Saturday November 17, 2018

Men with Heart Disease More Prone to Cardiac Arrest During or After Sex

Men fail to perform cardiopulmonary resuscitation immediately after the intercourse.

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Heart Attack
Men have a higher chance of a sudden cardiac arrest(SCA) after having sex
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Men with a history of cardiovascular disease may be more at risk of facing sudden cardiac arrest during or soon after sex, a study led by an Indian-origin researcher has revealed.

Sudden cardiac arrest (SCA) is when the heart suddenly stops beating. It usually occurs without warning.

 The findings showed that although the incidence of SCA is very rare, survival rates in such cases remain low.

It is because, the partners failed to immediately perform cardiopulmonary resuscitation (CPR), which could save more lives, the researchers said.

“Even though SCA during sexual activity was witnessed by a partner, bystander CPR was performed in only one-third of the cases,” said Sumeet Chugh, Associate Director at the Cedars-Sinai Heart Institute.

For the study, published in the Journal of the American College of Cardiology, the team examined records of more than 4,500 cardiac arrests over a period of 13 years in persons above 18 years.

Out of these only 34 were during or within an hour of having sex, and 32 of those were men, who were already taking drugs for heart conditions.

Patients who experienced sudden cardiac arrest related to sexual activity also had a higher rate of ventricular fibrillation/tachycardia than those who did not.

Only one-third of these SCA cases received bystander CPR. This low bystander CPR rate accounted for less than 20 per cent of patients who survived to hospital discharge, the researchers noted.

Moreover, some cases of SCA after sexual activity may also involve medications, stimulants and alcohol use, the researchers said.

“These findings highlight the importance of continued efforts to educate the public on the importance of bystander CPR for SCA, irrespective of the circumstance,” Chugh added. (IANS)

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ESC Directs Women With Heart Disease To Give Before 40 Weeks

While women with heart disease can have a healthy pregnancy, they should be aware of a higher risk of obstetric complications.

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Doctors are often tempted to organize C-sections to ease the flow of patients through a maternity clinic. Flickr

Pregnant women with heart disease should give birth at no later than 40 weeks gestation, beyond that harm can be caused to the mother, new guidelines by the European Society of Cardiology (ESC) recommends.

Besides pre-pregnancy risk assessment and counselling, a delivery plan should be devised at 20-30 weeks, specifying vaginal or caesarean delivery, whether an epidural or forceps will be used, and the duration of hospital stay after delivery, the guidelines said.

“Pregnancy is a risky period for women with heart disease because it puts additional stress on the heart, so the guidelines advise inducing labour or a caesarean section at 40 weeks,” said Jolien Roos-Hesselink, Professor at the Erasmus University in Rotterdam, Netherlands.

 

Heart Attack, women
Since carrying more than one baby puts more stress on the heart, women with heart disease undergoing IVF are strongly advised to transfer a single embryo.
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“Beyond 40 weeks, pregnancy has no added benefit for the baby and may even have negative effects,” Roos-Hesselink added.

Heart disease is the main reason women die during pregnancy in western countries, because they have a 100-fold greater risk of death or heart failure than their healthy peers.

An estimated 18-30 per cent of the offsprings have complications and up to 4 per cent of neonates die.

The new guidelines, published in the European Heart Journal, also recommended against in vitro fertilisation (IVF), contraception, and termination of pregnancy for women with heart disease.

It is because IVF often uses high doses of hormones, which increases the risk of thrombosis and heart failure, so women with heart diseases need a cardiologist’s confirmation.

pregnancy
The new guidelines, published in the European Heart Journal, also recommended against in vitro fertilisation (IVF). Pixabay

“Since carrying more than one baby puts more stress on the heart, women with heart disease undergoing IVF are strongly advised to transfer a single embryo,” the guidelines said.

Also Read: Stress During Pregnancy Increases Risk of Mood Disorder in Daughters

While women with heart disease can have a healthy pregnancy, they should be aware of a higher risk of obstetric complications including premature labour, pre-eclampsia, and post-partum bleeding.

Moreover, girls with congenital heart disease should take advice before using contraceptives because some methods are contraindicated in patients with certain types of heart disease, the guidelines noted. (IANS)