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SEXUAL ACTIVITY BEFORE AND AFTER CORONARY ARTERY BYPASS GRAFTING

A. Angelov, V. Sirakova

Abstract

Improved functional capacity after coronary surgery implies that a better level of any aspects of quality of life, sexual activity inclusive, could be expected. The aim of this study was to evaluate the changes in the sexual activity in the patients with coronary artery disease having undergone coronary artery bypass grafting (CABG). The mean age of the contingent of 18 male and 2 female patients was 58 ±5,6 (range 44-66) years. After clinical examination the patients completed a sexual activity questionnaire and an exercise test 20 ±14 (range 4—52) months after CABG. All the patients were married and had permanent sexual partner. At the time of the observation 6 patients (30%) were symptomatic. Data about angina pectoris was available for 5 patients, and one patient experienced symptoms of heart failure. The NYHA class of the patients increased significantly after CABG (1,9 ±0,8 vs 3,1 ±0,5, p 0,001). Only 5 (25%) patients reported increased sexual activity after CABG. Fourteen (70%) patients reported no change in the sexual activity and one (5%) patient had decreased sexual intercourse frequency. After CABG, 16 patients (80%) used beta-blockers. Although the NYHA class of the patients increased significantly after CABG, a few of them experienced an improved sexual activity. Possible reasons were the psychological problems (depression, fear of sexual failure, lack of appreciation and support by the sexual partner), diabetes mellitus, beta-blocker usage, etc. The physician in charge of the CABG patient should ask actively for sexual problems and refer the patient to specialized evaluation when needed.


Keywords

sexual life; coronary artery disease; coronary bypass grafting; heart failure; beta-blockers; exercise test

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References

Caine, N., S. C. W. Harrison, J . Sharpies, et al. Prospective study of quality of life before and after coronary artery bypass grafting.- Br. Med. J., 302, 1991,511-516.

CASS Principal Investigators and Their Associates: Coronary Artery Surgery Study (CASS): A randomized trial of coronary artery bypass surgery. Quality of life in patients randomly assigned to treatment groups.- Circulation, 68, 1983, 951-960.

Drory, Y . , S. Kravetz, V. Florian, et al. Sexual activity after first acute myocardial infarction in middle-aged men: demographic, psychological, and medical predictors.- Cardiology; 90, 1998, 207-211.

HfeHoad, N., 1. Crawford. Rehabilitation after coronary artery bypass grafting and improved quality of life'.- Br. J. Sports Med., 24, 1990, 120-122.

Herlitz, J . , M. Haglid. I . Wiklund. et al. Improvement in quality of life during 5 years after coronaryartery bypass grafting.- Coron. Artery Dis., 9. 1998. 519-526.

Rornfeld. D., S. Heller, K . Frank, et al. Psychological and behavioral responses after coronary artery bypass surgery.- Circulation. 66, 1982, Suppl. Ill, 24-28.

Papadopoulus, C , S. Shelley, S. Picolloet, et al. Sexual activity after coronary bypass surgery.- Chest, 90, 1986, 681-685.

Sjoeland. H., K. Caidahl, I . Wiklund, et al. Impact of coronary artery bypass grafting on various aspects of quality of life.- Eur. J. Cardiolhorac. Surg., 12, 1997, 612-619.

Speziale, G., G. Ruvolo, B. Marino, et al. Quality of life following coronary bypass surgery.-J. Cardiovasc. Surg., 37, 1996, 75-78.

Taylor, H. Sexual activity and the cardiovascular patient: guidelines.- Am. J Cardiol., 84. 1999, 6N-I0R

The VA Coronary Artery Bypass Surgery Cooperative Study Group. Eleven-year survival in the VA randomized trial of coronary bypass surgery for stable angina.- Sew Engl. J. Med, 31 , 1984, 1333-1339.

Zafary, N., N. Wenger. Secondary prevention of coronary heart disease.- Arch. Phys. Med. Rehabii, 79, 1998, 1006-1017.




DOI: http://dx.doi.org/10.14748/ssm.v34i0.2783

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About The Authors

A. Angelov

V. Sirakova

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