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Sexual Activity After Myocardial Revascularization Surgery
Ignacio Dávolos1, Enrique González Naya2, Maya Marini Marcilla2
1Cardiologist, MTSAC. Cardiovascular Rehabilitation at Hospital de Clínicas José de San Martín, Exercise Cardiology Council, Epidemiology and Cardiovascular Prevention Council of the Argentine Society of Cardiology; Cardiologist, Specialist in Sports Medicine. Head of Cardiovascular Rehabilitation at IADT, Exercise Cardiology Council of the Argentine Society of Cardiology; Gynecologist, Obstetrician, Sexologist. Obstetrics Coordinator at Sanatorio de la Trinidad Palermo. Collaborator in the Sexology and Sexual Medicine Area, Urology Division, Dr. Enrique Tornú Hospital. Member of the Society of Obstetrics and Gynecology of Buenos Aires and of the Argentine Society of Human Sexuality.
Abstract:
After a cardiovascular event, patients and their families often face numerous changes in their lives. Poorly addressing physical and psychological challenges can lead to an impaired quality of life. Sexuality is an aspect of quality of life that is important to many patients and couples who can be negatively affected by a cardiovascular event. Sexual health requires a positive and respectful approach to sexuality and sexual relationships. The timing of return to sexual activity after myocardial revascularization surgery is a gap in cardiology practice. We know from the literature that coronary patients have a decrease in sexual activity. There are barriers from the medical environment such as lack of knowledge, confidence, and training, and many others that arise from the patient's perspective, which do not allow generating a space to address sexual problems. This review aims to familiarize and update the cardiologist, bringing knowledge and resources closer to the impact of myocardial revascularization surgery on the quality of sexual life of patients, always encouraging multidisciplinary management among doctors and other professionals in health.
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Exercise and Cardiovascular Response
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...

