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Much against the common belief, sex is often not taboo for a large majority of heart patients. Even though the act of lovemaking makes the heart beat faster and the body's blood pressure to climb, it poses no grave danger to most hearts. Rather, its joyfulness may act as a tonic for both the body and the mind. For sex-one of life's most primeval instincts-is nature's own way of alleviating tension and stress.
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How does love-making affect the normal heart and cardiovascular function?
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Is sex safe in patients with heart disease?
How about sex after heart attack? Is it pemissible?
Most heart patients and their spouses shy away from sex, assuming it to be dangerous. How has this myth gained ground?
Are any limits to be observed?
Does it help to assume a new and different position during coitus? What if the sexual partner of the patient were to take the active role?
Are any precautions useful?
How does love-making affect the normal heart and cardiovascular function? Top
The conjugal act stimulates, among other things, the
body's sympathetic nervous system. This effects release of certain chemicals in the body which push up the heart rate and the blood pressure. Studies have shown the heart rate to accelerate from a normal of 70-80 beats a minute to a high of about 100-120 beats a minute. The blood pressure, too, shows a marked rise. However, such changes are evanescent, lasting for only a few seconds.
But such effects could be exaggerated if there is guilt or fear attached to the act. Clandestine, illicit sexual relationships could, for this reason, send the heart racing and blood pressure rocketing, which may prove disastrous for a diseased heart.
Is sex safe in patients with heart disease? Top
Even though each patient needs individual counsel, for a large majority of cardiac patients, the answer is YES, provided that the heart is not in a moribund shape and holds just sufficient reserves. A good measure of this is how much load it can take on itself.
In scientific terms, this can be assessed by the stress test. A stress test is a reading of your heart while it's being exercised. If a cardiac patient, during the course of a stress test, can walk on a treadmill at the rate of three to four miles per hour asymptomatically and without undue elevation of blood pressure and electrocardiographic changes, he can safely enjoy sexual relationship.
A simpler measure is that if you can climb two flights of stairs or walk three blocks briskly without tiredness or shortness of breath, your heart is good enough to allow resumption
of sexual activity.
How about sex after heart attack? Is it pemissible? Top
It is, for most people. The yardsticks are the same. Hellerstein and Freidman have studied cardio-pulmonary responses in middle-aged convalescent men making love with their wives in the privacy of their bedrooms. They have concluded that if a patient can walk on the treadmill conveyor belt at three to four miles an hour without any problems, he can safely resume sexual activity.
Obviously, this means a wait of six to eight weeks after a
heart attack.
However, some such patients, who have had a large chunk of heart muscle knocked out from the attack, or have extremely poor left ventricular function, would necessarily have to avoid all exertion-even love life, until they get better by way of surgery.
Most heart patients and their spouses shy away from sex, assuming it to be dangerous. How has this myth gained ground? Top
It is the fear generated by the myth that the sexual act saps a lot of energy and vitality from a man, and that sexual excitement may snap the heart. The spouse too, on her side, often fears it may precipitate another heart attack and she become responsible for her husband's sudden death. The fears are heightened by the melancholy and depression a heart attack brings. This affects the libido too.
Yet the worst part is that most patients and their spouses are reluctant to broach the subject with their doctors, whereas simple, straight talk is what is needed. A sexual relationship resumed amidst fear and misgivings can only result in unnecessary stress, affecting both the frequency and the quality of the experience.
As such, doctor's instructions as regards the sexual activity
should be received by the couple in the comfort of each other's company. This can alleviate considerable anxiety on the part of both the partners and help restore .normalcy in their relationship. "
Are any limits to be observed? Top
Just that all promiscuous or clandestine sex should be avoided. Stress, guilt and fear, which accompany such activities, are very harmful. So, no hopping around with a mistress or a call-girl. Stick to your spouse.
Does it help to assume a new and different position during coitus? What if the sexual partner of the patient were to take the active role?
No, it has no benefit. Studies have clearly revealed that this makes no difference as to its effect on blood pressure and heart rate. They are found to be the same in men on the top, as well as the bottom position. So, choose the way you wish, without filling your mind with such trivialities.
Are any precautions useful? Top
Yes, there are some.
- First, avoid heavy meals and alcohol just before sex. As at such times, a lot of blood from the circulation is busy helping the digestion process and the heart has little reserves to fall on.
- It is perhaps preferable to make love in the mornings, or at such hours when one is fresh and not fatigued.
- Keep a nitrite tablet at hand. If anginal pain develops during the act, slipping it underneath the tongue would help improve the blood flow in the coronaries and alleviate symptoms.
- Stick to your physical exercise programmes. This helps improve your exercise-bearing capacity. Stress, such as the little that occurs during love-making, comes as no unusual occurrence then.
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