Kalp Hastalıklarında Cinsel Sağlık
Synopsis
Kardiyovasküler hastalıklar dünya çapında önde gelen mortalite ve morbidite nedenidir. Kardiyovasküler hastalıklar ve tedavileri hem kadınlarda hem de erkeklerde cinsel sağlığı olumsuz yönde etkilemektedirler. Hastalığın ve tedavilerin sonucu olarak farklı şekillerde cinsel disfonksiyonlar ortaya çıkmaktadır. Kardiyovasküler hastalığı olan hastalarda cinsel işlev bozukluğunun yönetimi için öncelikle risk değerlendirmesi yapılmalı, sonrasında hastaya göre tedavi kişiselleştirilmelidir. Kalp hastalarında cinsel değerlendirme ile sorunun doğası, altta yatan nedenleri, hastaların ve eşlerin sorun hakkındaki düşünceleri, inançları ve yanlış kanıları hakkında bilgi toplanıp duruma ilişkin genel bir görüş elde edilebilir. Kardiyak özellikli nedenleri, kardiyovasküler ve nonkardiyovasküler ilaçların yan etkileri ve cinsel işlev bozukluğuna katkıda bulunan diğer durumlar değerlendirilmelidir. Cinsel danışmanlık, hem kalp hastaları hem de partnerleri için oldukça büyük öneme sahiptir. Bu kapsamda cinsel yönden değerlendirilen hastalara kapsamlı olarak danışmanlık verilmelidir.
References
WHO. Cardiovascular diseases (28/06/2023 tarihinde https://www.who.int/health-topics/cardiovascular-diseases#tab=tab_1 adresinden ulaşılmıştır).
Civek S, Akman M. Dünyada ve Türkiye’de kardiyovasküler hastalıkların sıklığı ve riskin değerlendirilmesi. The Journal of Turkish Family Physician. 2022;13(1): 21-28. Doi: 10.15511/tjtfp.22.00121.
WHO. Sexual health (28/06/2023 tarihinde https://www.who.int/health-topics/sexual-health#tab=tab_1 adresinden ulaşılmıştır).
Keçe C, Özcan K. Cinsel işlev bozukluklarının tedavisinde güncel yaklaşımlar. Duman NB (Ed.) Cinsel Sağlık içinde. İstanbul: Nobel Tıp Kitabevleri; 2019. p. 95-115.
Özdilekkara A, Baba E. Kalp Hastaları Cinsel Aktiviteden Uzak Durmalı mı? Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2017;7(3): 165-169.
Jaarsma T, Fridlund B, Martensson J. Sexual dysfunction in heart failure patients. Current heart failure reports, 2014;11(3): 330–336. Doi: 10.1007/s11897-014-0202-z
Huang S, Cook SC. It is not taboo: Addressing sexual function in adults with congenital heart disease. Current Cardiology Reports, 2018;20(10): 93. Doi: 10.1007/s11886-018-1029-0
Chen X, Zhang Q, Tan X. Cardiovascular effects of sexual activity. Indian Journal Of Medical Research. 2009;130: 681– 688.
Krüger T, Exton MS, Pawlak C, et al. Neuroendocrine and cardiovascular response to sexual arousal and orgasm in men. Psychoneuroendocrinology. 1998;23: 401– 411.
Exton MS, Bindert A, Kruger T, et al. Cardiovascular and endocrine alterations after masturbation-induced orgasm in women. Psychosomatic Medicine. 1999;61: 280– 289.
Stein RA. Cardiovascular response to sexual activity. American Journal of Cardiology. 2000; 86: 27F– 29F.
Carmichael MS, Warburton VL, Dixen J, et al. Relationships among cardiovascular, muscular, and oxytocin responses during human sexual activity. Archives of Sexual Behavior. 1994;23:59– 79.
Exton NG, Truong TC, Exton MS, et al. Neuroendocrine response to film-induced sexual arousal in men and women. Psychoneuroendocrinology. 2000;25: 187– 199.
Jackson G, Hutter A. Cardiovascular issues in male and female sexual dysfunction . In: Porst H, Buvat J. (Eds.), In Standard practice in sexual medicine. Oxford, England: Blackwell 2006. p. 376-386.
