Sexual and Cardiovascular health.Factors Influencing on the Quality of Sexual Life of Coronary Heart Disease Patients - a Narrative Review.

IF 2.6 Q2 PERIPHERAL VASCULAR DISEASE

Vascular Health and Risk Management Pub Date : 2025-02-05 eCollection Date: 2025-01-01 DOI:10.2147/VHRM.S484566

Magdalena Piegza, Joanna Smolarczyk, Jacek Piegza

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引用次数: 0

Abstract

Regular sexual activity is comparable to moderate exercise and may be safe for patients with cardiovascular disease (CVD). According to the recommendations of the Princeton III Conference (P3), people with a low risk of adverse cardiac events can undertake sexual activity safely, while other patients must first stabilise their cardiovascular status. Exercise testing is recommended to assess the safety of sexual activity in people with questionable or uncertain cardiac risk (P3). Patients after successful and uncomplicated treatment of myocardial infarction (MI) can return to sexual activity after 3 weeks if the stress test is negative. The 4th Princeton Conference (P4) recommends the use of the 2019 regimen developed by the American College of Cardiology (ACC) and American Heart Association (AHA) to assess the risk of atherosclerotic cardiovascular disease (ASCVD) in men with ED (ACC/AHA ASCVD 2019). Sexual health education plays an important role in the successful return to safe sexual activity, which should include post-MI patients and their relatives. The responsibility for counselling lies with cardiologists, general practitioner (GP) and nursing staff. Sexual rehabilitation should be an integral part of cardiac rehabilitation, and lifestyle modification and optimal treatment of underlying medical conditions are key to maintaining psychophysical well-being and a successful sex life.

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性健康和心血管健康。影响冠心病患者性生活质量的因素综述

有规律的性活动与适度运动相当，对心血管疾病（CVD）患者来说可能是安全的。根据普林斯顿第三次会议（P3）的建议，心脏不良事件风险低的人可以安全地进行性活动，而其他患者必须首先稳定心血管状态。运动试验被推荐用于评估有可疑或不确定心脏风险的人的性行为安全性（P3）。如果压力测试呈阴性，成功且简单治疗心肌梗死（MI）的患者可以在3周后恢复性生活。第四届普林斯顿会议（P4）建议使用由美国心脏病学会（ACC）和美国心脏协会（AHA）开发的2019年方案来评估ED男性动脉粥样硬化性心血管疾病（ASCVD）的风险（ACC/AHA ASCVD 2019）。性健康教育在成功恢复安全的性活动方面发挥着重要作用，其中应包括心肌梗死后患者及其亲属。咨询的责任在于心脏病专家、全科医生和护理人员。性康复应该是心脏康复的一个组成部分，生活方式的改变和对潜在疾病的最佳治疗是保持身心健康和成功性生活的关键。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Vascular Health and Risk Management PERIPHERAL VASCULAR DISEASE-

CiteScore

4.20

自引率

3.40%

发文量

109

审稿时长

16 weeks

期刊介绍： An international, peer-reviewed journal of therapeutics and risk management, focusing on concise rapid reporting of clinical studies on the processes involved in the maintenance of vascular health; the monitoring, prevention, and treatment of vascular disease and its sequelae; and the involvement of metabolic disorders, particularly diabetes. In addition, the journal will also seek to define drug usage in terms of ultimate uptake and acceptance by the patient and healthcare professional.