Sexual activity and the postcoronary patient

Hellerstein, Herman K.

doi:10.1001/archinte.125.6.987

Cited by 60 publications

(43 citation statements)

References 0 publications

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“…The high rate of resumption of sexual activity, which approximates the upper limit of the range of previous findings [1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17], is possibly due to the focus of this study on a relatively homogeneous sample of male patients under 65 years of age who had experienced a first AMI. In keeping with this explanation, the percentage of the study sample who reported reduced sexual activity frequency after AMI was slightly lower than the lower limit in the range of the previous research findings [1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17]. …”

Section: Discussionsupporting

confidence: 58%

“…The negative impact of acute myocardial infarction (AMI) on sexual activity has been reported in the relevant research [1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17]. This research is heterogeneous as regards methodology, and relatively sparse, consisting of about 30 studies over the past 30 years with sample sizes that generally ranged from 20 to 160.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Sexual Activity after First Acute Myocardial Infarction in Middle-Aged Men: Demographic, Psychological and Medical Predictors

Drory

Kravetz²,

Florián³

et al. 1998

Cardiology

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The study examined important diverse sociodemographic, medical and psychological variables as potential predictors of sexual activity frequency/satisfaction in male patients following a first acute myocardial infarction (AMI). The sample comprised 276 Israeli male patients, age range 30–65 years, with a documented first AMI who were admitted to any of eight medical centers in Israel. All patients were sexually active prior to AMI. Data were elicited from interviews and medical charts on two occasions: before discharge and 3–6 months after AMI. The research variables explained a greater extent of the variance in sexual activity frequency than in satisfaction 3–6 months after AMI (32 and 23%, respectively). Sexual activity frequency/satisfaction prior to AMI were the major contributors to frequency/satisfaction after AMI. Of the other variables, age and education were the major contributors to sexual activity frequency; of these two variables, age was the sole contributor to sexual satisfaction. Medical and psychological variables (diabetes and depression) were minor contributors.

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Section: Discussionsupporting

confidence: 58%

Section: Introductionmentioning

confidence: 99%

Sexual Activity after First Acute Myocardial Infarction in Middle-Aged Men: Demographic, Psychological and Medical Predictors

Drory

Kravetz²,

Florián³

et al. 1998

Cardiology

View full text Add to dashboard Cite

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“…They performed then available ambulatory ECG monitoring in middle-aged men (mean age, 47.5 years) with and without coronary artery disease who had sex with their regular partners in their homes. 2 The mean heart rate at orgasm was 117.4 beats/min and was actually lower than heart rates achieved with normal daily activity (mean, 120.1 beats/min). They did not measure blood pressure, but estimated that blood pressure at orgasm (achieved during bicycle ergometry Sex, the Heart, and Heart Failure Wolfgang Kiowski, MD, Hanspeter Brunner, MD, and Christoph Schalcher, MD In the modern era of pharmacologic treatment of erectile dysfunction, men with heart disease increasingly approach their physicians regarding the possibility of restoring sexual activity.…”

Section: Risk Of Triggering a Cardiovascular Event By Sexual Activitymentioning

confidence: 74%

Sex, the Heart, and Heart Failure

Kiowski¹,

Brunner²,

Schalcher

2006

Semin Cardiothorac Vasc Anesth

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In the modern era of pharmacologic treatment of erectile dysfunction, men with heart disease increasingly approach their physicians regarding the possibility of restoring sexual activity. At the same time, patients are also frequently aware of public figures that have reportedly died during coitus, often in the arms of their mistresses or prostitutes. Added to this is the perception of patients, and oftentimes their physicians, that coitus and orgasm are associated with a near maximal or even "supermaximal" cardiac workload and therefore may be hazardous for a diseased heart. Accordingly, knowledge of the cardiovascular effects of sexual activity, the risks of triggering a cardiovascular event, and the potential risks inherent in the use of drug therapy of male impotence is important to properly advise patients and their spouses regarding this sensitive issue.

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“…Ces augmentations de fréquence cardiaque et de pression artérielle sont concomitantes des orgasmes, plus ou moins synchronisés avec ceux des partenaires et s'étalent généralement sur des durées de 3 à 10 minutes avec des pressions qui sont un peu moins élevées que chez les hommes. Quelques autres travaux plus récents [4], réalisés avec des méthodes non invasives, sont disponibles dans la littérature concernant les contraintes cardiovasculaires lors de l'activité sexuelle [5][6][7][8][9][10][11]. Ils concernent surtout les hommes et plus rarement les femmes.…”

Section: Points Essentielsunclassified

“…De plus, il est certain qu'il existe une très importante variation interindividuelle [14]. Des données encore plus anciennes [9], datées de 1970, évaluaient le coût énergétique de l'activité sexuelle chez des patients coronariens à une marche à la vitesse de 5 km/h ou à la montée de deux volées d'escaliers en 10 secondes. Ces données sont régulièrement réutilisées et citées dans les différents articles concernant le sujet alors même qu'on voit bien leur caractère à la fois ancien et imprécis.…”

Section: Points Essentielsunclassified