August 22, 2024 • 35 mins
In this episode of 'Intimacy After,' the focus is the risk of heart attacks during sex, a serious concern that many might overlook or avoid discussing. Queen provides valuable insights from the American Heart Association and CDC statistics, explaining what a heart attack is, its risk factors, and its implications for sexual health and intimacy. She highlights the importance of understanding the symptoms and causes of heart attacks, especially the atypical presentations in women. The episode delves into the interconnectedness of heart health and sexual function and emphasizes the need for open communication, regular medical consultation, and lifestyle changes to manage risk.
Timestamp Notes & Chapters
00:00 Welcome to Intimacy After 01:01 Today's Topic: Heart Attack Risks 01:56 Understanding Heart Attacks 02:42 Heart Attack Statistics 04:27 Causes and Symptoms of Heart Attacks 17:18 Impact on Sexual Health 23:38 Managing Heart Health and Intimacy 32:44 Holistic Approaches and Final Thoughts
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:05):
Hello and welcome.
.999This is Intimacy After, a podcast for mature women facing intimacy issues from various causes.
Please know you are not alone.
It is time to stop suffering in silence.
On this podcast, we give hope that through practice of simple steps and proven tips, you can improve intimacy and resurrect your love life.
(00:33):
Break free, learn to laugh again, to play again, to be happy, to love and know that you are loved.
I am your host, Queen.
Come on inside. 9 00:00:49,596.789115646 --> 00:00:51,246.789115646 Hey sister, Fran. 10 00:00:51,306.789115646 --> 00:00:58,26.789115646 Welcome inside to another heavy discussion about the things and topics that you care about. 11 00:00:58,386.789115646 --> 00:01:01,176.789115646 Things that directly affects you. 12 00:01:01,536.789115646 --> 00:01:04,956.789115646 Today's concern is about heart attack. 13 00:01:05,556.789115646 --> 00:01:10,866.789115646 I've heard you, you sent a lot of topics and I'm sifting through them one at a time. 14 00:01:11,76.789115646 --> 00:01:17,46.789115646 So the one that gets the most requests, that's the order that I typically go in. 15 00:01:17,46.789115646 --> 00:01:21,426.789115646 And so today we're going to take a look at heart attack. 16 00:01:22,116.789115646 --> 00:01:42,6.78911565 Are you at risk for having a heart attack or causing a heart attack during sex? It may sound funny to some, but this is serious business, right? Back in the day, while in the military, some of the guys would joke that a heart attack during sex is a great way to go. 17 00:01:42,456.78911565 --> 00:01:47,466.78911565 Many are finding out though that a heart attack doesn't always lead to death. 18 00:01:47,736.78911565 --> 00:01:52,56.78911565 So your questions about re-engaging in sexual activities. 19 00:01:52,416.78911565 --> 00:01:54,276.78911565 Are very valid. 20 00:01:54,846.78911565 --> 00:01:55,206.78911565 But. 21 00:01:56,86.78911565 --> 00:02:01,306.78911565 Before we can talk about heart attack and its effect on intimacy and sex. 22 00:02:01,636.78911565 --> 00:02:04,306.78911565 We have to first have a good understanding. 23 00:02:04,546.78911565 --> 00:02:14,446.78911565 Off why this is so very important and then exactly what a heart attack is and is not. 24 00:02:15,286.78911565 --> 00:02:21,46.78911565 I realized that about a quarter of my listeners are in the UK, Canada and the Caribbean basin. 25 00:02:21,316.78911565 --> 00:02:22,96.78911565 Thank you all. 26 00:02:22,96.78911565 --> 00:02:23,116.78911565 So very much. 27 00:02:23,446.78911565 --> 00:02:31,426.78911565 But using a basic information from the U S stats may be relatively close for your population. 28 00:02:31,666.78911565 --> 00:02:36,796.78911565 So I thank all my listeners and I want to be as inclusive as possible. 29 00:02:37,66.78911565 --> 00:02:40,576.78911565 So I'll use some of the statistics from us and why. 30 00:02:40,906.78911565 --> 00:02:42,466.78911565 This is so important. 31 00:02:42,466.78911565 --> 00:02:49,846.78911565 So according to the American heart association and the center for disease control and prevention, CDC. 32 00:02:49,846.78911565 --> 00:02:56,716.78911565 Uh, about 805,000 Americans have a heart attack each year. 33 00:02:57,166.78911565 --> 00:03:08,386.78911565 Off these 605,000, our first time heart attack patients while 200,000 happened to people who have already had a heart attack. 34 00:03:08,416.78911565 --> 00:03:08,746.78911565 Right. 35 00:03:08,956.78911565 --> 00:03:17,956.78911565 So if you do the number and that's roughly about one fourth of the folks who had heart attack before had heart attack annually. 36 00:03:18,766.78911565 --> 00:03:24,616.78911565 So heart disease is the leading cause of death in the United States. 37 00:03:24,646.78911565 --> 00:03:28,186.78911565 Accounting for about one in four deaths. 38 00:03:28,396.78911565 --> 00:03:38,986.78911565 Now, again, for the UK, Canada, the Caribbean basins or any of the country, you may not be too far off, but you can check the statistics for your country. 39 00:03:39,826.78911565 --> 00:03:42,166.78911565 But here is the even scarier part. 40 00:03:43,96.78911565 --> 00:03:50,986.78911565 Well, what could be more scary than dying from a heart attack? Well about one in five heart attack. 41 00:03:51,316.78911565 --> 00:03:52,366.78911565 Is silent. 42 00:03:52,846.78911565 --> 00:03:57,406.78911565 The damage is done, but you are not aware of it. 43 00:03:58,366.78911565 --> 00:03:59,716.78911565 Isn't that scary. 44 00:04:00,466.78911565 --> 00:04:02,416.78911565 Very scary, indeed. 45 00:04:04,126.78911565 --> 00:04:13,786.78911565 We have seen in the movies and, or heard about people dying during the act of sexual intercourse from heart attack, nothing about the scenario is funny. 46 00:04:14,176.78911565 --> 00:04:17,386.78911565 Especially, not for the survivor. 47 00:04:17,656.78911565 --> 00:04:20,26.78911565 How traumatizing? Right. 48 00:04:20,686.78911565 --> 00:04:25,486.78911565 So I have to ask myself physician or no physician, sister, friend. 49 00:04:25,516.78911565 --> 00:04:26,386.78911565 I am human. 50 00:04:26,386.78911565 --> 00:04:27,226.78911565 Just like you. 51 00:04:27,616.78911565 --> 00:04:32,986.78911565 So when they said about half of Americans have at least one of the leading risk factors. 52 00:04:34,396.78911565 --> 00:04:37,966.78911565 I stopped and listened and you should too. 53 00:04:38,296.78911565 --> 00:04:41,26.78911565 We'll get more into those risk factors in a bit. 54 00:04:41,726.78911565 --> 00:04:48,356.78911565 Let's do a quick terminology pause so that we can relate and stay on the same page. 55 00:04:48,806.78911565 --> 00:04:56,336.78911565 If you're going through your medical chart or records or come across the term, myocardial infarction. 