Dávolos Ignacio G, Masson Walter, Lavalle-Cobo Augusto M, Ángel Adriana A, Giorgini Julio C, González-Naya Enrique
Servicio Cardiología, Hospital de Clínicas José de San Martín, Universidad de Buenos Aires, Buenos Aires, Argentina.
Consejo de Cardiología del Ejercicio Dr. José Menna, Sociedad Argentina de Cardiología, Buenos Aires, Argentina.
Arch Cardiol Mex. 2022 Oct 21;92(4):484-491. doi: 10.24875/ACM.210003981.
Patients with coronary heart disease and their families often face numerous changes in their lives. Recommendations on sexual activity (SA) should be included in the management of these patients. The objective of this study was to evaluate the degree of knowledge and professional attitude regarding the patient's SA.
A descriptive and analytical cross-sectional study was carried out. The data were obtained from a structured, virtual and anonymous survey that was carried out among cardiologists.
Three hundred forty-five surveys were analyzed. In total, 63.8% considered sexual dysfunction as a cardiovascular risk marker. Likewise, 68.1% considered it relevant or very relevant to ask patients about SA. Regarding counseling, it is believed that it should be initiated primarily by the cardiologist. A more active attitude regarding the re-initiation of SA after a cardiovascular event, a greater interest in SA training, more testosterone orders and more indications of phosphodiesterase inhibitors were observed in professionals older than 60 years and male compared to younger or female physicians, respectively.
This study showed that the degree of knowledge of the patients about the aspects related to SA was poor. Given the relevance of the topic, we consider it important to strengthen medical education in all areas.
冠心病患者及其家属在生活中常常面临诸多变化。对这些患者的管理应纳入有关性活动（SA）的建议。本研究的目的是评估医生对患者性活动的了解程度和专业态度。
开展了一项描述性和分析性横断面研究。数据来自对心脏病专家进行的一项结构化、虚拟且匿名的调查。
共分析了345份调查问卷。总体而言，63.8%的人将性功能障碍视为心血管风险标志物。同样，68.1%的人认为询问患者性活动相关情况是相关的或非常相关的。关于咨询，认为主要应由心脏病专家发起。与年轻医生或女医生相比，60岁以上的医生和男医生在心血管事件后对性活动重新开始持更积极的态度，对性活动培训更感兴趣，开出更多睾酮处方以及更多开具磷酸二酯酶抑制剂。
本研究表明，医生对与性活动相关方面的了解程度较差。鉴于该主题的相关性，我们认为加强各领域的医学教育很重要。
