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Integrative review
Sexual dysfunction common in people with coronary heart disease, but few cardiovascular changes actually occur during sexual activity
  1. Elaine E Steinke
  1. School of Nursing, Wichita State University, Wichita, Kansas, USA
  1. Correspondence to: Dr Elaine Steinke, School of Nursing, Wichita State University, 1845 Fairmount, Wichita, KS 67260-0041, USA; elaine.steinke{at}

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Implications for practice and research

  • Risk of myocardial infarction (MI) or arrhythmia with sexual activity is low, despite anxieties expressed by patients.

  • Sexual counselling is needed to assist patients who wish to be sexually active and maintain the quality of their sex life.

  • Further research is needed to identify the most efficacious sexual counselling interventions.


Patients with post-MI often report physical and psychological concerns related to sexual activity.1 Anxiety stems from fear of MI or presumed risks, while physical concerns often result from sexual problems, sexual dysfunction and changes in sexual activity.1–3 Bispo and colleagues conducted an evidence-based review that analysed the risks associated with post-MI sexual activity and sexual dysfunction.


This integrative literature review was conducted …

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