Department of Cardiology, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
J Sex Med. 2010 Dec;7(12):3991-6. doi: 10.1111/j.1743-6109.2010.01954.x.
In the past decade, there has been an increasing amount of published information regarding erectile dysfunction (ED) and heart failure (HF) in economically advanced, westernized populations. However, there is a paucity of data regarding ED and HF in developing countries. The country of Georgia is categorized as a lower-middle-income country (LMIC) with an emerging and developing economy.
To examine the prevalence of ED in patients with HF from a developing and LMIC and assess the association with depression.
We conducted an observational, cross-sectional study that included male patients 18 years of age or older with an ejection fraction ≤40% by echocardiogram in a heart failure disease management program in Tbilisi, Georgia. The Sexual Health Inventory for Men (SHIM) survey was used to categorize men according to degree of ED. Baseline clinical characteristics known to be associated with ED, such as New York Heart Association functional classification, were also documented.
The SHIM survey and the nine-question Patient Health Questionnaire.
The prevalence of ED was found to be 61.7%. Patients with ED were generally older, had more peripheral vascular disease, and had greater levels of depression than those without ED.
There is a high prevalence of ED in patients with HF living in Tbilisi, Georgia. In comparison to previously published data on HF populations, our Georgian population showed lesser degrees of ED. More research is needed to better explain the causality for lower prevalence of ED, but explanations may include lower degrees of diabetes and aspects of treatment such as beta-blocker medication. Health care providers in LMICs should screen all of their male HF patients for ED and provide appropriate therapy.
在过去的十年中，关于经济发达的西方化人群中的勃起功能障碍（ED）和心力衰竭（HF）的已发表信息越来越多。 但是，关于发展中国家的 ED 和 HF 的数据很少。 格鲁吉亚被归类为中下收入国家（LMIC），具有新兴和发展中的经济。
检查来自发展中国家和 LMIC 的 HF 患者中 ED 的患病率，并评估其与抑郁之间的关联。
我们进行了一项观察性，横断面研究，该研究纳入了在格鲁吉亚第比利斯的心力衰竭疾病管理计划中年龄在 18 岁或以上且超声心动图射血分数≤40％的男性患者。使用男性性功能健康问卷（SHIM）调查根据 ED 的严重程度对男性进行分类。还记录了与 ED 相关的已知基线临床特征，例如纽约心脏协会功能分类。
SHIM 调查和九项患者健康问卷。
发现 ED 的患病率为 61.7％。患有 ED 的患者通常年龄较大，患有外周血管疾病的比例较高，并且抑郁程度高于没有 ED 的患者。
在格鲁吉亚第比利斯的 HF 患者中，ED 的患病率很高。与以前发表的 HF 人群数据相比，我们的格鲁吉亚人群显示 ED 的程度较低。需要进行更多的研究，以更好地解释 ED 患病率较低的原因，但解释可能包括糖尿病的程度较低以及β受体阻滞剂等治疗方面。 LMIC 的医疗保健提供者应筛查所有男性 HF 患者的 ED 并提供适当的治疗。
