EECP Improves Erectile Dysfunction More in Patients with Less than 5 years History of Ischemic Heart Disease than Those with More than 5 years History EECP 對 缺血性心臟病 病史少於 5 年的患者勃起功能的改善作用大於病史超過 5 年的患者

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EECP Improves Erectile Dysfunction More in Patients with Less than 5 years History of Ischemic Heart Disease than Those with More than 5 years History

INTRODUCTION:

Enhanced external counterpulsation (EECP) is a noninvasive outpatient treatment used for patients with intractable angina refractory to aggressive surgical and medical treatment. Recent results have demonstrated a positive impact of EECP on patients with ischemic heart disease (IHD)-associated erectile dysfunction (ED).

AIM:

To assess the effect of IHD duration and number of EECP courses on efficacy and satisfaction rate of EECP on patients with IHD-associated ED.

MAIN OUTCOME MEASURES:

We compared pre- and post-EECP responses to erectile function (EF) domain, Q3 and Q4 of the International Index of Erectile Function score in patients who received one or two courses of EECP and those who had <5- or >or=5-years duration of IHD.

METHODS:

As mentioned in part I a total of 44 male patients with intractable angina caused by coronary insufficiency were enrolled in this study. Treatment course of EECP consists of 35 1-hour sessions over 7 weeks. Another 35 1-hour sessions over another 7 weeks were offered to patients who received one course and required a second course because of no or minimal improvement from class IV to class III angina after the first course.

RESULTS:

Patients who received only one course (N = 34) had significantly higher EF domain, Q3 and Q4, in pre- and post-EECP results than patients who received two courses (N = 10) after they completed the first course. Patients who had <5-years duration of IHD had significantly higher pre- and post EECP than patients who had >or=5 years regarding EF domain, Q3 and Q4. Considering the global efficacy question, overall satisfaction, and angina, there were significant improvements of post EECP in patients with <5 years than in patients with >or=5-years duration of IHD.

CONCLUSION:

The efficacy and satisfaction rate of EECP in patients with IHD-associated ED were negatively influenced by longer duration of IHD and requirement of a second course of EECP.

「冠狀動脈疾病相關勃起功能障礙患者的增強體外反搏。第二部分:病程和療程的影響」

引言

體外反搏治療(EECP)是一種非侵入性門診治療,用於治療對侵入性手術和藥物治療無效的難治性心絞痛。最近的研究結果顯示,EECP對 缺血性心臟病 (IHD)相關的勃起功能障礙(ED)患者有正面影響。

目的

評估患有 缺血性心臟病 時間和 EECP療程次數對IHD相關勃起功能障礙患者EECP療效和滿意度的影響。

主要結果指標

我們比較了接受1或2個EECP療程的患者以及接受EECP治療的患者的勃起功能 (EF) 範圍、國際勃起功能指數Q3和Q4評分 <5-或 ≥5 的患者在 EECP 前後的反應。

方法

如第一部分所述,本研究納入了44名由冠狀動脈血流不足引起的難治性心絞痛的男性患者。EECP治療療程包括連續7週的35個1小時療程。對於在第一療程後未能從IV級心絞痛改善至III級心絞痛或改善極小的患者,我們提供了另外7週的35個1小時療程。

結果

只接受一個療程的患者在EECP治療前後的EF領域、第3和第4個問題的評分顯著高於完成第一療程後接受兩個療程的患者。患有 缺血性心臟病 時間 <5年的患者在EECP治療前後的EF領域、第3和第4個問題方面顯著高於患有 缺血性心臟病 時間 ≥5年的患者。就整體療效問題、整體滿意度和心絞痛而言,患有 缺血性心臟病 時間 <5年的患者在EECP治療後的改善明顯優於患有 缺血性心臟病 時間 ≥5年的患者。

結論

患有 缺血性心臟病 更長時間以及需要接受第二個療程會對勃起功能障礙患者EECP的療效和滿意度有負面影響。

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