Drory Y. Sexual activity and cardiovascular risk. European Heart Journal. 2002;4(H): H13-H18 Doi: 10.1016/S1520-765X(02)90047-7
Cheitlin MD. Sexual activity and cardiac risk. American Journal of Cardiology. 2005;96: 24M– 28M.
Lindau ST, Schumm LP, Laumann EO, et al. A study of sexuality and health among older adults in the United States. The New England Journal of Medicine. 2007;357:762–74.
Drory Y, Shapira I, Fisman EZ, et al. Myocardial ischemia during sexual activity in patients with coronary artery disease. American Journal of Cardiology. 1995;75: 835-837.
Jackson G. Sexual response in cardiovascular disease. The Journal of Sex Research. 2009;46(2-3):233-236. doi:10.1080/00224490902747693
Muller JE, Mittleman MA, Maclure M, et al. Triggering myocardial infarction by sexual activity. Low absolute risk and prevention by regular physical exertion. Determinants of Myocardial Infarction Onset Study Investigators. JAMA, The Journal of the American Medical Association. 1996;275: 1405-1409.
Dye CA, Engelstein E, Swearingen S, et al.. Sex, Rhythm & Death: The effect of sexual activity on cardiac arrhythmias and sudden cardiac death. Frontiers in Cardiovascular Medicine. 2022;9:987247. Doi:10.3389/fcvm.2022.987247
Levine GN, Steinke EE, Bakaeen FG, et al. Sexual activity and cardiovascular disease: a scientific statement from the american heart association. Circulation. 2012; 125:1058-1072.
Dahabreh IJ, Paulus JK. Association of episodic physical and sexual activity with triggering of acute cardiac events: systematic review and meta-analysis. JAMA. 2011; 305: 1225-1233.
Sharifzadehgan A, Marijon E, Bougouin W, et al. Sudden cardiovascular arrest during sexual intercourse. Circulation. 2018; 137:1638-1640. Doi: 10.1161/CIRCULATIONAHA.117.032299
Stein R, Sardinha A, Araújo CG. Sexual Activity and Heart Patients: A Contemporary Perspective. Canadian Journal of Cardiology. 2016;32(4):410-420. Doi:10.1016/j.cjca.2015.10.010
Nascimento ER, Maia AC, Pereira V, et al. Sexual dysfunction and cardiovascular diseases: a systematic review of prevalence. Clinics (Sao Paulo). 2013;68(11): 1462-1468. Doi:10.6061/clinics/2013(11)13
Rosman L, Cahill JM, McCammon SL, et al. Sexual health concerns in patients with cardiovascular disease. Circulation. 2014;129(5): e313-e316. Doi:10.1161/CIRCULATIONAHA.113.004846
Terentes-Printzios D, Ioakeimidis N, Rokkas K, et al. Interactions between erectile dysfunction, cardiovascular disease and cardiovascular drugs. Nature Reviews Cardiology. 2022;19:59-74. Doi: 10.1038/s41569-021-00593-6
Rundblad L, Zwisler AD, Johansen PP, et al. Perceived sexual difficulties and sexual counseling in men and women across heart diagnoses: A nationwide cross-sectional study. The Journal of Sexual Medicine. 2017;14(6): 785-796. Doi: 10.1016/j.jsxm.2017.04.673
Steinke E. Sexual dysfunction in women with cardiovascular disease: What do we know?. The Journal of Cardiovascular Nursing 2010;.25(2): 151-158. Doi: 10.1097/JCN.0b013e3181c60e63
Er T, Kurçer M, Erdoğan Z. Koroner arter hastalarında fiziksel ve cinsel aktiviteden kaçınma davranışını etkileyen faktörler. Halk Sağlığı Dergisi. 2020; 5(2): 234-242.
