Risk Factors And Correlation Between Coronary Heart Disease And Erectile Dysfunction

Objective:To analysis of risk factors associated with coronary heart disease and erectile dysfunction,to study the correlation between coronary heart disease and erectile dysfunction.Method:From September 2018 to December 2019,adult male patients were randomly selected from the inpatient and outpatient department of Cardiology of Qingdao City third People’s Hospital.All participants were required to undergo laboratory and physical examinations,and their detailed information(age,history of coronary heart disease,history of diabetes,history of smoking,history of hypertension,high density lipoprotein(HDL value),triglyceride(TG value),total cholesterol(TC value)and body mass index(BMI value)were collected,and the International erectile function index(IIEF-5)questionnaire was filled out.A total of 220 patients met the criteria and were included in the study.Using clinical guidelines as the diagnostic criteria for coronary atherosclerotic heart disease,the study subjects were divided into two groups: group Ⅰ was coronary heart disease group(110 cases),group Ⅱ was non-coronary heart disease group(110cases),and patients with coronary heart disease Statistical analysis of relevant influencing factors.In addition,according to the IIEF-5 score,patients were divided into erectile dysfunction group(≤21 points)and no erectile dysfunction group(≥22 points),and related influencing factors were statistically analyzed.Then 110 patients in group I were assigned into two groups,normal heart function group and complicated with heart failure group,according to whether they were complicated with heart failure.The age,history of hypertension,history of diabetes,history of smoking and prevalence of erectile dysfunction of the two groups were statistically analyzed.Results:1.The BMI,LDL,TC and TG values of patients in the coronary artery disease group were significantly higher than those in the group without coronary artery disease,and the difference was statistically significant(P<0.05).History of diabetes mellitus,hypertension and smoking were higher in the coronary artery disease group,and the difference was statistically significant(P<0.05).The HDL values of patients in the coronary artery disease group were lower than those in the group without coronary artery disease,and the difference was statistically significant(P<0.05).Among patients in the coronary artery disease group,the prevalence of erectile dysfunction(69%)was significantly higher than that in the non-coronary artery disease group(20.9%),with a statistically significant difference(P<0.05).2.History of diabetes mellitus,hypertension and smoking were higher in the erectile dysfunction group,and the difference was statistically significant(P<0.05).The BMI,LDL,TC and TG values of patients in the erectile dysfunction group were higher than those in the group without erectile dysfunction,and the differences were statistically significant(P<0.05).The HDL values of patients in the erectile dysfunction group were lower than those in the group without erectile dysfunction,and the difference was statistically significant(P<0.05).The prevalence of coronary heart disease in the erectile dysfunction group(69%)was significantly higher than that in the non-erectile dysfunction group(20.9%),and the difference was statistically significant(P<0.05).3.After adjusting the influence of confounding factors,multi-factor regression analysis was conducted on related influencing factors.The results showed that age,history of coronary heart disease,history of hypertension,history of diabetes,history of smoking,TC value,TG value,LDL value,HDL value and BMI value were all correlated with the prevalence of erectile dysfunction,and the difference was statistically significant,and HDL value was a protective factor(P<0.05).4.The prevalence of erectile dysfunction in CAD patients with heart failure was 73.3%,while the prevalence of erectile dysfunction in the normal heart function group was 48.7%.There was statistically significant difference between the two groups(P < 0.05),while there was no statistically significant difference between the two groups in age,smoking history,history of hypertension and history of diabetes(P >0.05).Conclusion:1.Erectile dysfunction is closely related to coronary heart disease.2.Erectile dysfunction and coronary heart disease may share common risk factors such as age,history of hypertension,history of diabetes,history of smoking,TC value,TG value,LDL value,and BMI value3.HDL value may be a protective factor for erectile dysfunction.4.Erectile dysfunction is an important correlate of the severity of coronary heart disease.