Sirds slimibas4/12/2023 ![]() ![]() For left main (LM) disease patients 50% of all restenosis diagnoses also were diagnosed early (three to six month after PCI). We established a patient subgroup (22%) with "silent" ischemia (positive exercise test without chest pain), out of whom 41% had restenosis. ![]() In half of those patients above restenosis was diagnosed early - three to six months after PCI. Restenosis of coronary arteries in angiography were established in 6.4%. ![]() Seventeen percent of patients had chest pain and 13% had significant ST-segment changes in electrocardiogram. Clinical and functional status of patients and risk of restenosis were evaluated and corrections in medications were made. An exercise test was conducted one, three, six and twelve months after PCI. A total of 7,300 patients with CHD were followed-up in one year after PCI. This method has been successfully implemented in diagnostics of restenosis in coronary arteries, a process which pathophysiologically differs from primary atherosclerosis. Exercise tests are widely used for the evaluation and diagnostics of CHD. This is the first study in Latvia, and provides wide opportunities to evaluate functional status of patients, treatment effectiveness, possible risks and prognosis after PCI. A follow-up programme was developed in the Latvian Centre of Cardiology, which included a stress electrocardiogram for patients after PCI. The clinical course and prognosis of coronary heart disease (CHD) can be modified favourably with percutaneous coronary intervention (PCI) in combination with medication. Patients complaining of ED should be evaluated with a comprehensive medical and sexual history, and a thorough physical examination, regardless of their age, considering ED as an opportunity to screen for the presence of health-threatening concomitant comorbidities.ĬAD, coronary artery disease CCI, Charlson Comorbidity Index CHD, coronary heart disease COPD, chronic obstructive pulmonary disease CVD, cardiovascular disease Clinical practice Comorbidities DM, diabetes mellitus ED, erectile dysfunction EF, erectile function Erectile dysfunction HF, heart failure Health status IIEF, International Index of Erectile Function International Index of Erectile Function MMAS, Massachusetts Male Aging Study MeS, metabolic syndrome QoL, quality of life.Importance of the Exercise Test Follow-up Programme for Patients with Coronary Artery Disease who Underwent Percutaneous Coronary Intervention The severity of erectile function is assessed with the International Index of Erectile Function-Erectile Function domain score, and this has emerged as a proxy for men's general health status, as assessed with the Charlson Comorbidity Index score. Moreover, data from large population-based studies showed that ED is a significant predictor of all-cause mortality, in addition to CV outcomes. This concept appears to be even more important for men with DM, where ED has already been shown to have a significant predictive ability for major vascular complications. Indeed, ED might be considered as a clinical manifestation of a generalised vascular disease, and it should provoke clinicians to check for CVDs in those patients complaining of impaired erectile function. Numerous studies have highlighted the predictive role of ED for subsequent CV events in patients with a silent history of coronary artery disease. Thus we reviewed previous reports assessing the role of ED as a sentinel marker of overall men's health.ĮD is considered an important sentinel marker for CVD. The association of ED and other organic, multi-organic or even systemic diseases is widely described, with a specific emphasis on the fact that they often share common pathophysiological factors and mechanisms. Ageing and older men frequently have comorbidities such as cardiovascular diseases (CVD), diabetes mellitus (DM), hypertension, chronic obstructive pulmonary disease and dyslipidaemia likewise, they concurrently refer to a clinician for impairments in sexual function, mostly for ED. ![]() Erectile dysfunction (ED) is a common risk factor in men and its incidence increases with age. ![]()
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