56 00:04:57,86.78911565 --> 00:04:59,666.78911565 It's the same as a heart attack. 57 00:05:00,106.78911565 --> 00:05:04,516.78911565 I was asked in the past if infarction is gas. 58 00:05:04,846.78911565 --> 00:05:07,966.78911565 No, it is not the same as passing gas. 59 00:05:08,296.78911565 --> 00:05:09,106.78911565 No shame. 60 00:05:09,346.78911565 --> 00:05:11,416.78911565 Some words can sound similar. 61 00:05:11,416.78911565 --> 00:05:15,46.78911565 And in the medical field, it can be quite confusing. 62 00:05:15,346.78911565 --> 00:05:18,886.78911565 Don't believe me, take a look at some of those medication list. 63 00:05:19,636.78911565 --> 00:05:22,516.78911565 If you don't ask, then you won't know. 64 00:05:22,696.78911565 --> 00:05:27,826.78911565 So flat you lens is passing gas, infarction. 65 00:05:28,456.78911565 --> 00:05:31,576.78911565 Is something totally different sister, friend. 66 00:05:32,96.78911565 --> 00:05:38,156.78911565 You may have read elsewhere that a heart attack, myocardial infarction. 67 00:05:38,486.78911565 --> 00:05:39,176.78911565 M I. 68 00:05:39,776.78911565 --> 00:05:49,736.78911565 Occurs when the blood flowing to a part of the heart muscle is blocked causing tissue damage or death in that region of the heart. 69 00:05:50,606.78911565 --> 00:05:57,356.78911565 As clear as mud, huh? I have found that the issue with picturing this. 70 00:05:57,716.78911565 --> 00:06:04,796.78911565 Is the overarching perception is that the heart is an organ that pumps blood to every part of the body. 71 00:06:05,186.78911565 --> 00:06:10,106.78911565 That is correct, but most may not think beyond that too. 72 00:06:10,466.78911565 --> 00:06:17,276.78911565 Well, How is the heart itself getting the energy? To actually pump that blood. 73 00:06:18,36.78911565 --> 00:06:21,156.78911565 It's no different than, for example, you. 74 00:06:21,846.78911565 --> 00:06:30,456.78911565 Everyone greatly appreciate all the wonderful things that you somehow managed to get accomplish with all your octopus tentacles. 75 00:06:30,696.78911565 --> 00:06:37,236.78911565 While all the, while you, my sister, friend, you are getting depleted yourself. 76 00:06:37,956.78911565 --> 00:06:38,946.78911565 I digress. 77 00:06:39,306.78911565 --> 00:06:41,256.78911565 That's for another podcast though. 78 00:06:41,976.78911565 --> 00:06:46,896.78911565 Well, the heart itself also has blood vessels. 79 00:06:47,166.78911565 --> 00:06:48,6.78911565 Yes ma'am. 80 00:06:48,246.78911565 --> 00:06:54,36.78911565 You can see parts of the blood vessels that supply the heart muscle and most pictures of the heart. 81 00:06:54,636.78911565 --> 00:06:56,106.78911565 I'm trying to think of a common. 82 00:06:56,146.78911565 --> 00:06:57,586.78911565 Example here. 83 00:06:57,706.78911565 --> 00:06:58,126.78911565 Hmm. 84 00:06:59,546.78911565 --> 00:07:10,796.78911565 Think of the heart, like the engine of a car, the engine powers the car and keeps it running while the heart powers the body by pumping blood. 85 00:07:11,396.78911565 --> 00:07:17,786.78911565 If the engine or heart stop working properly, the car or your body. 86 00:07:18,176.78911565 --> 00:07:21,116.78911565 Can't function the way it should. 87 00:07:21,866.78911565 --> 00:07:27,986.78911565 The vessels that are responsible for supplying the heart itself with blood. 88 00:07:28,316.78911565 --> 00:07:31,136.78911565 Those are called coronary arteries. 89 00:07:31,856.78911565 --> 00:07:35,486.78911565 So the coronary arteries are like small tubes or pipes. 90 00:07:35,756.78911565 --> 00:07:38,426.78911565 Wrapped around the outside of the heart. 91 00:07:39,26.78911565 --> 00:07:45,116.78911565 The outside of the engine, if you ever pop, open your hood and look, and you can see the engine. 92 00:07:45,416.78911565 --> 00:07:48,836.78911565 They're typically a lot of things going to the engine itself. 93 00:07:49,766.78911565 --> 00:07:54,116.78911565 These tubes are very important because they carry. 94 00:07:54,116.78911565 --> 00:08:00,356.78911565 Uh, blood filled with oxygen to the heart muscles, so it can keep working. 95 00:08:01,136.78911565 --> 00:08:03,146.78911565 Those are the coronary arteries. 96 00:08:03,176.78911565 --> 00:08:04,706.78911565 As I previously mentioned. 97 00:08:05,406.78911565 --> 00:08:07,626.78911565 If these tubes get blocked. 98 00:08:07,676.78911565 --> 00:08:18,956.78911565 The hard can stop beating all together because it's not getting the blood flow to give it the energy it needs to pump. 99 00:08:19,226.78911565 --> 00:08:21,716.78911565 That's like your car stalling out. 100 00:08:21,716.78911565 --> 00:08:26,906.78911565 Well, if the heart is a muscle and has its own blood supply. 101 00:08:27,296.78911565 --> 00:08:34,286.78911565 How does the blood vessels become blocked? What is the heart doing to cause the blockage. 102 00:08:34,746.78911565 --> 00:08:36,336.78911565 Great questions. 103 00:08:36,846.78911565 --> 00:08:38,736.78911565 Well, my sister frame. 104 00:08:39,126.78911565 --> 00:08:43,446.78911565 The heart is not doing anything to block itself, actually. 105 00:08:43,926.78911565 --> 00:08:53,586.78911565 It's all the delicious barbecue ribs, fried chicken, steak, cakes, donuts, all the things that taste also good. 106 00:08:53,916.78911565 --> 00:08:58,836.78911565 That's the beginning of the build up of plaques in your arteries. 107 00:08:59,286.78911565 --> 00:09:00,936.78911565 This is called APHA. 108 00:09:01,116.78911565 --> 00:09:02,136.78911565 Sclerosis. 109 00:09:02,586.78911565 --> 00:09:07,836.78911565 The plaque is composed of fats, cholesterol, and other substances. 110 00:09:08,196.78911565 --> 00:09:15,576.78911565 Abundance found in the blood from the delicious, juicy burger with cheese, and don't forget the added bacon. 111 00:09:16,236.78911565 --> 00:09:18,66.78911565 This is the reason why. 112 00:09:18,336.78911565 --> 00:09:26,616.78911565 Your primary care or your doctors are getting on you about lowering your cholesterol and paying attention to your fat intake. 113 00:09:27,66.78911565 --> 00:09:29,706.78911565 It's not that they don't want you to enjoy food. 114 00:09:29,796.78911565 --> 00:09:30,486.78911565 They do. 115 00:09:30,726.78911565 --> 00:09:33,366.78911565 And I think you should in moderation. 116 00:09:33,696.78911565 --> 00:09:44,736.78911565 But when you have an over abundance of fat and cholesterol and they have nowhere to go, guess what they end up doing? Lining those vessels. 117 00:09:45,516.78911565 --> 00:09:48,366.78911565 Like becoming a sludge in the pipe. 118 00:09:48,906.78911565 --> 00:09:51,666.78911565 And it builds up over time. 119 00:09:52,566.78911565 --> 00:09:57,156.78911565 We all get more to how you can help keep those pipe clean. 