Sexual issues and research in counseling the postmyocardial infarction patient

This article reviews the literature relevant to the postmyocardial infarction (MI) patient and sexual activities. It begins with an analysis of the published accounts of the physiologic effects of sexual activity (including intercourse) and the anticipated concerns associated with coital deaths. The article includes an examination of the need for sexual counseling in any treatment and rehabilitation setting. In addition, general sexual adjustment guidelines for the uncomplicated post-MI patient are presented.