title: Sexual Concerns of Patients With Implantable Left Ventricular Assist Devices.
abstract: The growing field of implantable left ventricular assist devices (LVADs) lacks studies that evaluate the sexual and psychosocial concerns of LVAD patients. The aim of this prospective study was to determine the sexual and psychosocial behaviors of these patients. A sexual and psychosocial survey was conducted in patients who underwent the implantation of LVAD. Inclusion criteria were patients who were discharged home. The survey consisted of 17 questions with main focus on the sexual life and activities. The survey was sent to 38 patients. Twelve patients had either no partners or did not respond to the survey. Data of the remaining 26 patients with a mean age of 54 ± 13 years old were analyzed. The mean time between LVAD implantation and the first sexual activity was 16 ± 13 weeks (6-42 weeks). Following LVAD implantation, there was a steady improvement in the physical condition and quality of life. However, a remarkable decrease in the degree of satisfaction with sexual life following LVAD implantation (5.5 ± 2.2 vs. 4.1 ± 2.5) was observed (P = 0.05) (a scale of 1-7, with 7 being very satisfied and 1 not satisfied). Decreasing sexual activities after LVAD implantation was mainly to avoid partner disappointment, sudden cardiac arrest, and LVAD failure. There is a notable reduction in the degree of satisfaction with sexual life after LVAD implantation. The majority of the patients avoid discussing this issue with their physicians. Psychological and psychosocial support of LVAD patients is mandatory to improve their life quality.
authors.affiliation: Department of Cardiovascular Surgery, University Hospital of Düsseldorf, Heinrich-Heine University, Düsseldorf, Germany.
authors.forename: Pascal
authors.initials: P
authors.lastname: Merle
authors.affiliation: Department of Cardiovascular Surgery, University Hospital of Düsseldorf, Heinrich-Heine University, Düsseldorf, Germany.
authors.forename: Bujar
authors.initials: B
authors.lastname: Maxhera
authors.affiliation: Department of Cardiovascular Surgery, University Hospital of Düsseldorf, Heinrich-Heine University, Düsseldorf, Germany.
authors.forename: Alexander
authors.initials: A
authors.lastname: Albert
authors.affiliation: Department of Cardiovascular Surgery, University Hospital of Düsseldorf, Heinrich-Heine University, Düsseldorf, Germany.
authors.forename: Philipp
authors.initials: P
authors.lastname: Ortmann
authors.affiliation: Clinic for Psychosomatic and Psychiatric Diseases, University Hospital of Düsseldorf, Heinrich-Heine University, Düsseldorf, Germany.
authors.forename: Mareile
authors.initials: M
authors.lastname: Günter
authors.affiliation: Department of Cardiovascular Surgery, University Hospital of Düsseldorf, Heinrich-Heine University, Düsseldorf, Germany.
authors.forename: Artur
authors.initials: A
authors.lastname: Lichtenberg
authors.affiliation: Department of Cardiovascular Surgery, University Hospital of Düsseldorf, Heinrich-Heine University, Düsseldorf, Germany.
authors.forename: Diyar
authors.initials: D
authors.lastname: Saeed
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D019538:Health Care Surveys; D006333:Heart Failure / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D006353:Heart-Assist Devices / Q000009:adverse effects / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D011446:Prospective Studies; D011474:Prosthesis Design; D011788:Quality of Life; D020127:Recovery of Function; D012725:Sexual Behavior; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D016277:Ventricular Function, Left
keywords: Psychological issues; Quality of life; Sexual issues; Ventricular assist device