Compromised Sexual Health Among Male Patients With Implantable Cardioverter Defibrillator: A Cross-Sectional Questionnaire Study

Pernille Palm; Ann Dorthe Zwisler; Jesper Hastrup Svendsen; Annamaria Giraldi; Marianne Linnet Rasmussen; Selina Kikkenborg Berg

doi:10.1016/j.esxm.2018.12.001

Compromised Sexual Health Among Male Patients With Implantable Cardioverter Defibrillator: A Cross-Sectional Questionnaire Study

Pernille Palm^*, Ann Dorthe Zwisler, Jesper Hastrup Svendsen, Annamaria Giraldi, Marianne Linnet Rasmussen, Selina Kikkenborg Berg

^*Corresponding author af dette arbejde

Institut for Klinisk Medicin

2 Citationer (Scopus)

7 Downloads (Pure)

Abstract

Introduction: In cardiac patients with implantable cardioverter defibrillator (ICD), sexual function is sparsely described. Aim: To determine the prevalence and distribution of sexual dysfunction, and to describe whether primary or secondary prophylactic ICD indication and antitachycardia pacing (ATP) or shock is associated with sexual function. Methods: A cross-sectional survey of men with an implanted ICD was conducted at 2 university hospitals in Denmark. Inclusion criteria were men over the age of 18 with an ICD. Exclusion criterion was no partner. Main Outcome Measure: Sexual function was assessed by the International Index of Erectile Function questionnaire and data on implantation indication (primary/secondary prevention) and therapy such as ATP and shock (both appropriate and inappropriate) was obtained from the Danish ICD Register. Results: Data from 415 questionnaires were analyzed (response rate 50.2%). Patients had a mean age of 63.9±12.1 years. Erectile dysfunction (ED) was present in 70% of patients, orgasmic dysfunction was present in 57.9% of patients, 82.8% had reduced sexual desire, 85.8% had intercourse satisfaction problems, and 76.9% experienced overall satisfaction problems (non-validated metric except for ED). Patients with an ICD on primary prophylactic indication had more sexual dysfunction and ED compared with patients with an ICD on secondary prophylactic indication. ATP therapy, but not shock, was associated with more ED. Conclusion: Sexual dysfunction is common in patients with ICD and is not limited to ED, but also orgasmic function, desire, intercourse, and overall satisfaction are affected. Primary prophylactic ICD indication and ATP, but not shock therapy, is associated with compromised sexual function. Palm P, Zwisler A-D, Svendsen JH. Compromised Sexual Health Among Male Patients With Implantable Cardioverter Defibrillator: A Cross-Sectional Questionnaire Study. Sex Med 2019;7:169–176.

Originalsprog	Engelsk
Tidsskrift	Sexual Medicine
Vol/bind	7
Udgave nummer	2
Sider (fra-til)	169-176
Antal sider	8
ISSN	2050-1161
DOI	https://doi.org/10.1016/j.esxm.2018.12.001
Status	Udgivet - 2019

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10.1016/j.esxm.2018.12.001Licens: CC BY-NC-ND

Compromised Sexual Health Among Male Patients With Implantable Cardioverter Defibrillator: A Cross-Sectional Questionnaire StudyForlagets udgivne version, 469 KBLicens: CC BY-NC-ND

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title = "Compromised Sexual Health Among Male Patients With Implantable Cardioverter Defibrillator: A Cross-Sectional Questionnaire Study",

abstract = "Introduction: In cardiac patients with implantable cardioverter defibrillator (ICD), sexual function is sparsely described. Aim: To determine the prevalence and distribution of sexual dysfunction, and to describe whether primary or secondary prophylactic ICD indication and antitachycardia pacing (ATP) or shock is associated with sexual function. Methods: A cross-sectional survey of men with an implanted ICD was conducted at 2 university hospitals in Denmark. Inclusion criteria were men over the age of 18 with an ICD. Exclusion criterion was no partner. Main Outcome Measure: Sexual function was assessed by the International Index of Erectile Function questionnaire and data on implantation indication (primary/secondary prevention) and therapy such as ATP and shock (both appropriate and inappropriate) was obtained from the Danish ICD Register. Results: Data from 415 questionnaires were analyzed (response rate 50.2%). Patients had a mean age of 63.9±12.1 years. Erectile dysfunction (ED) was present in 70% of patients, orgasmic dysfunction was present in 57.9% of patients, 82.8% had reduced sexual desire, 85.8% had intercourse satisfaction problems, and 76.9% experienced overall satisfaction problems (non-validated metric except for ED). Patients with an ICD on primary prophylactic indication had more sexual dysfunction and ED compared with patients with an ICD on secondary prophylactic indication. ATP therapy, but not shock, was associated with more ED. Conclusion: Sexual dysfunction is common in patients with ICD and is not limited to ED, but also orgasmic function, desire, intercourse, and overall satisfaction are affected. Primary prophylactic ICD indication and ATP, but not shock therapy, is associated with compromised sexual function. Palm P, Zwisler A-D, Svendsen JH. Compromised Sexual Health Among Male Patients With Implantable Cardioverter Defibrillator: A Cross-Sectional Questionnaire Study. Sex Med 2019;7:169–176.",

keywords = "Cardiovascular Patients, Erectile Dysfunction, Implantable Cardioverter Defibrillator, Sexual Dysfunction",

author = "Pernille Palm and Zwisler, {Ann Dorthe} and Svendsen, {Jesper Hastrup} and Annamaria Giraldi and Rasmussen, {Marianne Linnet} and Berg, {Selina Kikkenborg}",

year = "2019",

doi = "10.1016/j.esxm.2018.12.001",

language = "English",

volume = "7",

pages = "169--176",

journal = "Sexual Medicine",

issn = "2050-1161",

publisher = "Elsevier",

number = "2",

}

TY - JOUR

T1 - Compromised Sexual Health Among Male Patients With Implantable Cardioverter Defibrillator