120 00:09:57,366.78911565 --> 00:09:57,936.78911565 Okay. 121 00:09:58,236.78911565 --> 00:10:05,526.78911565 So over time, this buildup of plaque narrows, the arteries and restrict or decreased blood flow. 122 00:10:05,916.78911565 --> 00:10:07,746.78911565 It's all sludge. 123 00:10:08,196.78911565 --> 00:10:12,546.78911565 The buildup typically take years, but that is changing too. 124 00:10:12,816.78911565 --> 00:10:17,466.78911565 As more and more younger souls are having heart attack these days. 125 00:10:17,646.78911565 --> 00:10:18,246.78911565 Why. 126 00:10:18,636.78911565 --> 00:10:23,736.78911565 Because of the obesity issue that we have in our country. 127 00:10:25,46.78911565 --> 00:10:32,6.78911565 I remember growing up in Jamaica, we had a river runoff called a canal that was close to our home. 128 00:10:32,336.78911565 --> 00:10:38,546.78911565 It was a place for fun and cooling off those hot summer days, washing clothes and more. 129 00:10:38,846.78911565 --> 00:10:50,936.78911565 However, whenever we have heavy rains, The water in the canal would be muddy from dirt, from the mountains or wherever it's just dark and brown. 130 00:10:50,936.78911565 --> 00:10:52,226.78911565 It was just yucky. 131 00:10:52,706.78911565 --> 00:10:56,936.78911565 Think of that, like eating a big burger or a rack of ribs. 132 00:10:57,326.78911565 --> 00:11:04,886.78911565 It muddies your blood with a bunch of fat and cholesterol looking for somewhere to go and be deposited. 133 00:11:05,126.78911565 --> 00:11:06,986.78911565 If it doesn't break down. 134 00:11:08,336.78911565 --> 00:11:09,416.78911565 Back to the canal. 135 00:11:09,836.78911565 --> 00:11:12,386.78911565 This eventually clears a couple of days later. 136 00:11:12,566.78911565 --> 00:11:12,956.78911565 Right. 137 00:11:13,136.78911565 --> 00:11:18,746.78911565 But in the case of our bodies, other organs help to clear the gook in our bloodstream. 138 00:11:19,166.78911565 --> 00:11:22,76.78911565 Exercise is great for this also. 139 00:11:22,766.78911565 --> 00:11:26,816.78911565 However, sometimes, especially after hurricanes. 140 00:11:27,296.78911565 --> 00:11:39,266.78911565 Uprooted trees can clog the river upstream, leading to no water in the canal for washing clothes, cooling down the fishing, other local Marine life. 141 00:11:39,716.78911565 --> 00:11:40,316.78911565 Dies. 142 00:11:40,346.78911565 --> 00:11:42,836.78911565 Sometimes only trickle of water comes down. 143 00:11:43,436.78911565 --> 00:11:48,236.78911565 That is to say the plaque built up from cholesterol. 144 00:11:48,476.78911565 --> 00:11:53,726.78911565 Clogs up and can eventually block the arteries, serving your heart. 145 00:11:54,566.78911565 --> 00:11:56,636.78911565 And other places in your body too. 146 00:11:56,666.78911565 --> 00:11:58,256.78911565 We'll get to that later on. 147 00:11:59,96.78911565 --> 00:12:00,806.78911565 With common technology. 148 00:12:00,956.78911565 --> 00:12:09,236.78911565 Sometimes the plaque can be cleared or a bypass can be created to allow the flow again. 149 00:12:09,596.78911565 --> 00:12:11,36.78911565 To the heart muscle. 150 00:12:12,56.78911565 --> 00:12:21,536.78911565 If you had a rerouting of the arteries for the clearance that is commonly seen in medical records as cabbage. 151 00:12:22,106.78911565 --> 00:12:27,836.78911565 C a B G coronary artery bypass, Grafton. 152 00:12:28,166.78911565 --> 00:12:40,316.78911565 And this would be followed by a number to say, how many arteries did they bypass our graft? But as you can imagine, time is off the essence. 153 00:12:40,886.78911565 --> 00:12:43,526.78911565 Life now hangs in the balance. 154 00:12:43,946.78911565 --> 00:12:50,726.78911565 Uh, heart attack is a medical emergency and immediate treatment is crucial to restore blood flow. 155 00:12:50,996.78911565 --> 00:12:53,156.78911565 Getting the heart pumping again. 156 00:12:53,456.78911565 --> 00:12:57,866.78911565 Minimize heart damage and improve your survival chances. 157 00:12:58,646.78911565 --> 00:13:07,556.78911565 Understanding these causes and recognizing the symptoms early can help in preventing a heart attack or reducing its severity. 158 00:13:08,186.78911565 --> 00:13:16,466.78911565 Now I remember watching, um, was it Sanford and son and, you know, he would grab his heart and say, oh, I'm having a heart attack. 159 00:13:17,726.78911565 --> 00:13:22,526.78911565 That is not truly how it presents itself in woman. 160 00:13:23,6.78911565 --> 00:13:24,926.78911565 It's totally different. 161 00:13:25,406.78911565 --> 00:13:27,596.78911565 It doesn't have to be your left arm. 162 00:13:27,656.78911565 --> 00:13:29,216.78911565 It can be your right arm. 163 00:13:29,456.78911565 --> 00:13:34,796.78911565 It could feel like just a bad feeling in your chest or something sitting on your chest. 164 00:13:34,856.78911565 --> 00:13:36,836.78911565 It doesn't present. 165 00:13:37,286.78911565 --> 00:13:45,26.78911565 Typical way of heart pain and a left shoulder pain and a left arm pain in woman. 166 00:13:45,416.78911565 --> 00:13:47,756.78911565 The way it presents in us. 167 00:13:48,86.78911565 --> 00:13:49,796.78911565 It's totally different. 168 00:13:50,36.78911565 --> 00:13:54,386.78911565 So you have to be a tune to any changes in your body. 169 00:13:54,716.78911565 --> 00:13:56,966.78911565 And if you have questions. 170 00:13:57,356.78911565 --> 00:14:01,646.78911565 Get to an urgent care, get to the hospital, get to your primary care. 171 00:14:01,946.78911565 --> 00:14:04,286.78911565 You don't need to figure this out on your own. 172 00:14:04,706.78911565 --> 00:14:05,126.78911565 Right. 173 00:14:05,456.78911565 --> 00:14:21,56.78911565 Your life hangs in the balance, no time for guessing or thinking you're going to drink some pink stuff or take a pill here or there, or, um, what is someone tell me they drink, uh, vinegar, right? Is that. 174 00:14:21,326.78911565 --> 00:14:22,256.78911565 I think it's vinegar. 175 00:14:22,796.78911565 --> 00:14:24,686.78911565 Uh, for upset stomach. 176 00:14:25,706.78911565 --> 00:14:28,136.78911565 When you don't know you. 177 00:14:28,526.78911565 --> 00:14:29,126.78911565 Ask. 178 00:14:29,786.78911565 --> 00:14:31,976.78911565 Again, For some reason. 179 00:14:32,756.78911565 --> 00:14:37,526.78911565 It's just different the way a heart attack present in women than for men. 180 00:14:38,996.78911565 --> 00:14:44,306.78911565 After retiring from the military, some of my regular activities started to slow down a bit. 181 00:14:44,966.78911565 --> 00:14:47,696.78911565 And COVID didn't help either. 182 00:14:48,326.78911565 --> 00:14:50,756.78911565 I thought becoming a pescatarian. 183 00:14:51,26.78911565 --> 00:14:57,206.78911565 Would do the trick, but even after 15 years off, Eating mostly seafood. 