Category Archives: Heart Disease

These scientists say you’ll probably never have heart-stopping sex

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Heart patients have worried that they may die suddenly from having sex, but a new study suggests they probably won’t.

Researchers found that less than 1 percent of people who experienced sudden cardiac arrest were having, or just had, sex. Now Sumeet Chugh, one of the study’s authors, has some “happy news” to tell his nervous patients.

“As a cardiologist, from time to time, in an awkward way, patients would ask me, ‘You know doc, what’s my risk of dying suddenly with sexual activity?’ We could say to them it’s probably low, but we never had data,” Chugh said. “Now we have data to answer that question.”

Researchers described sudden cardiac arrest as a “mostly lethal condition” that manifests as “an unexpected collapse and loss of the pulse.”

More than 300,000 people die of sudden cardiac arrest every year in the United States, yet about 1 in 100 men and 1 in 1,000 women experience sudden cardiac arrest relating to sexual activity, according to the study, which was presented at the American Heart Association’s Scientific Sessions and published in the Journal of the American College of Cardiology.

The community-based Oregon Sudden Unexpected Death Study examined data on more than 4,500 sudden cardiac arrests in the Portland, Ore., metropolitan area from 2002 to 2015. Of those, 34 were related to sex, and most were men with a history of heart diseases.

Researchers collected medical records, autopsy data and details of what the person was doing when sudden cardiac arrest occurred. Any cases that occurred during sex or within one hour of having sex were considered related to sexual activity.

Sudden cardiac arrest occurred during sexual activity in 18 cases and within minutes of it in 15 cases. In one case, the timing could not be determined.

“We were pleasantly surprised to see how low it was,” said Chugh, the associate director of the Heart Institute for Genomic Cardiology at Cedars-Sinai in Los Angeles.

This study is an opportunity to reassure patients that they can return to a good quality of life, including sexual activity, said Nieca Goldberg, who is the medical director for the Joan H. Tisch Center for Women’s Health at New York University. She is also an AHA spokeswoman and was not involved with the study.

“These are real concerns of our patients,” she said. “We have so many tools to prolong people’s lives. We want them to have a good quality of life, returning to exercise, eating a healthy diet and returning to sexual activity.”

The study also shows that sex “obviously isn’t as strenuous as we thought,” Chugh said, and Goldberg agreed. Sex, in general, is equivalent to walking up two flights of stairs, she said.

But a concerning result of the study, Chugh and Goldberg noted, is that it seems to suggests that sexual partners aren’t very willing to perform CPR, or don’t know how to do it, if a partner goes into sudden cardiac arrest.

Within 10 minutes of sudden cardiac arrest, a person is likely to die, and only one-third of those who experienced sudden cardiac arrest relating to sexual activity received bystander CPR, according to the study.

“We would think that if the witness is right there, everybody would get CPR,” Chugh said. “But it turns out only a third of the subjects got CPR. And since most of the subjects were men it seems like two-thirds of the women really didn’t do the CPR.”

“It’s a good idea to be aware of CPR, know how to do CPR, and do CPR even if it’s as awkward and difficult a scenario as cardiac arrest during sexual activity,” Chugh said.

On average, those who went into sudden cardiac arrest related to sexual activity were five years younger and more likely to be African American than the rest of the cases, the study states. Sudden cardiac arrest in relation to sexual activity was also more likely to have ventricular fibrillation, when the heart pumps little to no blood, according to the study.

Researchers did not examine how often patients in the study had sex, the type of intercourse, or how long it lasted. In any case, the results show that there isn’t a high risk associated with sex and sudden cardiac arrest, Chugh said.

Complete Article HERE!

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Redefining Sexuality after Stroke

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You can have a healthy sex life after having a stroke.

By StrokeSmart Staff

You can have a healthy sex life after having a stroke. In fact, it’s a key part of getting back into a normal routine. The need to love and be loved is significant. Also, the physical and mental release that sex provides is important.

The quality of a couple’s sexual relationship following a stroke differs from couple to couple. Most couples find that their sexual relationship has changed, but not all find this to be a problem. The closeness that a couple shares before a stroke is the best indicator of how their relationship will evolve after the stroke.

However, having sex after a stroke can present problems and concerns for both you and your partner.

Stroke survivors often report a decrease in sexual desire. Women report a strong decrease in the ability to have an orgasm and men often have some degree of impotency. A stroke can change your body, how you feel and impact your sex life.

Having good communication with your partner, managing depression, controlling pain or incontinence and working with impotence can all help you resume a healthy sex life.

Communication is Key

Talking about sex is hard for many people. It gets even more complicated after having a stroke, when you may be unable to understand or say words or have uncontrollable laughing or crying spells. But it is critical to talk openly and honestly with your partner about your sexual needs, desires and concerns. Encourage your partner to do the same. If you are having a difficult time communicating with your partner about sex, an experienced counselor can help.

