Sex and the broken heart
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Transcript of Sex and the broken heart
![Page 1: Sex and the broken heart](https://reader035.fdocuments.net/reader035/viewer/2022081422/554b545fb4c905793d8b49d4/html5/thumbnails/1.jpg)
Sex and the broken heart
![Page 2: Sex and the broken heart](https://reader035.fdocuments.net/reader035/viewer/2022081422/554b545fb4c905793d8b49d4/html5/thumbnails/2.jpg)
![Page 3: Sex and the broken heart](https://reader035.fdocuments.net/reader035/viewer/2022081422/554b545fb4c905793d8b49d4/html5/thumbnails/3.jpg)
When can I start having sex again?
![Page 4: Sex and the broken heart](https://reader035.fdocuments.net/reader035/viewer/2022081422/554b545fb4c905793d8b49d4/html5/thumbnails/4.jpg)
When can I start having sex again?
• After myocardial infarction or CABG
• After angioplasty or stent
![Page 5: Sex and the broken heart](https://reader035.fdocuments.net/reader035/viewer/2022081422/554b545fb4c905793d8b49d4/html5/thumbnails/5.jpg)
When can I start having sex again?
• After myocardial infarction or CABG
– After 2-3 weeks
• After angioplasty or stent
– After 2-3 days
![Page 6: Sex and the broken heart](https://reader035.fdocuments.net/reader035/viewer/2022081422/554b545fb4c905793d8b49d4/html5/thumbnails/6.jpg)
What about sex with my angina?
![Page 7: Sex and the broken heart](https://reader035.fdocuments.net/reader035/viewer/2022081422/554b545fb4c905793d8b49d4/html5/thumbnails/7.jpg)
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
![Page 8: Sex and the broken heart](https://reader035.fdocuments.net/reader035/viewer/2022081422/554b545fb4c905793d8b49d4/html5/thumbnails/8.jpg)
What happens if I get angina during or after sex?
![Page 9: Sex and the broken heart](https://reader035.fdocuments.net/reader035/viewer/2022081422/554b545fb4c905793d8b49d4/html5/thumbnails/9.jpg)
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
![Page 10: Sex and the broken heart](https://reader035.fdocuments.net/reader035/viewer/2022081422/554b545fb4c905793d8b49d4/html5/thumbnails/10.jpg)
What about sex with a regular partner?
![Page 11: Sex and the broken heart](https://reader035.fdocuments.net/reader035/viewer/2022081422/554b545fb4c905793d8b49d4/html5/thumbnails/11.jpg)
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)
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What about sex with someone else?
![Page 13: Sex and the broken heart](https://reader035.fdocuments.net/reader035/viewer/2022081422/554b545fb4c905793d8b49d4/html5/thumbnails/13.jpg)
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
![Page 14: Sex and the broken heart](https://reader035.fdocuments.net/reader035/viewer/2022081422/554b545fb4c905793d8b49d4/html5/thumbnails/14.jpg)
Remember
Erectile dysfunction can be a marker for cardiovascular disease
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Reference
British Journal of Sexual Medicine 2007: Vol 30 No 2 p 3