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Matters of the Heart
Reclaiming Intimacy After a Heart Attack
In an editorial published with the study
results, Robert F. Debusk, M.D., Stanford University
School of Medicine, Palo Alto, California, wrote about
the study as well as physicians reluctance to talk sex
with their patients. "The prospects for a rapid and
complete recovery from acute MI [heart attack] and
avoidance of future cardiac events have never been
better. However, despite these favorable prospects,
physicians and patients are too often burdened by the
misconception that sexual activity after acute MI is
dangerous."
Baxley says that her doctor never addressed the subject
of sex directly, but once her doctor said it was safe to
resume normal activities, she figured that meant all
activities.
Still, there was some trepidation. “I went to him for
another follow-up. He wanted me to exercise at a gym,
and he said I could resume my normal activities, and
without asking him that question, I just took it upon
myself,” she says. “I was still a little afraid, but
since he said I could resume my regular activities, I
went ahead and everything was fine.”
Like many caregivers, Baxley says her husband, Jesse,
had his own concerns. “He was a little concerned. He
kept asking me if everything was all right, if I felt
all right to go ahead. In my mind, if the doctor said I
could exercise and do all my activities, that would not
hurt. Then I felt better about it. I felt more secure
about it.”
Debusk also wrote that his desire for doctors to be more
open with their patients as the result of Muller’s
research. “It is hoped that the valuable study by Muller
et al will also embolden physicians to overcome their
reticence to discuss this vital aspect of human
functioning with their patients. After all, patients are
interested not only in the years in their lives, but
also in the liveliness of their years.”
Nearly a year later, the Baxleys enjoy the kind of
relationship they had before the heart attack.
Tips For Intimacy After a Heart Attack
Don’t have sex if you’re upset or angry. Stress makes
the heart beat faster, and having sex at that time will
only burden the heart further.
Don’t take medication right before sexual relations
unless your doctor has advised. Some people think this
will help prevent a heart attack, but taking medication
in a way other than the doctor prescribes is not
advised.
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