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Sex and the broken heart
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Sex and the broken heart

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  • 1. Sex and the broken heart
  • 2.  
  • 3. When can I start having sex again?
  • 4. When can I start having sex again?
    • After myocardial infarction or CABG
    • After angioplasty or stent
  • 5. When can I start having sex again?
    • After myocardial infarction or CABG
      • After 2-3 weeks
    • After angioplasty or stent
      • After 2-3 days
  • 6. What about sex with my angina?
  • 7. What about sex with my angina?
    • If stable angina and
      • Can walk 1 mile in 20 minutes on the flat or
      • Can walk down 13 steps in 10 seconds
    • No change
  • 8. What happens if I get angina during or after sex?
  • 9. 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
  • 10. What about sex with a regular partner?
  • 11. 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) or Vigorous sex : 4-5 metabolic equivalents (a round of golf)
  • 12. What about sex with someone else?
  • 13. 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
  • 14. Remember Erectile dysfunction can be a marker for cardiovascular disease
  • 15. Reference British Journal of Sexual Medicine 2007: Vol 30 No 2 p 3

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