Akhu-Zaheya LM, Masadeh AB. Sexual information needs of Arab-Muslim patients with cardiac problems. European Journal of Cardiovascular Nursing. 2015;14(6): 478-485. Doi: 10.1177/1474515115597353,
Yıldırım NK, Öztürk S. Kardiyovasküler hastalıklarda güncel psikososyal yaklaşımlar. Journal of Cardiovascular Nursing. 2016;7(Sup 2):60-68
Neiman A, Ginde S, Earing MG, et al. The prevalence of sexual dysfunction and its association with quality of life in adults with congenital heart disease. International Journal of Cardiology. 2017;228: 953-957. Doi:10.1016/j.ijcard.2016.11.192
Justo D, Arbel Y, Mulat B, et al. Sexual activity and erectile dysfunction in elderly men with angiographically documented coronary artery disease. International Journal of Impotence Research. 2010;22(1): 40-44. Doi:10.1038/ijir.2009.45
Jackson G. Erectile dysfunction and cardiovascular disease. Arab Journal of Urology. 2013;11(3): 212-216. Doi:10.1016/j.aju.2013.03.003
Tkaczyszyn M, Nega K, Łopuszańska M, et al. Andropausal syndrome in men with systolic heart failure. Polish Archives of Internal Medicine. 2013;123(4): 156-69.
Imprialos KP, Stavropoulos K, Doumas M, et al. Sexual dysfunction, cardiovascular risk and effects of pharmacotherapy. Current Vascular Pharmacology. 2018;16(2): 130-142. Doi: 10.2174/1570161115666170609101502
La Torre A, Giupponi G, Duffy D, et al. Sexual dysfunction related to drugs: a critical review. Part IV: cardiovascular drugs. Pharmacopsychiatry. 2015;48(1):1-6. Doi: 10.1055/s-0034-1395515
Stringer JD. Gender and sexual health: Sexual dysfunction. FP Essentials. 2016;449: 18-26.
Mollaioli D, Ciocca G, Limoncin E, et al. Lifestyles and sexuality in men and women: the gender perspective in sexual medicine. Reproductive Biology and Endocrinology. 2020;18(1):10. Doi: 10.1186/s12958-019-0557-9
William H Sauer, Stephen E Kimmel. Sexual activity in patients with cardiovascular disease (12/07/2023 tarihinde https://www.uptodate.com/contents/sexual-activity-in-patients-with-cardiovascular-disease adresinden erişilmiştir)
Levine GN, Steinke EE, Bakaeen FG, et al. Sexual activity and cardiovascular disease: a scientific statement from the American Heart Association. Circulation. 2012;125(8): 1058-1072. Doi: 10.1161/CIR.0b013e3182447787
Mornar Jelavić M, Krstačić G, Perenčević A, et al. Sexual activity in patients with cardiac diseases. Acta Clinica Croatica. 2018;57(1): 141-148. Doi: 10.20471/acc.2018.57.01.18
Jaarsma T. Sexual function of patients with heart failure: facts and numbers. ESC Heart Failure. 2017;4(1): 3-7. Doi: 10.1002/ehf2.12108
Ahmed WS, Geethakumari AM, Biswas KH. Phosphodiesterase 5 (PDE5): Structure-function regulation and therapeutic applications of inhibitors. Biomedicine & Pharmacotherapy. 2021;134: 111128. Doi: 10.1016/j.biopha.2020.111128
Byrne M, Doherty S, Fridlund BG, et al. Sexual counselling for sexual problems in patients with cardiovascular disease. Cochrane Database of Systematic Reviews. 2016;2(2):CD010988. Doi: 10.1002/14651858.CD010988.pub2
Baert A, Pardaens S, De Smedt D, et al. Sexual activity in heart failure patients: Information needs and association with health-related quality of life. International Journal of Environmental Research and Public Health. 2019;16(9):1570. Doi: 10.3390/ijerph16091570
Driel AG, de Hosson MJ, Gamel C. Sexuality of patients with chronic heart failure and their spouses and the need for information regarding sexuality. European Journal of Cardiovascular Nursing. 2014;13(3): 227-234. Doi:10.1177/1474515113485521
Steinke EE, Jaarsma T. Sexual counseling and cardiovascular disease: practical approaches. Asian Journal of Andrology. 2015;17(1): 32-39. Doi: 10.4103/1008-682X.135982
Gamel C, Davis BD, Hengeveld M. Nurses' provision of teaching and counselling on sexuality: a review of the literature. Journal of Advanced Nursing. 1993;18: 1219.
