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Sex in cardiovascular diseases: the medical aspects, and recommendations
Sexual activity is an important aspect of the quality of life and can also be for the Patient:the inside with cardiovascular disease (CVD) is possible, provided that the appropriate medical recommendations are observed. In this Text, the most important aspects to risks, indications, and practical advice are summarized.
1. Risk assessment
Prior to the recording of sexual activity, the Patient should:inside HKE a medical evaluation to perform. The load during sexual intercourse is usually a medium-sized physical exertion such as climbing stairs on 1-2 floors, or a quick Go to. The risk of an acute cardiac event during or shortly after the Sex is generally low, but may increase in the case of uncontrolled CVD.
Among the risk factors, which require a stronger caution:
unstabilized heart failure;
untreated heart rhythm disorders;
fresh myocardial infarction (less than 6 weeks);
severe heart valve defects;
not selected arterial hypertension.
2. Time for recovery
Most of the Cardiologist:inside the following orientation recommend values for the timing of the resumption of sexual activity after an acute event:
After an uncomplicated myocardial infarction: about 4-6 weeks, if the physical capacity is sufficient and no anginal discomfort occurs.
After a coronary revascularization (angioplasty/Bypass): after the healing of the surgery site and a medical clarification.
In the case of stable chronic CVD (e.g., treated hypertension or coronary heart disease): in consultation with the Cardiologist in, often without the longer period of limitation.
3. Practical recommendations for Patient:indoor
To minimize the risk during sexual activity, the following measures are useful to:
Pre-load test: In case of unclear load capacity of an EKG or an ergo‑metric Test can show whether the heart is sufficient function.
Medication: Regular intake of the prescribed heart medications (beta-blockers, ACE‑inhibitors, nitrates, etc.) is important. In men, the oral Phosphodiesterase‑5‑inhibitors (e.g. Sildenafil), you must clarify:the Cardiologist in the combination with nitrates — a dangerous drop in blood pressure can occur.
Situation and atmosphere: Sexual activity should take place in a relaxed environment and at a time when the physical and mental load is low (e.g. after a sumptuous meal, or alcohol consumption).
Symptom observation: At the onset of chest pain, severe shortness of breath, dizziness, or heart, the activity should be interrupted knock immediately. In case of persistent symptoms, an emergency call (112) is required.
Pulse monitoring: A rough guide on the pulse can be helpful. During intercourse, the pulse should not go significantly beyond the individual load carrying capacity recommended limit (often about 120-130 Schl
a
ge/min).
4. Psycho-Social Aspects
Fears of a cardiac event during the Sex are understandable, but can lead to unnecessary avoidance and the partnership burden. Psychological support or discussion with the Clinician in can help to develop realistic estimates of Risk and confidence in their own capacity to build.
5. Summary and conclusion
For the majority of the Patient:the inside with stable cardiovascular disease, sexual activity in medical diagnosis and compliance with the recommendations is for sure. The decisive factors are:
medical consultation before the start;
stable course of the disease;
conscious attention to symptoms;
customized medication;
relaxing and trusting the Situation.
Open discussions between the Patient:internal, Partner:the inside and the medical Team are the keys to get both the health and quality of life.
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Minsan, dinadagdagan ng doktor ang base na therapy (mga gamot na kailangang inumin araw-araw) ng mga gamot na iniinom kapag may krisis, kapag ang presyon ay sobrang taas at biglang tumaas. At ang dosis ay pinipili rin nang napaka-indibidwal. Kaya imposible na sabihin kung alin ang pinakamahusay na gamot sa presyon, sa bawat kaso ay magkakaroon ng sariling kombinasyon na bagay sa iyo. Nililinis ang mga ugat na kailangang alagaan mula sa deposito at pinananatili ang kinakailangang lakas ng tibok ng puso!