This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (165)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Herman K. Hellerstein, MD; Ernest H. Friedman, MD

Arch Intern Med. 1970;125(6):987-999.

Abstract
Sexual activity decreased with age comparably in 48 middle-aged, middleclass male subjects with arteriosclerotic heart disease (ASHD) and in 43 who were judged normal coronary-prone. In 58% (28) of subjects with ASHD, it decreased further after the development of a myocardial infarct. Symptoms of coronary insufficiency infrequently influenced return to sexual activity. The cardiovascular cost of conjugal sexual activity with mates of 26 years was relatively low. Sexual activity was influenced favorably by enhancement of physical fitness. Counseling about sexual activity for patients with ASHD must include both physical and psychological factors. A physiological measure to test the adequacy of the advice may be obtained by electrocardiographic electromagnetic tape-recording monitoring of sexual activity in the privacy of the individual's home ("sexercise" tolerance test). This was performed on a subsample of 14 men with ASHD.

Author Affiliations
Cleveland

From the Department of Medicine, Case Western Reserve University School of Medicine, and University Hospitals, Cleveland.

Footnotes
Received for publication April 25, 1969; accepted Feb 19, 1970.

Reprint requests to 2065 Adelbert Rd, Cleveland 44106 (Dr. Hellerstein).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Sexual Activity and Chronic Heart Failure
Mandras et al.
Mayo Clin Proc. 2007;82:1203-1210.
ABSTRACT | FULL TEXT  

Sex, the heart, and heart failure.
Kiowski et al.
SEMIN CARDIOTHORAC VASC ANESTH 2006;10:256-258.
ABSTRACT  

Erectile Dysfunction and Cardiovascular Disease
Russell et al.
Mayo Clin Proc. 2004;79:782-794.
ABSTRACT  

Sildenafil citrate does not reduce exercise tolerance in men with erectile dysfunction and chronic stable angina
Fox et al.
Eur Heart J 2003;24:2206-2212.
ABSTRACT | FULL TEXT  

Sexual activity and cardiovascular risk
Drory
Eur Heart J Suppl 2002;4:H13-H18.
ABSTRACT  

Sildenafil and Physical Exertion in Men With Coronary Artery Disease
DeBusk et al.
JAMA 2002;287:2359-2360.
FULL TEXT  

Cardiovascular Effects of Sildenafil During Exercise in Men With Known or Probable Coronary Artery Disease: A Randomized Crossover Trial
Arruda-Olson et al.
JAMA 2002;287:719-725.
ABSTRACT | FULL TEXT  

Exercise Standards for Testing and Training: A Statement for Healthcare Professionals From the American Heart Association
Fletcher et al.
Circulation 2001;104:1694-1740.
FULL TEXT  

Sexual activity as a trigger of myocardial infarction. A case-crossover analysis in the Stockholm Heart Epidemiology Programme (SHEEP)
Moller et al.
Heart 2001;86:387-390.
ABSTRACT | FULL TEXT  

Sex and the heart: what is the role of the cardiologist?
Rerkpattanapipat et al.
Eur Heart J 2001;22:201-208.
 

Sildenafil in the Treatment of Erectile Dysfunction
Shah et al.
NEJM 1998;339:699-702.
FULL TEXT  

Sexual Activity and Risk of Myocardial Infarction
Hellerstein
JAMA 1996;276:782-782.
ABSTRACT  

Sexual Activity and Risk of Myocardial Infarction-Reply
Muller and Mittleman
JAMA 1996;276:783-783.
ABSTRACT  

Triggering Myocardial Infarction by Sexual Activity: Low Absolute Risk and Prevention by Regular Physical Exertion
Muller et al.
JAMA 1996;275:1405-1409.
ABSTRACT  

Exercise Standards : A Statement for Healthcare Professionals From the American Heart Association
Fletcher et al.
Circulation 1995;91:580-615.
FULL TEXT  

To the Editor.
Stein
Arch Intern Med 1985;145:2132-2132.
ABSTRACT  

Sexual Dysfunction and the Patient With Coronary Heart Disease
Stein
Arch Intern Med 1984;144:1744-1744.
ABSTRACT  

Heart Rate, Rate-Pressure Product, and Oxygen Uptake During Four Sexual Activities
Bohlen et al.
Arch Intern Med 1984;144:1745-1748.
ABSTRACT  

Myocardial Infarction and Sexual Activity of the Female Patient
Papadopoulos and Beaumont
Arch Intern Med 1983;143:1528-1530.
ABSTRACT  

One of the 'Least Understood Areas of Sexuality'
Colp and Colp
Arch Intern Med 1981;141:424-425.
ABSTRACT  

Cardiovascular Drugs and Sexuality: A Cardiologist's Review
Papadopoulos
Arch Intern Med 1980;140:1341-1345.
ABSTRACT  

Psychosexual Adjustment and Counseling After Myocardial Infarction
McLANE et al.
ANN INTERN MED 1980;92:514-519.
ABSTRACT  

Sexual Concerns and Needs of the Postcoronary Patient's Wife
Papadopoulos et al.
Arch Intern Med 1980;140:38-41.
ABSTRACT