Bouchard K, Gareau A, Gallant NL, et al. Dyadic effects of anxiety and depression on quality of life among couples facing cardiovascular disease. Journal of Psychosomatic Research. 2021;149: 110601. Doi: 10.1016/j.jpsychores.2021.110601
Steinke EE, Jaarsma T, Barnason SA, et al. Sexual counseling for individuals with cardiovascular disease and their partners: a consensus document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). Circulation. 2013;128(18): 2075-2096. Doi:10.1161/CIR.0b013e31829c2e53
Civek S, Akman M. Dünyada ve Türkiye’de kardiyovasküler hastalıkların sıklığı ve riskin değerlendirilmesi. The Journal of Turkish Family Physician. 2022;13(1): 21-28. Doi: 10.15511/tjtfp.22.00121.
WHO. Sexual health (28/06/2023 tarihinde https://www.who.int/health-topics/sexual-health#tab=tab_1 adresinden ulaşılmıştır).
Keçe C, Özcan K. Cinsel işlev bozukluklarının tedavisinde güncel yaklaşımlar. Duman NB (Ed.) Cinsel Sağlık içinde. İstanbul: Nobel Tıp Kitabevleri; 2019. p. 95-115.
Özdilekkara A, Baba E. Kalp Hastaları Cinsel Aktiviteden Uzak Durmalı mı? Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2017;7(3): 165-169.
Jaarsma T, Fridlund B, Martensson J. Sexual dysfunction in heart failure patients. Current heart failure reports, 2014;11(3): 330–336. Doi: 10.1007/s11897-014-0202-z
Huang S, Cook SC. It is not taboo: Addressing sexual function in adults with congenital heart disease. Current Cardiology Reports, 2018;20(10): 93. Doi: 10.1007/s11886-018-1029-0
Chen X, Zhang Q, Tan X. Cardiovascular effects of sexual activity. Indian Journal Of Medical Research. 2009;130: 681– 688.
Krüger T, Exton MS, Pawlak C, et al. Neuroendocrine and cardiovascular response to sexual arousal and orgasm in men. Psychoneuroendocrinology. 1998;23: 401– 411.
Exton MS, Bindert A, Kruger T, et al. Cardiovascular and endocrine alterations after masturbation-induced orgasm in women. Psychosomatic Medicine. 1999;61: 280– 289.
Stein RA. Cardiovascular response to sexual activity. American Journal of Cardiology. 2000; 86: 27F– 29F.
Carmichael MS, Warburton VL, Dixen J, et al. Relationships among cardiovascular, muscular, and oxytocin responses during human sexual activity. Archives of Sexual Behavior. 1994;23:59– 79.
Exton NG, Truong TC, Exton MS, et al. Neuroendocrine response to film-induced sexual arousal in men and women. Psychoneuroendocrinology. 2000;25: 187– 199.
Jackson G, Hutter A. Cardiovascular issues in male and female sexual dysfunction . In: Porst H, Buvat J. (Eds.), In Standard practice in sexual medicine. Oxford, England: Blackwell 2006. p. 376-386.
Drory Y. Sexual activity and cardiovascular risk. European Heart Journal. 2002;4(H): H13-H18 Doi: 10.1016/S1520-765X(02)90047-7
Cheitlin MD. Sexual activity and cardiac risk. American Journal of Cardiology. 2005;96: 24M– 28M.
Lindau ST, Schumm LP, Laumann EO, et al. A study of sexuality and health among older adults in the United States. The New England Journal of Medicine. 2007;357:762–74.
Drory Y, Shapira I, Fisman EZ, et al. Myocardial ischemia during sexual activity in patients with coronary artery disease. American Journal of Cardiology. 1995;75: 835-837.
Jackson G. Sexual response in cardiovascular disease. The Journal of Sex Research. 2009;46(2-3):233-236. doi:10.1080/00224490902747693
Muller JE, Mittleman MA, Maclure M, et al. Triggering myocardial infarction by sexual activity. Low absolute risk and prevention by regular physical exertion. Determinants of Myocardial Infarction Onset Study Investigators. JAMA, The Journal of the American Medical Association. 1996;275: 1405-1409.
