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Letter to the Editor

Chronotropic Incompetence in Diabetic Elderly on Echocardiography

Eduardo Maffini da Rosa et al. Roberta Casanova Wilhelms Rodrigo Borges Brandão

Dear editor,

We congratulate the authors of the article on the prognosis of chronotropic incompetence in diabetic elderly undergoing physical stress echocardiography, published in the Arq Bras Cardiol. 2013;100(5):429-43.

When chronotropic deficit is observed on pharmacological stress echocardiography, a relationship is observed with neither prognosis nor prevalence of coronary artery disease, but with sinus node disorders, extrasystoles or dysautonomia, which might be due to dobutamine effects ^, . We would like to know whether, in those authors’ opinion, the chronotropic deficit can play any prognostic role in pharmacological stress echocardiography.

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Original Article

Age and psychologic disorders: variables associated to post-infarction sexual dysfunction

Luciano Janussi Vacanti et al. Bruno Caramelli

OBJECTIVE: Data on sexual disfunction (SD) after myocardial infarction (MI) are sketchy, especially in our community and in regard to predictors. Both males and females, with active sexual life and no sexual dysfunction prior to MI were evaluated in order to investigate SD incidence after MI, as well as to identify the possible variables associated. METHODS: Forty-three patients were studied consecutively, through structured questionnaires for SD and psychological disorders (PD) diagnosis. The interference of classic risk factors was analysed for atherosclerosis, for PD and for the use of medications when SD was present up to month 6 after MI. RESULTS: After MI, 91% of patients resumed sexual activity. Twenty-six patients (60%) reported sexual dysfunction up to month 6 from hospital discharge (9 with precocious ejaculation (PE), 15 with erectile dysfunction (ED), and 20 with hypoactive sexual desire disorder (HSDD). PD patients reported sexual dysfunction at higher frequency as compared to those who did not report PD (100%x47%, p=0.001). The sexual dysfunction group was significantly older than the group not reporting sexual dysfunction: 53±8.9 years of age versus 47±8.7 years of age (p=0.04). CONCLUSION: Patients reported significant reduction of sexual activity frequency and high incidence of SD after acute myocardial infarction (AMI). PD and older age were shown to be associated to higher incidence of post-infarction SD.

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Chronotropic Incompetence in Diabetic Elderly on Echocardiography

Dear editor,

Age and psychologic disorders: variables associated to post-infarction sexual dysfunction

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Electronic Document Format (Vancouver)

Electronic Document Format (ABNT)

Electronic Document Format (APA)

Electronic Document Format (ISO)