184 00:14:57,446.78911565 --> 00:14:59,966.78911565 My cholesterol started to trend up. 185 00:15:00,326.78911565 --> 00:15:04,196.78911565 My canal started to get sludgy and dirty. 186 00:15:04,766.78911565 --> 00:15:05,606.78911565 What. 187 00:15:06,776.78911565 --> 00:15:08,576.78911565 Like, I'm not having this. 188 00:15:09,86.78911565 --> 00:15:10,556.78911565 It could be the sweets. 189 00:15:10,646.78911565 --> 00:15:13,826.78911565 Add my love, hate relationship with bread. 190 00:15:14,576.78911565 --> 00:15:17,516.78911565 Sister friend, can you relate? So. 191 00:15:18,206.78911565 --> 00:15:20,6.78911565 I had to do something about it. 192 00:15:20,456.78911565 --> 00:15:21,476.78911565 You can too. 193 00:15:21,506.78911565 --> 00:15:23,636.78911565 It is never too late. 194 00:15:24,86.78911565 --> 00:15:24,596.78911565 Okay. 195 00:15:24,836.78911565 --> 00:15:31,586.78911565 So here are the risk factors and numbers follow along to see if any of these applies. 196 00:15:32,246.78911565 --> 00:15:37,376.78911565 This is a great discussion to have with your primary medical team. 197 00:15:37,706.78911565 --> 00:15:47,156.78911565 You want to know if you're at risk for heart attack and watch you can do to reduce the chance of that ever happening. 198 00:15:48,836.78911565 --> 00:15:49,406.78911565 All right. 199 00:15:49,646.78911565 --> 00:15:54,866.78911565 Risk factors include not limited to high blood pressure. 200 00:15:55,346.78911565 --> 00:15:57,656.78911565 High cholesterol levels. 201 00:15:58,106.78911565 --> 00:15:59,156.78911565 Smoking. 202 00:15:59,726.78911565 --> 00:16:00,986.78911565 Obesity. 203 00:16:01,466.78911565 --> 00:16:06,206.78911565 Even if you think you're not obese, you're a little thick or just a little overweight. 204 00:16:07,76.78911565 --> 00:16:09,86.78911565 That is a risk factor. 205 00:16:09,566.78911565 --> 00:16:11,846.78911565 Lack of physical activity. 206 00:16:12,266.78911565 --> 00:16:27,626.78911565 If you are working from home and sitting at the computer all day, you need to have some kind of alarm where you get up on a regular basis to go do something to walk around and of course having an unhealthy diet. 207 00:16:28,256.78911565 --> 00:16:29,876.78911565 Are all risk factors. 208 00:16:30,56.78911565 --> 00:16:30,986.78911565 Additionally. 209 00:16:31,646.78911565 --> 00:16:36,296.78911565 Certain medical conditions like diabetes can increase the risk. 210 00:16:36,746.78911565 --> 00:16:39,236.78911565 Anyone in your family with heart disease. 211 00:16:39,806.78911565 --> 00:16:40,226.7891156 Hmm. 212 00:16:41,246.7891156 --> 00:16:43,166.7891156 Also age. 213 00:16:43,586.7891156 --> 00:16:47,96.7891156 Especially over 50 and post-menopause. 214 00:16:47,576.7891156 --> 00:16:51,686.7891156 And stressed are also important factors to consider. 215 00:16:52,16.7891156 --> 00:16:52,526.7891156 Yes. 216 00:16:52,556.7891156 --> 00:16:56,426.7891156 Stress is also an important factor. 217 00:16:56,546.7891156 --> 00:16:57,626.7891156 Say what. 218 00:16:58,316.7891156 --> 00:17:00,596.7891156 I checked off a few of those boxes up there. 219 00:17:00,596.7891156 --> 00:17:03,896.7891156 How about you? As we say in the army. 220 00:17:04,376.7891156 --> 00:17:06,566.7891156 Uh, about face. 221 00:17:07,166.7891156 --> 00:17:09,896.7891156 That means a 180 turn. 222 00:17:09,926.7891156 --> 00:17:11,606.7891156 Yes, you can do it. 223 00:17:12,166.7891156 --> 00:17:15,316.7891156 It's never too late to consider prevention mode. 224 00:17:15,586.7891156 --> 00:17:18,526.7891156 By making a decision to change. 225 00:17:19,186.7891156 --> 00:17:29,686.7891156 Heart health and sexual health are closely interconnected as both rely on a healthy cardiovascular system. 226 00:17:30,256.7891156 --> 00:17:31,606.7891156 A healthy heart. 227 00:17:32,266.7891156 --> 00:17:34,516.7891156 The heart pumps blood throughout the body. 228 00:17:34,546.7891156 --> 00:17:38,626.7891156 And this circulation is essential for sexual function. 229 00:17:38,926.7891156 --> 00:17:44,146.7891156 Uh, heart attack, which damages the heart muscles and reduces its efficiency. 230 00:17:44,146.7891156 --> 00:17:47,626.7891156 I can directly impact sexual health. 231 00:17:47,806.7891156 --> 00:17:48,586.7891156 For example. 232 00:17:49,336.7891156 --> 00:18:00,946.7891156 Reduced blood flow can lead to erectile dysfunction, E D in men, as the clogging of the blood vessels affects blood vessels everywhere. 233 00:18:01,756.7891156 --> 00:18:02,596.7891156 Yes. 234 00:18:02,836.7891156 --> 00:18:07,156.7891156 This also includes the blood vessels to the penis. 235 00:18:07,906.7891156 --> 00:18:09,316.7891156 Clogged blood vessels. 236 00:18:09,706.7891156 --> 00:18:15,106.7891156 Maybe too narrow or damaged to allow sufficient blood to reach the penis. 237 00:18:15,436.7891156 --> 00:18:20,686.7891156 Similarly, women may experience reduced libido or desire for sex. 238 00:18:21,436.7891156 --> 00:18:26,446.7891156 And vaginal dryness due to decreased blood flow to the pelvic area. 239 00:18:26,446.7891156 --> 00:18:30,256.7891156 Vaginal dryness may also be due to hormonal changes. 240 00:18:30,286.7891156 --> 00:18:36,706.7891156 Uh, whether you're perimenopausal or post-menopause, that also has an effect. 241 00:18:37,426.7891156 --> 00:18:40,726.7891156 Erectile dysfunction is its own topic. 242 00:18:40,756.7891156 --> 00:18:47,326.7891156 And we'll address in another podcast because there ed affects you as well. 243 00:18:47,836.7891156 --> 00:18:51,196.7891156 The menopause discussion is fast upcoming. 244 00:18:51,896.7891156 --> 00:18:56,36.7891156 Some of you may joke and say that sex is an exercise. 245 00:18:56,666.7891156 --> 00:19:09,56.7891156 Uh, you may call it sexercise but sex is more along the line of lack a semi-final this podcast is to help some of you get off the bench. 246 00:19:09,356.7891156 --> 00:19:11,156.7891156 And back into the game. 247 00:19:12,356.7891156 --> 00:19:18,596.7891156 Sex tend to use a lot of energy and an orgasm by either party. 248 00:19:18,956.7891156 --> 00:19:21,656.7891156 Causes full on exertion. 249 00:19:22,26.7891156 --> 00:19:22,926.7891156 So some of you. 250 00:19:23,316.7891156 --> 00:19:23,946.7891156 Are wandering. 251 00:19:23,946.7891156 --> 00:19:29,436.7891156 So what's the level of exertion during sex and heart attack risk watch. 252 00:19:29,676.7891156 --> 00:19:30,246.7891156 I do. 253 00:19:30,336.7891156 --> 00:19:34,326.7891156 How do I know? Well, sister, friend. 254 00:19:34,626.7891156 --> 00:19:50,376.7891156 Sexual activity is considered moderate, physical exertion, similar to climbing two flights of stairs or brisk walking for most people, sex places, a modest demand on the cardiovascular system. 255 00:19:50,766.7891156 --> 00:19:54,936.7891156 The heart rate typically increased to about one 30 beats per minute. 