Depression, Pain and Medication — How They Effect Your Sex Drive

It is common for stroke survivors and their partners to suffer from depression. When you are depressed, you tend to have less interest in sexual intimacy. Depression can be treated with medications. You may also be taking medicine for anxiety, high blood pressure, spasticity, sleeping problems or allergies. Addressing these medical concerns can increase your sex drive. But know that some medication can also have side effects that interfere with your sex life. If your ability to enjoy sex has decreased since your stroke, talk with your doctor about medicines that have fewer sexual side effects.

Many stroke survivors also have problems with pain, contributing to a loss of sexual desire, impotence and the ability to have an orgasm. This is a normal reaction. Work with your doctor to develop a program to manage your pain and increase your sexual desire.

Controlling incontinence

If you are having trouble with controlling your bladder or bowel, being afraid that you will have an accident while making love is understandable. There are a few steps you can take to help make incontinence during sex less of a concern.

  • Go to the bathroom before having sex
  • Avoid positions that put pressure on the bladder
  • Don’t drink liquids before sexual activity
  • Talk to your partner about your concerns
  • Place plastic covering on the bed, or use an incontinence pad to help protect the bedding
  • Store cleaning supplies close in case of accidents

If you have a catheter, you can ask your doctor’s permission to remove it and put it back in afterwards. A woman with a catheter can tape it to one side. A man with a catheter can cover it with a lubricated condom. Using a lubricant or gel will make sex more comfortable.

Working With Impotence

Impotence refers to problems that interfere with sexual intercourse, such as a lack of sexual desire, being unable to keep an erection or trouble with ejaculation. Today, there are many options available to men with this problem. For most, the initial treatment is an oral medicine. If this doesn’t work, options include penile injections, penile implants or the use of vacuum devices. Men who are having problems with impotence should check with their doctors about corrective medicines. This is especially true if you have high blood pressure or are at risk for a heart attack. Once you have talked to your partner and you are both ready to begin a post-stroke sexual relationship, set yourself up to be comfortable. Start by reintroducing familiar activities such as kissing, touching and hugging. Create a calm, non-pressure environment and remember that sexual satisfaction, both giving and receiving, can be accomplished in many ways.

Ask the Doctor

Things to discuss with your doctor:

  1. Medications for depression and pain that have fewer sexual side effects.
  2. Changes you should expect when having sex and advice on how to deal with them. Be sure to discuss when it is safe to have sex again.
  3. Impotence and corrective medications.
  4. Incontinence — a urologist who specializes in urinary functions may be able to provide help in this area.

Tips for Enjoying Sex After a Stroke

  • Communicate your feelings honestly and openly.
  • if you have trouble talking, use touch to communicate. It is a very intimate way to express thoughts, needs and desires.
  • after stroke, your body and appearance may have changed. Take time for you and your partner to get used to these changes.
  • Maintain grooming and personal hygiene to feel attractive for yourself and for your partner.
  • explore your body for sexual sensations and areas of heightened sensitivity.
  • have intercourse when you are rested and relaxed and have enough time to enjoy each other.
  • try planning for sex in advance, so you can fully enjoy it.
  • Be creative, flexible and open to change.
  • the side of the body that lacks feeling or that causes you pain needs to be considered. Don’t be afraid to use gentle touch or massage in these areas.
  • if intercourse is too difficult, remember there are many ways to give and receive sexual satisfaction.

Complete Article HERE!

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Study shows impaired sexual health and function common after heart attacks

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New research from the University of Chicago investigates what happens to men’s and women’s sexual function and relationships after a heart attack in an effort to help clinicians develop better care guidelines for patients. The study, published in JAMA Cardiology, shows impaired sexual function or new problems are common after heart attacks. They occur at the same rate as a loss of general physical function and at a higher rate than the incidence of depression after heart attack, but rarely do health care providers address these issues – particularly with women.

heart attack

“Too often physicians and researchers are too embarrassed to ask questions about sexual health, and yet these issues are important to many people,” said Harlan Krumholz, MD, professor of medicine at Yale and director of the Center for Outcomes Research and Evaluation, one of the authors in charge of the study. “We need to concern ourselves with gaining knowledge about how to help our patients achieve a high quality of life in all aspects of their lives.”

The data show that if a physician talks to the patient about sexual health and function after a heart attack the patient is more likely to resume sex. However, women were less likely to be counseled by physicians on what to expect and more likely to have problems with sexual function as they recover. More than half of women (59%) and less than half (46%) of men reported sexual function problems in the year after a heart attack.

“The next step is to design the optimal intervention to improve sexual function outcomes after heart attack for men and women,” said Stacy Tessler Lindau, MD, associate professor of obstetrics/gynecology and medicine-geriatrics at the University of Chicago, who authored the research. “The rehabilitation phase begins with the cardiologist counseling the patient about her or his functional capabilities and what she or he can expect, including physical, psychological, and sexual function.”

Complete Article HERE!

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