Abstract 2290: Importance of the Erectile Dysfunction Questionnaire for Geriatric Cardiology Outpatients
Introduction: The prevalence of erectile dysfunction (ED) and its characteristics among cardiac patients is not well established. The erectile dysfunction international index (EDII) questionnaire is a diagnostic instrument easy to apply, but it is not part of the clinical routine.
Objectives: To compare the frequency of ED, obtained by a routine cardiology consultation, with the one verified by application of the EDII. Sexual activities characteristics of these elderly patients were also evaluated.
Methods: The EDII was applied to 151 consecutive male patients, aged 75.4 ± 6.1 years, of a geriatric cardiology outpatient clinic. Diagnosis of ED, by the application of the EDII, was compared to the diagnostic of the attending physician.
Results: ED was detected in 2 cases (1.9%) by the attending physician, and in 105 (69.5%) by the EDII application. During the previous four weeks, 114 (79%) patients did not try to have sexual relations, even though 51 (35%) of them had frequent sexual desire, and this desire was considered more than moderate in 89 (62%). Moreover, among these patients, 76 (53%) reported insatisfaction with their sexual life, and 59 (41%) had low self-confidence to maintain an erection.
Conclusions: Among patients evaluated in a geriatric cardiology outpatient clinic, ED was rarely diagnosticated in a routine consultation, but, with application of the questionnaire, it was possible to identify ED and other sexual alterations in a large number of patients. Therefore, it is important to incorporate, into clinical routine, questions, and, if possible, the application of formal structured questionnaires about ED and sexual activity of the elderly cardiac patients.