256 00:19:55,626.7891156 --> 00:20:01,926.7891156 And that could be a lot for some that could be no problem for others. 257 00:20:02,206.7891156 --> 00:20:05,476.7891156 So it really depends on your baseline activity. 258 00:20:06,46.7891156 --> 00:20:10,186.7891156 Sex should not be your only activity. 259 00:20:10,186.7891156 --> 00:20:12,16.7891156 I know some of you would like it to be. 260 00:20:12,766.7891156 --> 00:20:15,286.7891156 And say, Hey, it's a sexual activity. 261 00:20:15,346.7891156 --> 00:20:21,46.7891156 Why can't I just use that for my exercise? Sexercise won't work. 262 00:20:21,286.7891156 --> 00:20:28,276.7891156 You have to build up to it by doing all the things, to get your heart used to that strain. 263 00:20:28,666.7891156 --> 00:20:30,976.7891156 Right, or that demand on the heart. 264 00:20:31,186.7891156 --> 00:20:33,676.7891156 So when you're in a sexual activity, The risk. 265 00:20:34,66.7891156 --> 00:20:35,476.7891156 We'll not be great. 266 00:20:36,526.7891156 --> 00:20:58,126.7891156 Can you trigger a heart attack during sex for individuals with heart disease, the increase in heart rate and blood pressure during sex could potentially trigger a heart attack, especially if the person is not accustomed to physical activity or has severe coronary artery disease. 267 00:20:58,576.7891156 --> 00:21:00,286.7891156 Severe heart issues. 268 00:21:00,496.7891156 --> 00:21:06,166.7891156 However, the absolute risk remains very, very low. 269 00:21:06,746.7891156 --> 00:21:15,206.7891156 The American heart association suggest that most people with stable heart disease can safely engage in sexual activity. 270 00:21:15,866.7891156 --> 00:21:19,466.7891156 After consulting with their healthcare provider. 271 00:21:19,886.7891156 --> 00:21:22,76.7891156 Oh, disclaimer, here. 272 00:21:22,556.7891156 --> 00:21:25,796.7891156 Though my expertise is that of a medical doctor. 273 00:21:26,66.7891156 --> 00:21:30,206.7891156 I do not specialize in cardiac issues. 274 00:21:30,536.7891156 --> 00:21:32,426.7891156 I am not a cardiologist. 275 00:21:32,456.7891156 --> 00:21:35,126.7891156 I do not work in that realm. 276 00:21:35,516.7891156 --> 00:21:40,976.7891156 Additionally only your primary health provider knows your overall health. 277 00:21:41,246.7891156 --> 00:21:52,46.7891156 So always consult with your primary team and or cardiologists for personal advice as far as what you should do. 278 00:21:52,256.7891156 --> 00:21:57,716.7891156 And what is your risk factor? Please take heed to this disclaimer. 279 00:21:58,166.7891156 --> 00:22:03,596.7891156 There are lots to discuss with your primary health provider. 280 00:22:03,776.7891156 --> 00:22:10,406.7891156 And I will give you some hints later on about some things you could say in some common questions to ask. 281 00:22:10,586.7891156 --> 00:22:11,66.7891156 So. 282 00:22:12,336.7891156 --> 00:22:24,606.7891156 The risk of having a heart attack during sexual activity is relatively low in study estimate that less than 1% of heart attacks occurred during sexual intercourse. 283 00:22:25,386.7891156 --> 00:22:30,966.7891156 According to a study published in the journal of the American college of cardiology back in 2012. 284 00:22:31,386.7891156 --> 00:22:37,146.7891156 Sexual activity is responsible for only about 0.9%. 285 00:22:37,476.7891156 --> 00:22:39,216.7891156 Of all heart attacks. 286 00:22:39,876.7891156 --> 00:22:46,926.7891156 Yours may be higher or lower based on the discussion you have with your primary care team, right. 287 00:22:47,166.7891156 --> 00:22:49,26.7891156 Or your cardiac team. 288 00:22:49,506.7891156 --> 00:22:51,156.7891156 If you are concerned. 289 00:22:51,516.7891156 --> 00:22:53,796.7891156 Please speak with your team. 290 00:22:54,966.7891156 --> 00:23:00,786.7891156 Survival rates after a heart attack are high when it occurs during sex. 291 00:23:01,146.7891156 --> 00:23:05,436.7891156 Largely because the partner often calls for immediate help. 292 00:23:05,796.7891156 --> 00:23:13,716.7891156 However, the chances of survival can vary depending on factors like the speed of medical response. 293 00:23:14,76.7891156 --> 00:23:17,46.7891156 And underlying health condition. 294 00:23:17,96.7891156 --> 00:23:17,696.7891156 Again. 295 00:23:18,236.7891156 --> 00:23:21,266.7891156 I said it before in some of my previous podcasts. 296 00:23:21,686.7891156 --> 00:23:25,766.7891156 The exercise is not bench pressing and all that stuff. 297 00:23:25,766.7891156 --> 00:23:29,726.7891156 Just getting out for a little stroll, a walk regularly. 298 00:23:30,86.7891156 --> 00:23:34,886.7891156 30 minutes, four times a week just to get on a bike or get out and walk. 299 00:23:35,306.7891156 --> 00:23:37,676.7891156 It makes a world of difference. 300 00:23:38,546.7891156 --> 00:23:46,556.7891156 So what happens? If you had no idea about all this stuff, and now you are, your hubby had a heart attack. 301 00:23:47,36.7891156 --> 00:23:56,876.7891156 You may have heard about heart attack in the distance, in the periphery of the others, but now that it's affecting you, it's now personal. 302 00:23:57,506.7891156 --> 00:24:09,836.7891156 What now what next? Undoubtedly, the aftermath comes with both physical and emotional challenges that can profoundly affect your life. 303 00:24:10,616.7891156 --> 00:24:12,446.7891156 Immediately following a heart attack. 304 00:24:12,476.7891156 --> 00:24:22,596.7891156 Many patients may experience fatigue, chest pain, and shortness of breath as the heart muscle recovers from the damage, right? Over the longterm. 305 00:24:22,926.7891156 --> 00:24:29,76.7891156 These symptoms may persist and patients might develop complications such as heart failure. 306 00:24:29,316.7891156 --> 00:24:41,166.7891156 Arrhythmias or she has irregular heartbeat or reduce physical Andorrans therefore regular followup with a healthcare provider, lifestyle changes. 307 00:24:41,736.7891156 --> 00:24:50,496.7891156 And medication are often necessary to manage these conditions and prevent future heart attacks. 308 00:24:51,156.7891156 --> 00:24:54,936.7891156 Before sex can emerge back into the picture. 309 00:24:55,326.7891156 --> 00:25:01,236.7891156 Please, please consider how to be stable physically first. 310 00:25:01,806.7891156 --> 00:25:13,986.7891156 Discussing sexual health after a heart attack can be challenging due to the stigma and embarrassment that often surrounds the topic, right? There's this assumption of, well, you just had a heart attack. 311 00:25:13,986.7891156 --> 00:25:14,76.7891156 What. 312 00:25:14,286.7891156 --> 00:25:21,786.7891156 Why should you be caring about sex? Sex is also a part of life just as how you have to adjust your eating habits. 313 00:25:21,966.7891156 --> 00:25:27,36.7891156 You may have to adjust your sexual habits and your sexual appetite. 