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# Ischemic heart disease and sexual activity
- URL: https://www.foodconsumer.org/ischemic_heart_disease_and_sexual_activity_0508140959/
- Published: 2014-05-08T10:58:00.000Z
- Updated: 2026-09-22T16:26:52.000Z
- Description: A Current Cardiology Reports review says patients with ischemic heart disease should be evaluated before resuming sexual activity, calling it reasonable for those with no or mild angina who can exercise at 3-5 METS without symptoms, with stress testing where risk is unknown.
- Author: Food Consumer
- Tags: Disease, Health News, #vivvo-import

Tuesday May 8, 2014 (foodconsumer.org) -- A report published this year in Current Cardiology Reports suggests patients with ischemic heart disease need to have their condition evaluated before they resume sexual activity and if necessary, they need to receive training to minimize the complications of sexual activity.

Richard A Lange and Glenn N. Levine at University of Texas Medical Science Center in San Antonio, TX says in their report "Sexual activity is reasonable for those with no or mild angina and those who can exercise ≥3-5 METS without angina, excessive dyspnea, or ischemic ST segment changes."

For a patient who is considered not at low cardiovascular (CV) risk or whose CV risk is unknown, an exercise stress test can be conducted to determine his or her exercise capacity and ascertain that cardiovascular symptoms or ischemia may not occur during sexual activity. 

For patients who are known to have ischemic heart disease, regular exercise and cardiac rehabilitation can effectively reduce cardiovascular complications associated with sexual activity.

Many patients with ischemic heart disease and their partners may be concerned that sexual activity could cause myocardial infarction or cardiac death. The report may offer some advice on what they should do before they initiate or resume sexual activity. (David Liu)

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