Sharjeel Abbas, Waseem Riaz, Arif Nassery M Sharif, Madiha Iqbal.
Erectile Dysfunction As A Prognostic Indicator Of Mortality After Coronary Artery Bypass Grafting.
J Cardiovascular Dis Jan ;14(2):33-7.

OBJECTIVE: To identify the relation of postoperative erectile dysfunction with mortality at 12 months in patients undergoing coronary artery bypass grafting (CABG). METHODS: This was a prospective observational study conducted at Out Patient Department (OPD) of Cardiovascular Surgery, Punjab Institute of Cardiology Lahore from October 2015 to October 2016. Ninty eight patients were enrolled with exclusion of those with some erectile dysfunction preoperatively, left main stem disease, off pump surgery (OPCAB), emergency CABG, circulatory support with intra-aortic balloon pump before surgery, valvular or congenital defects repair, beta blocker therapy, drug consumption for erectile dysfunction prior to study, hormone replacement therapy, Diabetes mellitis, renal failure, stroke, hepatic impairment and infections. Standard CABG under Cardiopulmonary bypass with Hypothermia was performed in all patients. erectile function of these patients was assessed with the help of International Index of Erectile Function 5 (IIEF-5) questionnaire during first postoperative month. RESULTS: Out of 98 patients enrolled, 9 patients were lost in follow up and 89 patients participated till the end of study period of 1 year. At twelfth month post operatively IIEF-5 scores improved in 15 patients. Two patients with normal erectile function died and 9 patients with significant erectile dysfunction died at 12 month follow up (p=0.000) indicating an association between erectile dysfunction and mortality. CONCLUSION: Erectile dysfunction after Bypass surgery is related with mortality at 1 year followup.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com