Publication:

Association of angiographic severity of coronary artery disease and erectile dysfunction based on IIEF-5 score

Background Erectile dysfunction (ED) is common in patients with coronary artery disease (CAD). Atherosclerosis is a shared mechanism for vasculogenic ED and CAD, suggesting a potential correlation. The objective was to evaluate the association of angiographic severity of coronary artery disease & erectile dysfunction based on IIEF-5 score.

Methods This cross-sectional study was conducted at NICVD, Dhaka, on 60 patients with CAD and ED. Patients were divided into Group I (Gensini 50%) was more common in Group II (43.3% vs 20%, p=0.042). Spearman’s correlation showed a negative correlation between Gensini and IIEF-5 scores (ρ=-0.475, p=0.01) and a positive correlation with IPA stenosis (ρ=0.410, p=0.03). Logistic regression identified severe CAD (OR 9.13, 95% CI 1.37–60.99) and diabetes mellitus (OR 4.75, 95% CI 1.29–46.33) as predictors of IPA stenosis.

Conclusion Severity of CAD is inversely associated with erectile function and positively correlated with IPA stenosis.