Dye CA, Engelstein E, Swearingen S, et al.. Sex, Rhythm & Death: The effect of sexual activity on cardiac arrhythmias and sudden cardiac death. Frontiers in Cardiovascular Medicine. 2022;9:987247. Doi:10.3389/fcvm.2022.987247
Levine GN, Steinke EE, Bakaeen FG, et al. Sexual activity and cardiovascular disease: a scientific statement from the american heart association. Circulation. 2012; 125:1058-1072.
Dahabreh IJ, Paulus JK. Association of episodic physical and sexual activity with triggering of acute cardiac events: systematic review and meta-analysis. JAMA. 2011; 305: 1225-1233.
Sharifzadehgan A, Marijon E, Bougouin W, et al. Sudden cardiovascular arrest during sexual intercourse. Circulation. 2018; 137:1638-1640. Doi: 10.1161/CIRCULATIONAHA.117.032299
Stein R, Sardinha A, Araújo CG. Sexual Activity and Heart Patients: A Contemporary Perspective. Canadian Journal of Cardiology. 2016;32(4):410-420. Doi:10.1016/j.cjca.2015.10.010
Nascimento ER, Maia AC, Pereira V, et al. Sexual dysfunction and cardiovascular diseases: a systematic review of prevalence. Clinics (Sao Paulo). 2013;68(11): 1462-1468. Doi:10.6061/clinics/2013(11)13
Rosman L, Cahill JM, McCammon SL, et al. Sexual health concerns in patients with cardiovascular disease. Circulation. 2014;129(5): e313-e316. Doi:10.1161/CIRCULATIONAHA.113.004846
Terentes-Printzios D, Ioakeimidis N, Rokkas K, et al. Interactions between erectile dysfunction, cardiovascular disease and cardiovascular drugs. Nature Reviews Cardiology. 2022;19:59-74. Doi: 10.1038/s41569-021-00593-6
Rundblad L, Zwisler AD, Johansen PP, et al. Perceived sexual difficulties and sexual counseling in men and women across heart diagnoses: A nationwide cross-sectional study. The Journal of Sexual Medicine. 2017;14(6): 785-796. Doi: 10.1016/j.jsxm.2017.04.673
Steinke E. Sexual dysfunction in women with cardiovascular disease: What do we know?. The Journal of Cardiovascular Nursing 2010;.25(2): 151-158. Doi: 10.1097/JCN.0b013e3181c60e63
Er T, Kurçer M, Erdoğan Z. Koroner arter hastalarında fiziksel ve cinsel aktiviteden kaçınma davranışını etkileyen faktörler. Halk Sağlığı Dergisi. 2020; 5(2): 234-242.
Akhu-Zaheya LM, Masadeh AB. Sexual information needs of Arab-Muslim patients with cardiac problems. European Journal of Cardiovascular Nursing. 2015;14(6): 478-485. Doi: 10.1177/1474515115597353,
Yıldırım NK, Öztürk S. Kardiyovasküler hastalıklarda güncel psikososyal yaklaşımlar. Journal of Cardiovascular Nursing. 2016;7(Sup 2):60-68
Neiman A, Ginde S, Earing MG, et al. The prevalence of sexual dysfunction and its association with quality of life in adults with congenital heart disease. International Journal of Cardiology. 2017;228: 953-957. Doi:10.1016/j.ijcard.2016.11.192
Justo D, Arbel Y, Mulat B, et al. Sexual activity and erectile dysfunction in elderly men with angiographically documented coronary artery disease. International Journal of Impotence Research. 2010;22(1): 40-44. Doi:10.1038/ijir.2009.45
Jackson G. Erectile dysfunction and cardiovascular disease. Arab Journal of Urology. 2013;11(3): 212-216. Doi:10.1016/j.aju.2013.03.003
Tkaczyszyn M, Nega K, Łopuszańska M, et al. Andropausal syndrome in men with systolic heart failure. Polish Archives of Internal Medicine. 2013;123(4): 156-69.
