Publication details

Doporučení pro sexuální aktivitu nemocných s kardiovaskulárním onemocněním a jejich partnery -AHA, ESC GUIDELINES 2013

Title in English Guidelines for sexuality of patiens after cardiovascular event and their partners - AHA, ESC GUIDELINES 2013
Authors

ŠPINAR Jindřich VÍTOVEC Jiří

Year of publication 2014
Type Article in Periodical
Magazine / Source Kardiologická revue - Interní medicína
MU Faculty or unit

Faculty of Medicine

Citation
Field Cardiovascular diseases incl. cardiosurgery
Keywords sexual activity; guidelines; counseling; cardiovascular disease
Description After a cardiovascular event, patients and their families often cope with numerous changes in their lives, including dealing with consequences of the disease or its treatment on their daily lives and functioning. Coping poorly with both physical and psychological challenges may lead to impaired quality of life, sexuality is one aspect of quality of life that is important for many patients and partners that may be adversely affected by a cardiac event. The World Health Organization defines sexual health as.... a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences..." Key points can be summarized: 1.The safety and timing of return to sexual activity after a cardiac event have been well addressed in an American Heart Association scientific statement, and decreased sexual activity among cardiac patients is frequently reported. 2.Rates of erectile dysfunction (ED) among men with cardiovascular disease (CVD) are twice as high as those in the general population, with similar rates ofsexual dysfunction in females with CVD. 3.ED and vaginal dryness may also be presenting signs of heart disease and may appear 1 -3 years before the onset of angina pectoris. Estimates reflect that only a small percentage of those with sexual dysfunction seek medical care. 4.Therefore, routine assessment of sexual problems and sexual counselling may be of benefit as part of effective management by physicians, nurses, and other healthcare providers.

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