Sexual activity in patients with cardiovascular disease New Delhi, July 23, 2016: “Heart patients and paralysis survivors can resume usual sexual activity as soon as they feel that they are ready and comfortable with the idea”, said Padma Shri Awardee Dr KK Aggarwal – President Heart Care Foundation of India (HCFI) and Honorary Secretary General IMA. After recovery from a heart attack or stroke, patients may feel depressed, which is normal, and in 85% of cases it goes away within three months. If a person can walk one kilometre or climb two flights of stairs without any discomfort in the chest or breathlessness, he or she can resume normal sexual activity without any cardiac risk. The first-onset of erectile dysfunction after the age of 40 may be an indication of underlying coronary blockages. Penile blockages go hand in hand with blockages in the channels supplying blood to the heart. Viagra-like drugs are a boon for heart patients as they can improve blood circulation to the male penile organ helping men perform better in bed. However, patients on nitrates must not consume any such drug as a combination of Nitrate and Viagra like drugs can drastically lower one’s blood pressure and prove to be fatal. Heart patients who are unstable, have not had a relationship with their partner for years or are not mentally ready should not indulge in sexual activity with their parnet while using Viagra-like drugs without medical supervision. Any unaccustomed exercise, in patients with underlying coronary blockages that may be silent, can precipitate a heart attack and sudden cardiac death.