Sexual problems in elderly male and female patients with heart failure

Citations of this article
Mendeley users who have this article in their library.
Get full text


Objectives To investigate perceived sexual problems in a large group of younger and older patients with heart failure (HF), with and without a partner, focusing on a broad range of perceived sexual problems, and compare this with a sample of healthy communitydwelling elderly people. Design Cross-sectional study. Setting 17 HF clinics and general practices in The Netherlands. Participants 438 patients with HF and 459 healthy community-dwelling elderly people. Main Outcome Measures Differences in sexual functioning, related factors and perceived causes of sexual problems between patients with HF and healthy community controls. Results In total, 59% of HF patients reported sexual problems, mostly problems with erectile function. HF patients with a partner (67%) and younger patients (65%) reported significantly more sexual problems than healthy community controls (58%, p0.011 and 53%, p0.011, respectively). Multivariate analyses show that sexual problems in HF patients with a partner were more common in men (OR 2.73, 95% CI 1.572 to 4.753) and in those with a prescription of b-blockers (OR 2.00, 95% CI 1.10 to 3.586). In younger patients, sexual problems were independently associated with male gender (OR 3.21, 95% CI 2.099 to 4.908) and having a partner (OR 2.00, 95% CI 1.283 to 3.110). HF patients mainly attribute their sexual problems to symptoms of HF. Conclusion Sexual problems are common in patients with HF, particularly in younger patients and those with a partner. As patients attribute their sexual problems mostly to HF symptoms, adequate treatment and education of HF patients is needed.




Hoekstra, T., Lesman-Leegte, I., Luttik, M. L., Sanderman, R., Veldhuisen, D. J. V., & Jaarsma, T. (2012). Sexual problems in elderly male and female patients with heart failure. Heart, 98(22), 1647–1652.

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free