Heart Disease Sexuality Risk Score for Men

Description

Sexual intercourse is associated with physical exertion, which may pose some risk to a patient with cardiovascular disease. Clinical findings can help stratify the level of risk for a patient. In general the chances of death during sexual activity is low.

Factor	Low Risk	Intermediate Risk	High Risk
angina	none or stable	frequent or moderate severity	unstable
hypertension	well controlled	partially controlled	poorly controlled
CHF	NYHA Class I (mild)	NYHA Class II (moderate)	NYHA Class III or IV (severe)
myocardial infarction	uncomplicated	recent but more than 2 weeks	within past 2 weeks
risk factors for coronary artery disease	< 3	>= 3	NA
peripheral vascular disease	none	mild to moderate	severe
cardiomyopathy	none or mild	moderate	severe
arrhythmia	none		significant
valvular disease	none or mild	mild to moderate	moderate to severe
revascularization surgery	performed and successful

where:

• Risk factors for coronary artery disease would include factors like obesity, hyperlipidemia, family history, smoking, diabetes mellitus, and hypertension.

Risk Level	Management
low	manage medically and follow at regular intervals
intermediate	refer for functional testing (exercise treadmill test, echocardiography, nuclear imaging studies); may resume if no or if mild left ventricular dysfunction
high	refer for cardiovascular evaluation and stabilization prior to resumption of sexual activity

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Description

Specialty

Objective

ICD-10

Risk of Sexual Activity in a Man with Heart Disease

Purpose: To identify the risk for a man with cardiovascular disease having sexual activity.

Description

Specialty

Objective

ICD-10