3.7 Flashcards
Is the main outflow to the cardiovascular system during sexual intercourse sympathetic or parasympathetic?
sympathetic
What happens to HR and BP during sex?
both increase, quite significantly
What happens for an angina patient during sexual activity?
the increase in heart rate and blood pressure is the same as any form of exercise, thus patients with angina may become symptomatic during intercourse
Is there an increase of a MI after sex?
Yes, but a very small one (lol, small one.)
Post-sex MI risk was reduced in patients who did what?
Exercise regularly
What might be some reasons for sexual disfxn post-MI?
Meds side effects, shared risk factors, psychological factors
What is the occurance of ED post-MI in men?
1/2-3/4 report ED
What is a good way to to measure tolerance for sex?
exercise testing
What is the method of treatment for patients who have sexual dysfunction and are a low risk of cardiovascular complications?
Such patients can be safely encouraged to initiate or resume sexual activity or to receive treatment for sexual dysfunction.
What is the method of treatment for patients who have sexual dysfunction and are a intermediate risk of cardiovascular complications?
Such patients should receive further evaluation in order for restratification into a low risk or high risk category. This is often achieved by stress testing, particularly in patients with a sedentary lifestyle.
What is the method of treatment for patients who have sexual dysfunction and are a high risk of cardiovascular complications?
Such patients should be stabilized by appropriate therapy and further risk stratified before resuming sexual activity or being treated for sexual dysfunction
What should phosphodiesterase-5 (PDE-5) inhibitors NEVER be used with?
nitrates
What are the 3 main PDE-5 inhibitors?
sildenafil, vardenafil, and tadalafil
When can a pt resume sexual activity after uncomplicated myocardial infarction, if the patient is without cardiac symptoms during mild to moderate physical activity?
> 1 week
When can a pt resume sexual activity after open heart surgery?
6-8 weeks