Imprialos KP, Stavropoulos K, Doumas M, et al. Sexual dysfunction, cardiovascular risk and effects of pharmacotherapy. Current Vascular Pharmacology. 2018;16(2): 130-142. Doi: 10.2174/1570161115666170609101502
La Torre A, Giupponi G, Duffy D, et al. Sexual dysfunction related to drugs: a critical review. Part IV: cardiovascular drugs. Pharmacopsychiatry. 2015;48(1):1-6. Doi: 10.1055/s-0034-1395515
Stringer JD. Gender and sexual health: Sexual dysfunction. FP Essentials. 2016;449: 18-26.
Mollaioli D, Ciocca G, Limoncin E, et al. Lifestyles and sexuality in men and women: the gender perspective in sexual medicine. Reproductive Biology and Endocrinology. 2020;18(1):10. Doi: 10.1186/s12958-019-0557-9
William H Sauer, Stephen E Kimmel. Sexual activity in patients with cardiovascular disease (12/07/2023 tarihinde https://www.uptodate.com/contents/sexual-activity-in-patients-with-cardiovascular-disease adresinden erişilmiştir)
Levine GN, Steinke EE, Bakaeen FG, et al. Sexual activity and cardiovascular disease: a scientific statement from the American Heart Association. Circulation. 2012;125(8): 1058-1072. Doi: 10.1161/CIR.0b013e3182447787
Mornar Jelavić M, Krstačić G, Perenčević A, et al. Sexual activity in patients with cardiac diseases. Acta Clinica Croatica. 2018;57(1): 141-148. Doi: 10.20471/acc.2018.57.01.18
Jaarsma T. Sexual function of patients with heart failure: facts and numbers. ESC Heart Failure. 2017;4(1): 3-7. Doi: 10.1002/ehf2.12108
Ahmed WS, Geethakumari AM, Biswas KH. Phosphodiesterase 5 (PDE5): Structure-function regulation and therapeutic applications of inhibitors. Biomedicine & Pharmacotherapy. 2021;134: 111128. Doi: 10.1016/j.biopha.2020.111128
Byrne M, Doherty S, Fridlund BG, et al. Sexual counselling for sexual problems in patients with cardiovascular disease. Cochrane Database of Systematic Reviews. 2016;2(2):CD010988. Doi: 10.1002/14651858.CD010988.pub2
Baert A, Pardaens S, De Smedt D, et al. Sexual activity in heart failure patients: Information needs and association with health-related quality of life. International Journal of Environmental Research and Public Health. 2019;16(9):1570. Doi: 10.3390/ijerph16091570
Driel AG, de Hosson MJ, Gamel C. Sexuality of patients with chronic heart failure and their spouses and the need for information regarding sexuality. European Journal of Cardiovascular Nursing. 2014;13(3): 227-234. Doi:10.1177/1474515113485521
Steinke EE, Jaarsma T. Sexual counseling and cardiovascular disease: practical approaches. Asian Journal of Andrology. 2015;17(1): 32-39. Doi: 10.4103/1008-682X.135982
Gamel C, Davis BD, Hengeveld M. Nurses' provision of teaching and counselling on sexuality: a review of the literature. Journal of Advanced Nursing. 1993;18: 1219.
Bouchard K, Gareau A, Gallant NL, et al. Dyadic effects of anxiety and depression on quality of life among couples facing cardiovascular disease. Journal of Psychosomatic Research. 2021;149: 110601. Doi: 10.1016/j.jpsychores.2021.110601
Steinke EE, Jaarsma T, Barnason SA, et al. Sexual counseling for individuals with cardiovascular disease and their partners: a consensus document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). Circulation. 2013;128(18): 2075-2096. Doi:10.1161/CIR.0b013e31829c2e53
Volume
Pages
463-478
Published
March 19, 2024
Copyright (c) 2024 Academician Publishing Book Portal
License
LicenseHow to Cite
1.
Yılmaz Karabulutlu E, Başak S. Kalp Hastalıklarında Cinsel Sağlık. In: Karabulutlu Ö, editor. Her Yönüyle Cinsel Sağlık [Internet]. Türkiye: Academician Publishing Book DOI Portal; 2024 [cited 2026 Jul. 13]. pp. 463-78. Available from: https://www.omp35.books.akademisyen.net/index.php/akya/catalog/book/3000/chapter/13855