314 00:25:27,936.7891156 --> 00:25:31,26.7891156 Many patients and even healthcare providers. 315 00:25:31,296.7891156 --> 00:25:34,956.7891156 May feel uncomfortable addressing sexual concerns. 316 00:25:35,196.7891156 --> 00:25:38,286.7891156 Lead into a lack of information and support. 317 00:25:38,406.7891156 --> 00:25:47,376.7891156 However, it's crucial to overcome these barriers as sexual health is an important aspect of overall wellbeing. 318 00:25:48,6.7891156 --> 00:25:53,256.7891156 Open communication with a partner and seeking guidance from your healthcare provider. 319 00:25:53,526.7891156 --> 00:25:57,156.7891156 Can help individuals navigate these concerns. 320 00:25:57,576.7891156 --> 00:26:02,706.7891156 And this will foster both physical and emotional recovery after a heart attack now. 321 00:26:03,186.7891156 --> 00:26:04,146.7891156 Remember. 322 00:26:05,16.7891156 --> 00:26:09,96.7891156 Every one's heart attack is going to be different. 323 00:26:09,786.7891156 --> 00:26:11,316.7891156 Everybody is different. 324 00:26:11,466.7891156 --> 00:26:40,386.7891156 How far gone was it? How long did it take before they get to you? What kind of damage did you have? Did you actually have to have a surgery done or did you just have a procedure where they clean out the plaque, the level of medical care that you receive to bring you back or get you back to stable? That is going to have an impact on the concern off address and sexuality and when to return to that kind of activity. 325 00:26:40,386.7891156 --> 00:26:45,516.7891156 As you can imagine the recovery after a heart attack requires rehab. 326 00:26:45,996.7891156 --> 00:26:49,716.7891156 Emotional and physical rehabilitation. 327 00:26:50,166.7891156 --> 00:26:57,456.7891156 The road to recover is a gradual process that involves healing in the physical and emotional realm. 328 00:26:57,756.7891156 --> 00:27:00,876.7891156 How long the typical recovery timeline. 329 00:27:01,296.7891156 --> 00:27:04,386.7891156 As discussed previously can vary. 330 00:27:05,346.7891156 --> 00:27:16,206.7891156 The initial phase, though, we'll focus on stabilizing the heart and preventing further damage and they will work with you to help you regain your strength. 331 00:27:16,446.7891156 --> 00:27:21,756.7891156 Go through a cardiac rehabilitation program because that is essential. 332 00:27:22,86.7891156 --> 00:27:28,266.7891156 All of which are critical for reducing the risk of future heart attack events and improving overall health. 333 00:27:28,596.7891156 --> 00:27:30,426.7891156 This is serious business. 334 00:27:30,726.7891156 --> 00:27:32,496.7891156 So my approach is. 335 00:27:32,946.7891156 --> 00:27:34,176.7891156 Why wait. 336 00:27:34,446.7891156 --> 00:27:36,846.7891156 To go through something like that. 337 00:27:37,176.7891156 --> 00:27:39,276.7891156 To prompt a change. 338 00:27:39,636.7891156 --> 00:27:41,466.7891156 Why not change now. 339 00:27:41,976.7891156 --> 00:27:43,656.7891156 I have heard some, a few voice. 340 00:27:43,926.7891156 --> 00:27:47,106.7891156 That the dietary changes are too restricting. 341 00:27:47,406.7891156 --> 00:27:49,146.7891156 You can't live like that. 342 00:27:49,866.7891156 --> 00:27:52,836.7891156 Did you hear that? You can't live like that. 343 00:27:52,836.7891156 --> 00:27:57,396.7891156 If you don't adjust, then you won't live like that. 344 00:27:57,906.7891156 --> 00:28:03,726.7891156 And why wait to have a drastic measure in doing the things, you know, you ought to do. 345 00:28:03,756.7891156 --> 00:28:05,886.7891156 I start doing it little at a time. 346 00:28:05,916.7891156 --> 00:28:21,36.7891156 Now nutrition is only a part of the rehabilitation process though, right? You do not have to be a vegan and swear off everything, but the seriousness of a heart attack requires some drastic measures. 347 00:28:21,516.7891156 --> 00:28:22,26.7891156 Then. 348 00:28:22,716.7891156 --> 00:28:25,296.7891156 Things can be moderated after that. 349 00:28:25,716.7891156 --> 00:28:27,336.7891156 It is not the end. 350 00:28:27,426.7891156 --> 00:28:30,726.7891156 As long as you still here, there is hope, right. 351 00:28:31,626.7891156 --> 00:28:33,336.7891156 Because of this apprehension. 352 00:28:33,786.7891156 --> 00:28:37,236.7891156 Emotional barriers are common during recovery. 353 00:28:37,566.7891156 --> 00:28:39,156.7891156 Fear of another heart attack. 354 00:28:39,216.7891156 --> 00:28:43,536.7891156 We're statistic says occurs approximately 25% of the time. 355 00:28:44,16.7891156 --> 00:28:48,966.7891156 Anxiety about sexual performance and changes in self image. 356 00:28:49,266.7891156 --> 00:28:58,656.7891156 These can all contribute to stress and depression, sister, friend, you can overcome these emotional challenges. 357 00:28:59,46.7891156 --> 00:29:11,776.7891156 It requires open communication with your hubby counseling can help address fears and anxieties while partner involvement can strengthen relationship and provide emotional support. 358 00:29:11,826.7891157 --> 00:29:15,366.7891157 There are a lot of information on physical rehabilitation. 359 00:29:15,696.7891157 --> 00:29:22,536.7891157 As it plays a vital role in helping heart attack survivors, regain their strength and confidence. 360 00:29:22,986.7891157 --> 00:29:28,866.7891157 It's important to resume physical activities, including sexual activities. 361 00:29:29,316.7891157 --> 00:29:30,996.7891157 Gradually. 362 00:29:31,536.7891157 --> 00:29:39,636.7891157 And all under medical guidance to ensure safety and effectiveness. 363 00:29:40,26.7891157 --> 00:29:41,46.7891157 Everyone. 364 00:29:41,406.7891157 --> 00:29:43,86.7891157 Please hear this again. 365 00:29:43,836.7891157 --> 00:29:45,186.7891157 Gradually. 366 00:29:45,636.7891157 --> 00:29:48,576.7891157 All under medical guidance. 367 00:29:49,326.7891157 --> 00:29:51,636.7891157 Here's one of your question. 368 00:29:52,566.7891157 --> 00:29:54,96.7891157 My husband had a heart attack. 369 00:29:54,126.7891157 --> 00:29:58,656.7891157 Three months ago, we were talking about past sexual encounters. 370 00:29:58,656.7891157 --> 00:30:01,806.7891157 And when I hugged him, he got an erection. 371 00:30:02,106.7891157 --> 00:30:05,166.7891157 I was so scared that I ran out of the room. 372 00:30:05,866.7891157 --> 00:30:11,396.7891157 What should I do about this? This is quite common. 373 00:30:11,726.7891157 --> 00:30:14,756.7891157 But I'm guessing that you ran because you thought. 374 00:30:14,996.7891157 --> 00:30:20,186.7891157 If he had sex or an orgasm, he may have another heart attack. 375 00:30:20,486.7891157 --> 00:30:21,146.7891157 Correct. 376 00:30:21,566.7891157 --> 00:30:22,946.7891157 This is a tough one. 377 00:30:23,276.7891157 --> 00:30:27,416.7891157 Please talk to him, share with him your concerns. 