Monday, December 21, 2009

Sex after a Heart Attack

As I am sure most people realize, sex can be a very aerobic cardiovascular activity (blood pressure and heart rate rise) and many people have heard stories about older men dying while having sexual intercourse. There is definitely a small risk of a heart attack while having sex, but the risk is low. However, in patients who have recently suffered a heart attack, the risk of sudden cardiac death early after a heart attack is higher in patients who do not refrain from sexual activity.

So, given this frightening news, how long should one wait? Well, there is good news. Not too long, but it depends on the situation. For example, if a patient suffered a heart attack and needs bypass surgery, then he or she should wait 2-3 weeks before engaging in sexual activity. If the patients is going for an elective stent placement, he or she should wait 2-3 days before having sexual activity.

One thing that should also be concerned in patients who are having problems having sex after a heart attack is that in men, erectile dysfunction can be a marker for cardiovascular and peripheral artery disease, that is, if there is disease in the arteries surrounding the heart, there is likely to be disease in the blood vessels in the abdomen, the neck, and even the perineal area, which supplies blood to the sexual organs. This lack of blood supply leads to the erectile dysfunction and the treatment for that is not always viagra or levitra, rather their coronary arteries should be investigated either noninvasively through an exercise stress test or through an invasive procedure such as a angiogram/catherization of the heart, other ways to assess the heart is a nuclear stress test, cardiac MRI stress test, or a CTA-a CAT scan of the heart and the coronary arteries of the heart.

Another question patients always ask is what should I do if I develop chest pain during or after sex. First, you should always call your doctor or EMS, but if this becomes a chronic problem and the likelihood is that this is not a new heart attack, you should stand up or sit down to reduce the workload on the heart. One should in most situations take a sublingual nitroglycerin if he or she develops chest pain during or after sex as they would in most situations, however, if a patient is on viagra or levitra, he should not take a nitroglycerin becomes this may lead to a significant decrease in blood pressure and vasodilate the arteries around the heart, which could also provoke a heart attack.

Many patients are anxious and nervous about having sex after a heart attack because of their fear of death, this may manifest in the bedroom where they no longer are able to perform prior to the heart attack, at times, this may be more of a psychological problem rather than a physiological problem and should be addressed in this manner either by a psychologist, a psychiatrist, their primary care doctor or cardiologist.

In conclusion, patients can return to sexual activity very quickly after suffering a heart attack, one should wait at least 2-3 weeks if bypass surgery was performed and less time if only a stent is placed. One must be careful not to use nitroglycerin with viagra and levitra. Finally, erectile dysfunction should be thought of as a possible cardiovascular disease marker in certain patients.

www.americanheart.org

1 comment:

  1. I was diagnosed about 5 years ago of HIV and have lived taking ARV and thought of having Herbal medicine to cure this disease completely. I wouldn't be able to bare Vomiting and my tongue go white because of these diseases called HIV/Aids. I learned to live with it but I have definitely prayed and had hands laid on me, My friends at work knew about my HIV Status so on a faithful day my friend Hannah talk to me about this great man called Dr Itua From west African because my friend Hannah is from West African too she came to acquire degree here in South Carolina, I accepted the challenge and contacted Dr Itua Herbal Center...drituaherbalcenter@gmail.com also chat on Whatsapp Number.+2348149277967. Then he delivered his Herbal medicine to me which was labeled as Dr Itua Herbal Medicine Cure For HIV/Aids, I took it as he instructed after two weeks I went to test and I was tested Negative. I'm still writing on every blog site related to the following diseases such as HIV/Aids, Herpes Virus, Shingles,Epilepsy,Autism, Hepatitis B/C, Because he cures this kind of diseases.

    ReplyDelete