Sex and Heart Disease

Sunday, January 22, 2012 // Uncategorized

It is said that the two most frequent uses of the internet are for pornography and medical information.  How great to be able to combine  the two.  Not really. This has to do with the American Heart Associations latest guidleines on sex and heart disease published in Circulation.

AHA: Sexual Activity Safe for Most People with Cardiovascular Disease
Sexual activity is associated with “reasonable” risk in patients with cardiovascular disease (e.g., coronary artery disease, valvular disease, heart failure) who are found to have a low likelihood for CV complications, according to a scientific statement from the American Heart Association, published in Circulation.
Among the other recommendations:
Sexual activity is not advised for patients with severe heart disease until their condition has stabilized.
Cardiac rehabilitation and exercise can lower the risk for complications from sexual activity in patients with CVD.
PDE5 inhibitors (e.g., sildenafil) are useful for treating erectile dysfunction in patients with stable CVD; they should not be given to patients taking nitrates.
The statement also notes that sexual activity with one’s usual partner is roughly equivalent to mild or moderate physical activity at 3 to 5 metabolic equivalents (METs).

What are the risks of sudden death while having sex?  Actually it is quite uncommon.  Here is an interesting tidbit from the Circulation article.

In an autopsy report of 5559 instances of sudden death, 34(0.6%) reportedly occurred during sexual intercourse. Two other autopsystudies reported similarly low rates (0.6%–1.7%) of sudden death related to sexual activity.Of thesubjects who died during coitus, 82% to 93% were men, andthe majority (75%) were having extramarital sexual activity,in most cases with a younger partner in an unfamiliar setting andor after excessive food and alcohol consumption. Theincrease in absolute risk of sudden death associated with 1hour of additional sexual activity per week is estimated to be less than1 per 10 000 person-years.

You can determine your own moral from those numbers.




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