378 00:30:27,656.7891157 --> 00:30:32,36.7891157 Your involvement is crucial in his recovery process. 379 00:30:32,366.7891157 --> 00:30:37,316.7891157 You can provide emotional support and help maintain intimacy and connection. 380 00:30:37,766.7891157 --> 00:30:42,236.7891157 Even when sexual activity is a limited or non-existent. 381 00:30:43,196.7891157 --> 00:30:49,256.7891157 Then make an appointment with your primary care or cardiologist to talk about this. 382 00:30:49,476.7891157 --> 00:30:52,86.7891157 If I'm uncomfortable with in-person. 383 00:30:52,446.7891157 --> 00:30:53,346.7891157 Appointments. 384 00:30:53,706.7891157 --> 00:31:02,46.7891157 Try sending a note via your electronic medical records and schedule a tele console or telephone. 385 00:31:02,46.7891157 --> 00:31:02,676.7891157 Follow-up. 386 00:31:02,976.7891157 --> 00:31:05,856.7891157 Those have become quite common now since coven. 387 00:31:06,726.7891157 --> 00:31:10,416.7891157 Well, what to say? I want to ask. 388 00:31:10,416.7891157 --> 00:31:11,736.7891157 Here's an example. 389 00:31:12,816.7891157 --> 00:31:14,316.7891157 Doctor X, Y, Z. 390 00:31:14,766.7891157 --> 00:31:16,656.7891157 When I hugged my husband. 391 00:31:16,956.7891157 --> 00:31:18,516.7891157 He had an erection. 392 00:31:19,356.7891157 --> 00:31:23,76.7891157 And I was terrified of him having another heart attack. 393 00:31:23,676.7891157 --> 00:31:44,256.7891157 Is that a realistic fear? Can we cuddle? What should I do? If he gets aroused and have an erection again? When will it be safe for him to have sex and an orgasm? These are some good engage in Frank. 394 00:31:44,526.7891157 --> 00:31:47,436.7891157 And to the point questions to ask. 395 00:31:47,856.7891157 --> 00:31:56,46.7891157 Remember sexual activity is like moderate exercise, but everyone's moderate is different. 396 00:31:56,286.7891157 --> 00:32:01,926.7891157 How many flight of stairs would be considered moderate for you or for him? Right. 397 00:32:02,376.7891157 --> 00:32:05,166.7891157 We have to be realistic about all of this. 398 00:32:05,776.7891157 --> 00:32:08,116.7891157 This is a terrifying way to live. 399 00:32:08,626.7891157 --> 00:32:17,326.7891157 Thinking that you may be responsible for your significant other, having a heart attack and possibly dying. 400 00:32:18,46.7891157 --> 00:32:19,366.7891157 This is serious. 401 00:32:19,966.7891156 --> 00:32:29,146.7891156 I wish I could be more specific for you, but as you have learned now, everything, and everyone is different. 402 00:32:29,476.7891156 --> 00:32:32,476.7891156 Additionally, this is outside my specialty. 403 00:32:32,746.7891156 --> 00:32:34,906.7891156 And I am not on your care team. 404 00:32:35,386.7891156 --> 00:32:39,616.7891156 But I do hope the suggestions here are helpful for you. 405 00:32:40,646.7891156 --> 00:32:44,606.7891156 At your appointment to discuss resuming sexual activity. 406 00:32:44,966.7891156 --> 00:32:51,506.7891156 Also ask about holistic approaches to enhance sexual health after a heart attack. 407 00:32:51,926.7891156 --> 00:33:00,146.7891156 This approach can provide powerful tools in the recovery journey, integrating mind and body to promote overall wellbeing. 408 00:33:00,566.7891156 --> 00:33:06,776.7891156 Practices such as yoga, meditation and mindfulness play a crucial role. 409 00:33:07,106.7891156 --> 00:33:12,716.7891156 In this process, You will find that these activities help reduce stress. 410 00:33:13,196.7891156 --> 00:33:15,206.7891156 A significant factor in heart health. 411 00:33:15,596.7891156 --> 00:33:19,586.7891156 By promoting relaxation and emotional balance. 412 00:33:19,836.7891156 --> 00:33:21,486.7891156 Other alternative therapies. 413 00:33:21,486.7891156 --> 00:33:26,556.7891156 I also offer potential benefit for sexual health post heart attack. 414 00:33:27,36.7891156 --> 00:33:34,326.7891156 Occupant your for instance, may help improve circulation and reduce stress massage therapy. 415 00:33:34,326.7891156 --> 00:33:36,486.7891156 Not only helps relieve muscle tension. 416 00:33:36,786.7891156 --> 00:33:40,776.7891156 But also foster physical closeness and intimacy. 417 00:33:41,196.7891156 --> 00:33:41,886.7891156 Um, wait. 418 00:33:42,186.7891156 --> 00:33:43,686.7891156 Oh clarification. 419 00:33:43,926.7891156 --> 00:33:44,886.7891156 That's a massage. 420 00:33:45,426.7891156 --> 00:33:46,836.7891156 With each other. 421 00:33:47,256.7891156 --> 00:33:49,926.7891156 Not at the massage parlor. 422 00:33:50,16.7891156 --> 00:33:50,976.7891156 Oh, my goodness. 423 00:33:51,576.7891156 --> 00:33:56,46.7891156 I'll massage that you give each other, please clarification here. 424 00:33:56,46.7891156 --> 00:34:00,96.7891156 I'm not sending you to any special massage parlor. 425 00:34:01,206.7891156 --> 00:34:18,426.7891156 Oh, my nevertheless, it's a vital to consult your healthcare provider before trying any alternative treatment as they need to be safe and compatible with your medical conditions and medication. 426 00:34:18,476.7891156 --> 00:34:28,616.7891156 Therapy and counseling, particularly sex therapy or couples counseling are essential for addressing sexual health issues that may arise after a heart attack. 427 00:34:29,156.7891156 --> 00:34:31,826.7891156 As the emotional aspect of recovery. 428 00:34:32,96.7891156 --> 00:34:35,246.7891156 Are deeply intertwined with physical health. 429 00:34:35,786.7891156 --> 00:34:41,366.7891156 Counseling can help rebuild confidence, improve communication between partners. 430 00:34:41,726.7891156 --> 00:34:50,156.7891156 And ultimately foster a healthier, more fulfilling, intimate life after a heart attack. 431 00:34:51,996.7891156 --> 00:35:00,306.7891156 Well, sister, friend, I know you have choices, so I thank you for tuning into Intimacy After podcast. 432 00:35:00,726.7891156 --> 00:35:09,276.7891156 You may subscribe for bimonthly alerts or stay in the know by visiting my website@queenquanta.com. 433 00:35:09,516.7891156 --> 00:35:13,661.7891156 That's Queen Q-U-A-N-T a.com. 434 00:35:14,431.7891156 --> 00:35:22,806.7891156 Until next time, remember, a life without Intimacy is like your favorite meal without salt. 435 00:35:23,691.7891156 --> 00:35:26,311.7891156 Ladies, let's spice it up. 436 00:35:26,811.7891156 --> 00:35:30,101.7891156 Life is beautiful, and God is awesome. 437 00:35:30,671.7891156 --> 00:35:33,616.6271156 This is Queen, signing out.
Hello and welcome.
.999This is Intimacy After, a podcast for mature women facing intimacy issues from various causes.
Please know you are not alone.
It is time to stop suffering in silence.
On this podcast, we give hope that through practice of simple steps and proven tips, you can improve intimacy and resurrect your love life.
(00:33):
Break free, learn to laugh again, to play again, to be happy, to love and know that you are loved.
I am your host, Queen.
