Sexual function and cardiovascular disease: what the general cardiologist needs to know

Roushias, Stella; Ossei-Gerning, Nicholas

doi:10.1136/heartjnl-2016-310762

Cited by 14 publications

(7 citation statements)

References 53 publications

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“…A disfunção sexual na população cardiopata apresenta-se com uma etiologia multifatorial e algumas causas as quais vêm sendo descritas na literatura são: idade avançada, tabagismo, obesidade, HAS e DM, ocorrência de disfunção endotelial, deficiência de testosterona para os homens, ocorrência de menopausa e disfunções do assoalho pélvico para as mulheres 25 . Além disso, um recente estudo 25 demonstrou uma associação entre o uso de medicamentos anti-hipertensivos, como diuréticos tiazídicos, β-bloqueadores e antagonistas de aldosterona e disfunção erétil na população masculina. A utilização de fármacos como diuréticos, betabloqueadores, inibidores da enzima de conversão da angiotensina e bloqueadores dos canais de cálcio também se evidenciou como um fator associado a disfunção sexual feminina 26 .…”

Section: Discussionunclassified

Prevalência de disfunção sexual e incontinência urinária em indivíduos cardiopatas candidatos à reabilitação cardíaca e indivíduos sem evento cardíaco prévio

Albuquerque

Bittencourt²,

Santos³

et al. 2021

Saúde (Sta. Maria)

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Objetivo: Analisar a prevalência de disfunção sexual e incontinência urinária em sujeitos cardiopatas candidatos a um programa de reabilitação cardíaca (PRC), assim como comparar os achados a sujeitos sem evento cardíaco prévio (n=25) e correlacionar com as variáveis capacidade funcional (CF) e qualidade de vida (QV). Métodos: Trata-se de um estudo transversal com avaliação dos seguintes desfechos: disfunção sexual (Female Sexual Function Index e Índice Internacional de Função Erétil Simplificado), incontinência urinária (International Consultation Incontinence Questionnaire – Short Form, Incontinence Severity Index), qualidade de vida (Minnesota Living with Heart Failure Questionnaire e MacNew Heart Disease Health-Related Quality of Life Questionnaire para sujeitos cardiopatas e Medical Outcomes Study 36-Item Short-Form Health Survey e Notthingam Health Profile para sujeitos sem evento cardíaco prévio) e CF (teste de caminhada de 6 minutos). Resultados: A amostra foi composta por 25 indivíduos cardiopatas candidatos a um PRC (59,88 ± 8,53 anos, 19 homens) e 25 indivíduos sem evento cardíaco prévio (57,88 ± 9,54 anos, 19 homens). Não houve diferença significativa na prevalência de disfunção sexual e incontinência urinária entre os grupos. Houve correlação inversa e forte (r=-0,803; p=0,005) entre disfunção sexual e CF nos homens cardiopatas. Os pacientes cardiopatas demonstraram uma menor capacidade funcional quando comparados aos sujeitos sem evento cardíaco prévio. Considerações Finais: Ressalta-se a importância da abordagem de temas como disfunção sexual e incontinência urinária dentro de um PRC, sobretudo em função do manejo precoce dos seus fatores de risco.

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Section: Discussionunclassified

Prevalência de disfunção sexual e incontinência urinária em indivíduos cardiopatas candidatos à reabilitação cardíaca e indivíduos sem evento cardíaco prévio

Albuquerque

Bittencourt²,

Santos³

et al. 2021

Saúde (Sta. Maria)

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“…Sexual activity (ranging from foreplay to intercourse) places strain on the cardiovascular system, increasing blood pressure and heart rate, often described as the equivalent of climbing two flights of stairs (Mornar Jelavić 2018). Lifestyle changes and medical treatment of cardiac disease can improve erectile dysfunction and quality of life although, conversely, cardiovascular medications can exacerbate erectile dysfunction (Roushias 2019).…”

Section: Sexual Dysfunction and Medical Comorbiditymentioning

confidence: 99%

Sexuality and sexual dysfunctions in older people: a forgotten problem

Slack

Aziz²

2020

BJPsych advances

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SUMMARYThis article considers sexuality in older adults and the associated stereotypes and stigmas that lead to this area being underappreciated. Normal physiological changes in ageing are discussed and how they can cause sexual dysfunction. The elderly population has a higher burden of comorbid physical illness and this review considers evidence on the interplay between physical health and sexual health. Mental illness is also strongly linked with sexual functioning and is discussed, as is the evidence on psychotropics and sexual side-effects. Attitudes on sexuality in long-term care settings are highlighted and approaches to managing sexual disinhibition are included.

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“…Sexual health is another important element of reproductive health. [ 6 ] The rate of sexual dysfunction in these women was reported to be 25–41% in some studies,[ 9 10 ] while it was 90% in another study. [ 11 ] Despite the existence of sexual dysfunction in women with heart disease, only 16% of cardiologists check sexual health of these women at their visits.…”

Section: Introductionmentioning

confidence: 99%

Identifying and responding to the sexual reproductive health needs of women with heart disease: A qualitative study

Kohan

Movahedi

Sadeghi

et al. 2022

Iranian J Nursing Midwifery Res

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Background: Recognizing the needs of women with heart disease in the field of reproductive health and meeting them can reduce the related complications. The aim of this study was to identify the sexual and reproductive health needs of these women. Materials and Methods: The present study was conducted with qualitative approach (Content analysis). Ten married women of reproductive age with heart disease and 20 providers and managers in, Isfahan, Iran, were selected by using purposive and snowball methods (in 2020). The research setting included heart disease clinics, offices of health team, comprehensive health centers, and the Isfahan Maternal Health Department. Data were collected by semi-structured individual face-to-face interviews in the clinic or other appropriate locations. Some interviews were conducted virtually. Analysis was performed by Qualitative contentment analysis / Conventional content analysis. Results: Sexual and reproductive health needs of women with heart disease were emerged in five main categories, “planned childbearing,” “ssociocultural support,” “Early reproductive health care of girls,” “health team attention to sexual health,” and “health system revision.” Conclusions: Providing comprehensive reproductive health services before and during pregnancy, family planning, and sexual health for women with heart disease is necessary. It seems that using a multidisciplinary team approach could improve their reproductive health.

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Sexual function and cardiovascular disease: what the general cardiologist needs to know

Cited by 14 publications

References 53 publications

Prevalência de disfunção sexual e incontinência urinária em indivíduos cardiopatas candidatos à reabilitação cardíaca e indivíduos sem evento cardíaco prévio

Prevalência de disfunção sexual e incontinência urinária em indivíduos cardiopatas candidatos à reabilitação cardíaca e indivíduos sem evento cardíaco prévio

Sexuality and sexual dysfunctions in older people: a forgotten problem

Identifying and responding to the sexual reproductive health needs of women with heart disease: A qualitative study

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