Return to sexual activity after myocardial infarction — An analysis of the level of knowledge in men undergoing cardiac rehabilitation

Published:September 30, 2016DOI:


      • Sexual dysfunction is common in patients after myocardial infarction.
      • Safety of sexual activity after heart attack is unclear for cardiac patients.
      • Knowledge of treatment options for erectile dysfunction is poor in cardiac patients.
      • Low effort tolerance may constitute a risk marker for impaired sexual activity post-MI.
      • Counseling after heart attack may improve management of erectile dysfunction.


      MI (myocardial infarction), CHD (coronary heart disease), ED (erectile disorders), PDE-5i (phosphodiesterase type-5 inhibitors), IIEF-5 (International Index of Erectile Function 5), PCI (percutaneous coronary interventions), CABG (coronary artery bypass grafts), LVEDD (left ventricular end-diastolic diameter), MET (metabolic equivalents)


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        • Ruzic A.
        • Persic V.
        • Miletic B.
        • et al.
        Erectile dysfunction after myocardial infarction — myth or a real problem?.
        Coll Antropol. 2007; 31: 185-188
        • Lindau S.T.
        • Abramsohn E.
        • Gosch K.
        • et al.
        Patterns and loss of sexual activity in the year following hospitalization for acute myocardial infarction (a United States National Multisite Observational Study).
        Am J Cardiol. 2012; 109: 1439-1444
        • Goldstein I.
        • Lue T.F.
        • Padma-Nathan H.
        • et al.
        Oral sildenafil in the treatment of erectile dysfunction. 1998.
        J Urol. 2002; 167: 1197-1203
        • Rosen R.C.
        • Cappelleri J.C.
        • Smith M.D.
        • et al.
        Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction.
        Int J Impot Res. 1999; 11: 319-326
        • Friedman S.
        Cardiac disease, anxiety, and sexual functioning.
        Am J Cardiol. 2000; 86: 46F-50F
        • Nilsson U.G.
        • Svedberg P.
        • Fridlund B.
        • et al.
        Sex knowledge in males and females recovering from a myocardial infarction: a brief communication.
        Clin Nurs Res. 2012; 21: 486-494
        • Braun M.
        • Wassmer G.
        • Klotz T.
        • et al.
        Epidemiology of erectile dysfunction: results of the ‘Cologne Male Survey’.
        Int J Impot Res. 2000; 12: 305-311
        • Baumgartner M.K.
        • Hermanns T.
        • Cohen A.
        • et al.
        Patients' knowledge about risk factors for erectile dysfunction is poor.
        J Sex Med. 2008; 5: 2399-2404
        • Schwarz E.R.
        • Kapur V.
        • Bionat S.
        • et al.
        The prevalence and clinical relevance of sexual dysfunction in women and men with chronic heart failure.
        Int J Impot Res. 2008; 20: 85-91
        • Kałka D.
        • Domagała Z.
        • Dworak J.
        • et al.
        Association between physical exercise and quality of erection in men with ischaemic heart disease and erectile dysfunction subjected to physical training.
        Kardiol Pol. 2013; 71: 573-580