sex and the broken heart
TRANSCRIPT
Sex and the broken heart
When can I start having sex again?
When can I start having sex again?
• After myocardial infarction or CABG
• After angioplasty or stent
When can I start having sex again?
• After myocardial infarction or CABG
– After 2-3 weeks
• After angioplasty or stent
– After 2-3 days
What about sex with my angina?
What about sex with my angina?
• If stable anginaand– Can walk 1 mile in 20 minutes on the flat
or– Can walk down 13 steps in 10 seconds
No change
What happens if I get angina during or after sex?
What happens if I get angina during or after sex?
• Stand up or sit down to reduce cardiac output
• Take a measure of brandy or whisky to vasodilate
What about sex with a regular partner?
What about sex with a regular partner?
• Heart rate rises to 110-130 per minute• BP rises to 150-180 systolic• Workload rises to 3-4 metabolic equivalents
(1 mile in 20 minutes on the flat) orVigorous sex : 4-5 metabolic equivalents(a round of golf)
What about sex with someone else?
What about sex with someone else?
• Casual or extramarital sex• Heart rate rises to 200 per minute• BP rises to 210 systolic• 80% of sudden cardiac death after sex
Remember
Erectile dysfunction can be a marker for cardiovascular disease
Reference
British Journal of Sexual Medicine 2007: Vol 30 No 2 p 3