of participants was 52.3 years and 25% (n=15) were women.…”

Section: Resultsmentioning

confidence: 99%

Adaptation and coping in patients living with an LVAD: A metasynthesis

et al. 2016

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Background Left Ventricular Assist Device (LVAD) patients have shown improvements in measures of quality of life and functional status compared to those who are medically managed. Qualitative research has not yet been meaningfully integrated. Aim To synthesize and convey information to inform components of LVAD education programs that support the coping and adaptation of patients living with an LVAD and to identify opportunities for future interventions. Methods Qualitative meta-synthesis using Lazarus and Folkmans’ Transactional Model of stress and coping Results Four distinct stages of adaptation were identified: Pre-LVAD, Implant Hospitalization, Early Home Adaptation and Late Home Adaptation. Each stage includes tasks related to physical, psychological and social domains. Further, two themes emerged: 1) Primary Appraisal: Every stage is a new challenge and 2) Secondary Appraisal: Routines are achievable, emotions are more difficult. Conclusions The emotional challenges LVAD patients face including fear and anxiety related to living with a life limiting illness and changed social roles need to be honestly addressed. Individuals living with LVAD can achieve a sense of independence and enjoy social interactions and activities that are important to them through addressing practical and emotional problems to facilitate effective coping.

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Section: Resultsmentioning

confidence: 99%

Adaptation and coping in patients living with an LVAD: A metasynthesis

et al. 2016

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“…161 After LVAD placement, there may be renewed interest in sexual activity, improved sexual desire, and more energy to engage in sex, whereas before implantation of the LVAD, the debilitating symptoms of HF may have prevented patients from engaging in or thinking about sex. Partners reported being somewhat anxious about intercourse, mainly because of fears of causing harm, injury, or death.…”

Section: Left Ventricular Assist Devicesmentioning

confidence: 99%

Sexual Counseling for Individuals With Cardiovascular Disease and Their Partners

Steinke¹,

Jaarsma²,

Barnason³

et al. 2013

Circulation

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“…Finally, despite cardiac transplantation and implantation of left ventricular assistance devices has improved survival and overall QoL in patients with terminal heart failure, their effects on sexual activity is not clearly defined, depending probably by the individual emotional response to such invasive therapies (Basile et al, 2001;Marcuccilli et al, 2011). Nevertheless, in these patients physical activity is usually encouraged and, as a consequence, sexual activity is not contraindicated.…”

Section: Potential Additional Treatments For Hf and Edmentioning

confidence: 99%

Erectile dysfunction in heart failure patients: a critical reappraisal

et al. 2013

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SUMMARYHeart failure (HF) is a complex clinical syndrome with a constantly increasing incidence and prevalence in western countries. Total absence of sexual activity is registered in 30% of HF patients. Moreover, HF-induced reduction in exercise tolerance, side effects of HF medications and the coexistence of shared risk factors between HF and sexual dysfunction may further aggravate the sexual health of HF patients. The purpose of this review is to examine the pathophysiological mechanisms behind the association of erectile dysfunction (ED) and HF, the potential therapeutic approaches and the eventual indications for sexual activity in HF patients. Medline and Cochrane Library search was performed from January 1970 through October 2012 to retrieve relevant papers outlining the association between ED and HF. Many evidences have outlined a tight association between ED and HF pathophysiological standpoint. Shared risk factors, common pathogenic traits and epidemiologic association represent some of the links between these conditions. Erectile dysfunction has been recognized as an earlier predictor of cardiovascular events; moreover, HF itself may cause and/ or worsen ED because of its particular feature and co-morbidities. Furthermore, some cardiovascular drugs may contribute to impaired erectile function. In stable patients with stable HF, sexual activity is generally not contraindicated but it should be encouraged, as a form of moderate-intensity physical exertion. An effective treatment of ED in HF patients should be founded on the correction of reversible risk factors, on the choice of cardiovascular drugs with the lowest effect upon patient's erectile function, and on the use of phosphodiesterase-5-inhibitors. Physicians should be aware of the close relation between HF and ED and of the related clinical and therapeutic implications, in order to improve patients quality of life and clinical outcome.

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Sex and Intimacy Among Patients With Implantable Left-Ventricular Assist Devices

Cited by 36 publications

References 10 publications

Adaptation and coping in patients living with an LVAD: A metasynthesis

Adaptation and coping in patients living with an LVAD: A metasynthesis

Sexual Counseling for Individuals With Cardiovascular Disease and Their Partners

Erectile dysfunction in heart failure patients: a critical reappraisal

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