Derogatis L R, King K M
Arch Sex Behav. 1981 Aug;10(4):325-35. doi: 10.1007/BF01565536.
The concept of the coital coronary, that is sudden death due to cardiovascular disorder associated with sexual activity of one form or another, is reviewed and reevaluated. Research on the hemodynamic demands of coitus, the concept of stress in this regard, the etiologic role of arrhythmias and current clinical wisdom are assessed with respect to sudden sex-related deaths. The actual empirical evidence underlying prevailing beliefs is also carefully reviewed and observed to be grossly deficient. Our knowledge concerning the etiology and incidence of the condition is restructured within a hierarchical model related to the degree of scientific confirmation available, and suggestions concerning a more valid appraisal of the phenomenon are advanced.
对性交性冠心病的概念，即与某种形式的性活动相关的心血管疾病导致的猝死，进行了回顾和重新评估。针对与性相关的猝死，评估了关于性交时血液动力学需求的研究、这方面的应激概念、心律失常的病因作用以及当前的临床见解。同时也仔细审查了普遍观念背后的实际经验证据，发现其严重不足。我们关于该病症的病因和发病率的知识，在一个与现有科学验证程度相关的层次模型中进行了重构，并提出了关于更有效评估这一现象的建议。
