Some previous literature indicated an association between cardiovascular diseases
and erectile dysfunction (ED). This case-control study purposed to evaluate the association
between prior mitral valve prolapse (MVP) and ED using data from the Taiwan National
Health Insurance Research Dataset. In this study, 48,755 patients with ED were identified
as cases, and 195,020 propensity score-matched patients without ED were selected as
controls. Conditional logistic regressions were conducted to evaluate the odds ratios
(ORs) for previous MVP between cases and the matched controls. In all sampled patients,
4,565 (1.87%) patients had MVP before the index date. MVP was found in 1,304 (2.67%)
cases and in 3,261 (1.67%) matched controls. Patients with ED had a significantly
higher occurrence of MVP than the controls. In addition, after propensity score matching,
a conditional logistic regression analysis showed that the OR of previous MVP for
patients with ED was 1.63 (95% confidence interval [CI] 1.52 to 1.74) compared to
the matched controls. The ORs of previous MVP for patients with ED aged ≤65 years
and those >65 years were 1.68 (95% CI 1.56 to 1.81) and 1.49 (95% CI 1.30 to 1.70),
respectively, compared with the matched controls. We found that patients with erectile
dysfunction had significantly higher odds of previous MVP compared with matched control
subjects without ED regardless of the age group.
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Article Info
Publication History
Published online: August 21, 2019
Received in revised form:
August 1,
2019
Received:
May 25,
2019
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.
