Abstract
Background Primary percutaneous coronary intervention has improved the outcome of acute myocardial infarction (AMI) patients. Counselguided sex rehabilitation effi cacy in acute myocardial infarction patients receiving percutaneous coronary intervention remains unknown.Objective The aim of the study was to study counsel-guided sex rehabilitation effi cacy in AMI patients receiving percutaneous coronary intervention.Methods 240 AMI patients who received percutaneous coronary intervention were randomly divided into a control and a counselling group. Control group patients were given written sex rehabilitation instruction before discharge, while counselling group patients were given written instruction before discharge and monthly counselling with healthcare providers. Before discharge, the fi rst evaluation was performed for frequency of and satisfaction with sexual activity before AMI. At one year of follow-up, the time of resuming, frequency of and satisfaction with sexual activity was evaluated. The main adverse event rates were also investigated.Results No signifi cant diff erences in age, sex, smoking status, hypertension, diabetes, PVD (peripheral vascular disease), EF (ejection fraction) or GRACE (Global Registry of Acute Coronary Events) score were found between the groups. Both groups suff ered reduced frequency of and satisfaction with sexual activity after AMI as compared with prior to presentation with AMI. However, compared with controls, the counselling group had higher scores for frequency of and satisfaction with sexual activity after AMI. The time to resume sexual activity after AMI in the counselling group was signifi cantly shorter than was found for the control group. There were no signifi cant diff erences between the groups for recurrent AMI, non-fatal stroke, admitting the patient for angina, all-cause death or adverse events.Conclusions Intermittent discussions between healthcare providers and AMI patients improved resumption of sexual activity. Encouraging patients who received complete coronary revascularization to resume sexual activity shortly after AMI was safe.
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