Heart Rate, Rate-Pressure Product, and Oxygen Uptake During Four Sexual Activities

Bohlen, Joseph; Held, James P.; Sanderson, Maureen; Patterson, Robert

doi:10.1001/archinte.1984.00350210057007

Cited by 149 publications

(62 citation statements)

References 11 publications

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“…There is a need for proper evaluation to determine the cause of hemoptysis, which will determine the proper line of management. Owing to the fact that cardiac pathologies are more likely to cause postcoital hemoptysis than pulmonary pathologies, it may be wise to initially investigate ruling out the cardiac cause [1][2][3]5,7]. Sildenafil use has been reported to be associated with alveolar hemorrhage and should be considered in patients with recurrent hemoptysis with no obvious cause.…”

Section: Resultsmentioning

confidence: 99%

“…Exercise echocardiography can provide additional information on the physiological response to exercise, including ventricular function, inducible increases in valve gradients, and inducible pulmonary hypertension [5,7,10]. …”

Section: Resultsmentioning

confidence: 99%

“…Sexual intercourse, a form of isometric exercise, can cause severe increase in ischemic mitral regurgitation compared to other forms of exercise due to increase sympathetic activity, leading to flash pulmonary edema and hemoptysis. We present a 56-year-old Caucasian male, with past medical history of hypertension, hyperlipidemia, obesity and sleep apnea who presented with post-coital haemoptysis of four-month duration [1][2][3][4][5][6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

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Post-coital Hemoptysis Due to Silent Coronary Artery Disease

Shafter¹,

Elkoustaf²

2017

J Clin Case Rep

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Hemoptysis after physical activity is a quite common presenting symptom. However, hemoptysis during/after sexual intercourse is a rare condition, and cardiac decompensation has been mostly implicated in the etiology This is because, exertion associated with sexual stimulation and coitus can cause transient hemoptysis secondary to a transient elevation of pulmonary capillary pressure with subsequent rupture of pulmonary capillaries and hemoptysis.We present a 56-year-old Caucasian male, with a past medical history of hypertension, hyperlipidemia, obesity and sleep apnea who presented with h haemoptysis of four-months duration. Echocardiography revealed normal left ventricular systolic function, with Ejection Fraction EF of 55%. Grade I diastolic dysfunction, mild mitral regurgitation and aortic regurgitation.Ischemic mitral regurgitation is a complication of coronary artery disease. It is a dynamic lesion and its severity may increase with different forms of exercise leading to flash pulmonary edema. This case highlights that silent coronary artery disease can present as post-coital hemoptysis in middle aged patients, the importance to rule out underlying cardiac pathologies through an extensive cardiac workup in patients presenting with post-coital haemoptysis.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Post-coital Hemoptysis Due to Silent Coronary Artery Disease

Shafter¹,

Elkoustaf²

2017

J Clin Case Rep

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“…Most studies on the actual energy consumption of sexual activity is performed in healthy young couples or normotensive men 27, 28. The energy required for sexual activity depends on its intensity and a person's physical condition.…”

Section: Energy Consumption and Risk Related To Sexual Activitymentioning

confidence: 99%

“…BP and heart rate (HR) can increase mildly during foreplay, with increases occurring transiently during sexual arousal and the greatest increases occur during the 10 to 15 s of orgasm, and a quick return to baseline BP and HR 8, 27. In HF patients, it was also found that they had an increased HR, right ventricular pressure, and diastolic pulmonary pressure during sexual activity (especially during orgasm) 29…”

Section: Energy Consumption and Risk Related To Sexual Activitymentioning

confidence: 99%

Sexual function of patients with heart failure: facts and numbers

Jaarsma

2016

ESC Heart Failure

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Approximately 60% to 87% of patients with heart failure (HF) report sexual problems, and numbers as low as 31% of HF patients younger than 70 have normal sexual function. When compared with healthy elders, the amount of perceived sexual dysfunction might be similar (around 56%), but patients with HF are reporting more erectile dysfunction (ED) and also perceive that their HF symptoms (20%) or HF medication (10%) is the cause for their problems. The prevalence of ED is highly prevalent in men with cardiac disease and reported in up to 81% of cardiac patients, compared with 50% in the general older population. In total 25–76% of women with HF report sexual problems or concerns.The physical effort related to sexual activity in cardiac patients can be compared to mild to moderate physical activity. The related energy expenditure of sexual activity falls in the range of three to five metabolic units (METs), which can be compared to the energy needed to climb three flights of stairs, general housework, or gardening.Information about sexual activity is often overlooked by health care professionals treating HF patients. Advice and counselling about this subject are needed to decrease worries of patients and partners, avoid skipping medication because of fear for side effects, or prevent inappropriate use of potency enhancing drugs or herbs.

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Sexual Dysfunction and the Patient With Coronary Heart Disease

Stein¹

1984

Arch Intern Med

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Heart Rate, Rate-Pressure Product, and Oxygen Uptake During Four Sexual Activities

Cited by 149 publications

References 11 publications

Post-coital Hemoptysis Due to Silent Coronary Artery Disease

Post-coital Hemoptysis Due to Silent Coronary Artery Disease

Sexual function of patients with heart failure: facts and numbers

Sexual Dysfunction and the Patient With Coronary Heart Disease

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