T2 - A Cross-Sectional Questionnaire Study

AU - Palm, Pernille

AU - Zwisler, Ann Dorthe

AU - Svendsen, Jesper Hastrup

AU - Giraldi, Annamaria

AU - Rasmussen, Marianne Linnet

AU - Berg, Selina Kikkenborg

PY - 2019

Y1 - 2019

N2 - Introduction: In cardiac patients with implantable cardioverter defibrillator (ICD), sexual function is sparsely described. Aim: To determine the prevalence and distribution of sexual dysfunction, and to describe whether primary or secondary prophylactic ICD indication and antitachycardia pacing (ATP) or shock is associated with sexual function. Methods: A cross-sectional survey of men with an implanted ICD was conducted at 2 university hospitals in Denmark. Inclusion criteria were men over the age of 18 with an ICD. Exclusion criterion was no partner. Main Outcome Measure: Sexual function was assessed by the International Index of Erectile Function questionnaire and data on implantation indication (primary/secondary prevention) and therapy such as ATP and shock (both appropriate and inappropriate) was obtained from the Danish ICD Register. Results: Data from 415 questionnaires were analyzed (response rate 50.2%). Patients had a mean age of 63.9±12.1 years. Erectile dysfunction (ED) was present in 70% of patients, orgasmic dysfunction was present in 57.9% of patients, 82.8% had reduced sexual desire, 85.8% had intercourse satisfaction problems, and 76.9% experienced overall satisfaction problems (non-validated metric except for ED). Patients with an ICD on primary prophylactic indication had more sexual dysfunction and ED compared with patients with an ICD on secondary prophylactic indication. ATP therapy, but not shock, was associated with more ED. Conclusion: Sexual dysfunction is common in patients with ICD and is not limited to ED, but also orgasmic function, desire, intercourse, and overall satisfaction are affected. Primary prophylactic ICD indication and ATP, but not shock therapy, is associated with compromised sexual function. Palm P, Zwisler A-D, Svendsen JH. Compromised Sexual Health Among Male Patients With Implantable Cardioverter Defibrillator: A Cross-Sectional Questionnaire Study. Sex Med 2019;7:169–176.

AB - Introduction: In cardiac patients with implantable cardioverter defibrillator (ICD), sexual function is sparsely described. Aim: To determine the prevalence and distribution of sexual dysfunction, and to describe whether primary or secondary prophylactic ICD indication and antitachycardia pacing (ATP) or shock is associated with sexual function. Methods: A cross-sectional survey of men with an implanted ICD was conducted at 2 university hospitals in Denmark. Inclusion criteria were men over the age of 18 with an ICD. Exclusion criterion was no partner. Main Outcome Measure: Sexual function was assessed by the International Index of Erectile Function questionnaire and data on implantation indication (primary/secondary prevention) and therapy such as ATP and shock (both appropriate and inappropriate) was obtained from the Danish ICD Register. Results: Data from 415 questionnaires were analyzed (response rate 50.2%). Patients had a mean age of 63.9±12.1 years. Erectile dysfunction (ED) was present in 70% of patients, orgasmic dysfunction was present in 57.9% of patients, 82.8% had reduced sexual desire, 85.8% had intercourse satisfaction problems, and 76.9% experienced overall satisfaction problems (non-validated metric except for ED). Patients with an ICD on primary prophylactic indication had more sexual dysfunction and ED compared with patients with an ICD on secondary prophylactic indication. ATP therapy, but not shock, was associated with more ED. Conclusion: Sexual dysfunction is common in patients with ICD and is not limited to ED, but also orgasmic function, desire, intercourse, and overall satisfaction are affected. Primary prophylactic ICD indication and ATP, but not shock therapy, is associated with compromised sexual function. Palm P, Zwisler A-D, Svendsen JH. Compromised Sexual Health Among Male Patients With Implantable Cardioverter Defibrillator: A Cross-Sectional Questionnaire Study. Sex Med 2019;7:169–176.

KW - Cardiovascular Patients

KW - Erectile Dysfunction

KW - Implantable Cardioverter Defibrillator

KW - Sexual Dysfunction

U2 - 10.1016/j.esxm.2018.12.001

DO - 10.1016/j.esxm.2018.12.001

M3 - Journal article

C2 - 30674447

AN - SCOPUS:85060162309

SN - 2050-1161

VL - 7

SP - 169

EP - 176

JO - Sexual Medicine

JF - Sexual Medicine

IS - 2

ER -

Compromised Sexual Health Among Male Patients With Implantable Cardioverter Defibrillator: A Cross-Sectional Questionnaire Study

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