Background: A diagnosis of a cardiac arrhythmia can affect marital relations and diminish libido and satisfaction with a patient’s sex life. The aim of the study was to assess the factors that affect marital satisfaction in men with an arrhythmias who had qualified for cardiac pacemaker implantation.

Methods: The study included 103 men (aged 58.28 ± 8.72) with recognized heart rhythm disorders who were hospitalized in Department of Electrocardiology. The Hospital Anxiety and Depression Scale (HADS), the International Erectile Function Index (IIEF) and the Index of Marital Satisfaction (IMS) were used in this research.

Results: The greater the severity of the anxiety (r = 0.2492, p = 0.011) and depression symptoms (r = 0.3735, p = 0.000), the less satisfied a patient was with the relationship. An analysis showed that depression (p = 0.000), sexual desire (p = 0.001), overall satisfaction (p = 0.009), erectile function (p = 0.0162) and intercourse satisfaction (p = 0.026) are important predictors of marital satisfaction. Only sexual desire was an important predictor of marital satisfaction in patients with sinus node dysfunction, while the depression, sexual desire and overall satisfaction results were predictors in patients with atrioventricular blocks.

Conclusion: Anxiety and depression symptoms affect the assessment of marital satisfaction in men with a heart rhythm disorder. Different factors influence marital satisfaction for different heart rhythm disorders.

背景：心律失常的诊断会影响婚姻关系，降低性欲和对患者性生活的满意度。该研究的目的是评估影响心脏起搏器植入资格的心律失常男性婚姻满意度的因素。

方法：该研究包括 103 名男性（年龄 58.28 ± 8.72），他们在心电科住院，患有公认的心律失常。本研究使用了医院焦虑和抑郁量表 (HADS)、国际勃起功能指数 (IIEF) 和婚姻满意度指数 (IMS)。

结果：焦虑（r  = 0.2492，p  = 0.011）和抑郁症状（r  = 0.3735，p  = 0.000）的严重程度越高，患者对这种关系的满意度就越低。一项分析显示，抑郁症（p  = 0.000）、性欲（p  = 0.001）、总体满意度（p  = 0.009）、勃起功能（p  = 0.0162）和性交满意度（p = 0.026) 是婚姻满意度的重要预测指标。只有性欲是窦房结功能障碍患者婚姻满意度的重要预测因素，而抑郁、性欲和总体满意度结果是房室传导阻滞患者的预测因素。

结论：焦虑和抑郁症状会影响心律失常男性对婚姻满意度的评估。不同的因素会影响不同心律失常的婚姻满意度。