Department of Medicine, University of Texas Health Science Center, 7703 Floyd Curl Dr., MC 7870, San Antonio, TX, 78229-3900, USA,
Curr Cardiol Rep. 2014 Feb;16(2):445. doi: 10.1007/s11886-013-0445-4.
Human sexuality is an important aspect of health and quality of life. Many patients with ischemic heart disease - and their partners - are concerned that sexual activity could exacerbate their cardiac condition, possibly causing myocardial infarction or cardiac death. Patients with ischemic heart disease who wish to initiate or resume sexual activity should be evaluated with a thorough medical history and physical examination. Sexual activity is reasonable for individuals with no or mild angina and those who can exercise ≥ 3-5 METS without angina, excessive dyspnea, or ischemic ST segment changes. For the patient who is considered not be at low cardiovascular (CV) risk or in whom the CV risk is unknown, an exercise stress test is reasonable in order to determine his or her exercise capacity and to ascertain if symptoms or ischemia may occur. Regular exercise and cardiac rehabilitation can be effective in reducing the risk of CV complications associated with sexual activity for the patient with ischemic heart disease.
人类的性行为是健康和生活质量的一个重要方面。许多患有缺血性心脏病的患者——以及他们的伴侣——担心性活动会使他们的心脏状况恶化，可能导致心肌梗死或心脏性猝死。希望开始或恢复性行为的缺血性心脏病患者应通过详细的病史和体格检查进行评估。没有或仅有轻度心绞痛且能够在不出现心绞痛、过度呼吸困难或缺血性 ST 段改变的情况下进行≥3-5 METS 运动的个体，其进行性行为是合理的。对于被认为心血管（CV）风险较低或 CV 风险未知的患者，进行运动压力测试是合理的，以便确定其运动能力，并确定是否可能出现症状或缺血。对于患有缺血性心脏病的患者，定期运动和心脏康复可以有效降低与性行为相关的 CV 并发症风险。
