Sex and the heart: what is the role of the cardiologist?

@article{Rerkpattanapipat2001SexAT,
  title={Sex and the heart: what is the role of the cardiologist?},
  author={Pairoj Rerkpattanapipat and Marjorie Stanek and Morris N. Kotler},
  journal={European heart journal},
  year={2001},
  volume={22 3},
  pages={
          201-8
        }
}
Sexual activity is a concern both for patients with coronary artery disease and physicians taking care of these patients. Sexual counselling is an important component of treatment for post-myocardial infarction patients. Therefore, it is essential for the cardiologist to understand the physiological and haemodynamic changes that occur during sexual intercourse. It should also be borne in mind that several cardiac medications prescribed by cardiologists are responsible for sexual dysfunction… 

Tables from this paper

Discussing sexual function in the cardiology practice

TLDR
Sexuality is not routinely discussed in the cardiology practice, and explanations for the lack of attention toward sexual matters are ambiguities about responsibility and a lack of time, training and experience regarding the communication and treatment of sexual dysfunction.

Let’s talk about sex

  • G. Jackson
  • Medicine
    Clinical Research in Cardiology
  • 2013
TLDR
Giving sexual advice to cardiac patients is an important aspect of their overall management, no matter the cardiovascular disease (CVD) condition, and cardiologists need to understand the physiological aspects of sex, the risks involved, and the therapy available.

Cardiovascular effects of sexual activity.

TLDR
This review summarizes and discusses the advances in the researches dealing with cardiovascular effects of sexual activity to better inform the cardiac patients.

Sexual Health Concerns in Patients With Cardiovascular Disease

Sexual health concerns are common in patients with all types of cardiac disease, including patients with coronary artery disease, patients after a heart attack, those with implantable

Sexual counselling for individuals with cardiovascular disease and their partners: a consensus document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP).

TLDR
Estimates reflect that only a small percentage of those with sexual dysfunction seek medical care, and routine assessment of sexual problems and sexual counselling may be of benefit as part of effective management by physicians, nurses, and other healthcare providers.

Sexual Counselling of Cardiac Patients: Nurses' Perception of Practice, Responsibility and Confidence

  • T. JaarsmaA. Strömberg D. Thompson
  • Medicine, Psychology
    European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
  • 2010

Sexual Problems in Cardiac Patients: How to Assess, When to Refer

TLDR
The conditions of a good assessment of sexual problems are identified such as creating an appropriate environment, ensuring confidentiality, and using appropriate language, and different styles and approaches that can be used to start the assessment, differing between settings, persons, or disciplines.

Sexual activity after myocardial infarction: taboo or lack of knowledge?

TLDR
The recommendations patients receive during hospitalization are suboptimal in regard to both AMI and resumption of sexual activity.

Sexual function in female patients with unstable angina or non-ST-elevation myocardial infarction.

TLDR
Unstable angina and NSTEMI have a negative impact on frequency of, and satisfaction with, sexual activity, and lead to sexual dysfunction within a large number of female patients.

Sexual information needs of Arab-Muslim patients with cardiac problems

  • L. Akhu-ZaheyaArwa Masadeh
  • Medicine, Psychology
    European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
  • 2015
TLDR
Concerns regarding counseling needs and sexual information pertaining to Jordanian patients with cardiac diseases are addressed, and most patients reported changes in sexual activities following cardiac-related events.
...

References

SHOWING 1-10 OF 90 REFERENCES

Cardiovascular drugs and sexuality: a cardiologist's review.

TLDR
In evaluating the factors of sexual dysfunction of the cardiovascular patient, the impact of drugs should be considered and knowledge of the sexual side effects of the drugs and proper counseling of the patient are vital.

Understanding the Effects of a Myocardial Infarction on Sexual Functioning: A Basis for Sexual Counseling

TLDR
The purpose is to provide the results of empirical research to dispel myths and fears and to consider the causes of sexual dysfunction, the changes MI brings about in sexual activity for men and women, and the effects of age, exercise, and antihypertensive drugs on the resumption of sexual activity.

Myocardial infarction and sexual activity of the female patient.

TLDR
Though many patients who have had myocardial infarction desire sexual counseling, their demands are still not being met and accurate and complete sexual instructions of both partners with specific attention to the woman's concerns and needs should be part of cardiac rehabilitation.

Sexual activity after a myocardial infarction.

TLDR
Patients who reach 5 to 6 metabolic equivalents on stress-testing without ischemia or arrhythmias can in all likelihood resume their normal sexual activities without any risk, and all other cases have to be considered individually according to the current physiologic knowledge.

Sexual activity and the postcoronary patient.

Sexual activity decreased with age comparably in 48 middle-aged, middleclass male subjects with arteriosclerotic heart disease (ASHD) and in 43 who were judged normal coronary-prone. In 58% (28) of

Drugs that cause sexual dysfunction.

  • Shubulade Smith
  • Psychology, Medicine
    The Medical letter on drugs and therapeutics
  • 1983

Sexual Life and Sexual Frigidity Among Women Developing Acute Myocardial Infarction

  • L. Abramov
  • Medicine, Psychology
    Psychosomatic medicine
  • 1976
TLDR
There was no relation found between sexual frigidity and diabetes, essential hypertension, marital status, pathological gynecological findings, or localization of the infarction.

Sexual activity and the postcoronary patient.

TLDR
Patients with a healthy sexual relationship before the infarction have a much better chance for full recovery of sexual activity and many physicians fail to discuss this part of rehabilitation.
...