Come on inside. 9 00:00:49,596.789115646 --> 00:00:51,246.789115646 Hey sister, Fran. 10 00:00:51,306.789115646 --> 00:00:58,26.789115646 Welcome inside to another heavy discussion about the things and topics that you care about. 11 00:00:58,386.789115646 --> 00:01:01,176.789115646 Things that directly affects you. 12 00:01:01,536.789115646 --> 00:01:04,956.789115646 Today's concern is about heart attack. 13 00:01:05,556.789115646 --> 00:01:10,866.789115646 I've heard you, you sent a lot of topics and I'm sifting through them one at a time. 14 00:01:11,76.789115646 --> 00:01:17,46.789115646 So the one that gets the most requests, that's the order that I typically go in. 15 00:01:17,46.789115646 --> 00:01:21,426.789115646 And so today we're going to take a look at heart attack. 16 00:01:22,116.789115646 --> 00:01:42,6.78911565 Are you at risk for having a heart attack or causing a heart attack during sex? It may sound funny to some, but this is serious business, right? Back in the day, while in the military, some of the guys would joke that a heart attack during sex is a great way to go. 17 00:01:42,456.78911565 --> 00:01:47,466.78911565 Many are finding out though that a heart attack doesn't always lead to death. 18 00:01:47,736.78911565 --> 00:01:52,56.78911565 So your questions about re-engaging in sexual activities. 19 00:01:52,416.78911565 --> 00:01:54,276.78911565 Are very valid. 20 00:01:54,846.78911565 --> 00:01:55,206.78911565 But. 21 00:01:56,86.78911565 --> 00:02:01,306.78911565 Before we can talk about heart attack and its effect on intimacy and sex. 22 00:02:01,636.78911565 --> 00:02:04,306.78911565 We have to first have a good understanding. 23 00:02:04,546.78911565 --> 00:02:14,446.78911565 Off why this is so very important and then exactly what a heart attack is and is not. 24 00:02:15,286.78911565 --> 00:02:21,46.78911565 I realized that about a quarter of my listeners are in the UK, Canada and the Caribbean basin. 25 00:02:21,316.78911565 --> 00:02:22,96.78911565 Thank you all. 26 00:02:22,96.78911565 --> 00:02:23,116.78911565 So very much. 27 00:02:23,446.78911565 --> 00:02:31,426.78911565 But using a basic information from the U S stats may be relatively close for your population. 28 00:02:31,666.78911565 --> 00:02:36,796.78911565 So I thank all my listeners and I want to be as inclusive as possible. 29 00:02:37,66.78911565 --> 00:02:40,576.78911565 So I'll use some of the statistics from us and why. 30 00:02:40,906.78911565 --> 00:02:42,466.78911565 This is so important. 31 00:02:42,466.78911565 --> 00:02:49,846.78911565 So according to the American heart association and the center for disease control and prevention, CDC. 32 00:02:49,846.78911565 --> 00:02:56,716.78911565 Uh, about 805,000 Americans have a heart attack each year. 33 00:02:57,166.78911565 --> 00:03:08,386.78911565 Off these 605,000, our first time heart attack patients while 200,000 happened to people who have already had a heart attack. 34 00:03:08,416.78911565 --> 00:03:08,746.78911565 Right. 35 00:03:08,956.78911565 --> 00:03:17,956.78911565 So if you do the number and that's roughly about one fourth of the folks who had heart attack before had heart attack annually. 36 00:03:18,766.78911565 --> 00:03:24,616.78911565 So heart disease is the leading cause of death in the United States. 37 00:03:24,646.78911565 --> 00:03:28,186.78911565 Accounting for about one in four deaths. 38 00:03:28,396.78911565 --> 00:03:38,986.78911565 Now, again, for the UK, Canada, the Caribbean basins or any of the country, you may not be too far off, but you can check the statistics for your country. 39 00:03:39,826.78911565 --> 00:03:42,166.78911565 But here is the even scarier part. 40 00:03:43,96.78911565 --> 00:03:50,986.78911565 Well, what could be more scary than dying from a heart attack? Well about one in five heart attack. 41 00:03:51,316.78911565 --> 00:03:52,366.78911565 Is silent. 42 00:03:52,846.78911565 --> 00:03:57,406.78911565 The damage is done, but you are not aware of it. 43 00:03:58,366.78911565 --> 00:03:59,716.78911565 Isn't that scary. 44 00:04:00,466.78911565 --> 00:04:02,416.78911565 Very scary, indeed. 45 00:04:04,126.78911565 --> 00:04:13,786.78911565 We have seen in the movies and, or heard about people dying during the act of sexual intercourse from heart attack, nothing about the scenario is funny. 46 00:04:14,176.78911565 --> 00:04:17,386.78911565 Especially, not for the survivor. 47 00:04:17,656.78911565 --> 00:04:20,26.78911565 How traumatizing? Right. 48 00:04:20,686.78911565 --> 00:04:25,486.78911565 So I have to ask myself physician or no physician, sister, friend. 49 00:04:25,516.78911565 --> 00:04:26,386.78911565 I am human. 50 00:04:26,386.78911565 --> 00:04:27,226.78911565 Just like you. 51 00:04:27,616.78911565 --> 00:04:32,986.78911565 So when they said about half of Americans have at least one of the leading risk factors. 52 00:04:34,396.78911565 --> 00:04:37,966.78911565 I stopped and listened and you should too. 53 00:04:38,296.78911565 --> 00:04:41,26.78911565 We'll get more into those risk factors in a bit. 54 00:04:41,726.78911565 --> 00:04:48,356.78911565 Let's do a quick terminology pause so that we can relate and stay on the same page. 55 00:04:48,806.78911565 --> 00:04:56,336.78911565 If you're going through your medical chart or records or come across the term, myocardial infarction. 56 00:04:57,86.78911565 --> 00:04:59,666.78911565 It's the same as a heart attack. 57 00:05:00,106.78911565 --> 00:05:04,516.78911565 I was asked in the past if infarction is gas. 58 00:05:04,846.78911565 --> 00:05:07,966.78911565 No, it is not the same as passing gas. 59 00:05:08,296.78911565 --> 00:05:09,106.78911565 No shame. 60 00:05:09,346.78911565 --> 00:05:11,416.78911565 Some words can sound similar. 61 00:05:11,416.78911565 --> 00:05:15,46.78911565 And in the medical field, it can be quite confusing. 62 00:05:15,346.78911565 --> 00:05:18,886.78911565 Don't believe me, take a look at some of those medication list. 63 00:05:19,636.78911565 --> 00:05:22,516.78911565 If you don't ask, then you won't know. 64 00:05:22,696.78911565 --> 00:05:27,826.78911565 So flat you lens is passing gas, infarction. 65 00:05:28,456.78911565 --> 00:05:31,576.78911565 Is something totally different sister, friend. 66 00:05:32,96.78911565 --> 00:05:38,156.78911565 You may have read elsewhere that a heart attack, myocardial infarction. 67 00:05:38,486.78911565 --> 00:05:39,176.78911565 M I. 68 00:05:39,776.78911565 --> 00:05:49,736.78911565 Occurs when the blood flowing to a part of the heart muscle is blocked causing tissue damage or death in that region of the heart. 69 00:05:50,606.78911565 --> 00:05:57,356.78911565 As clear as mud, huh? I have found that the issue with picturing this. 70 00:05:57,716.78911565 --> 00:06:04,796.78911565 Is the overarching perception is that the heart is an organ that pumps blood to every part of the body. 71 00:06:05,186.78911565 --> 00:06:10,106.78911565 That is correct, but most may not think beyond that too. 72 00:06:10,466.78911565 --> 00:06:17,276.78911565 Well, How is the heart itself getting the energy? To actually pump that blood. 73 00:06:18,36.78911565 --> 00:06:21,156.78911565 It's no different than, for example, you. 74 00:06:21,846.78911565 --> 00:06:30,456.78911565 Everyone greatly appreciate all the wonderful things that you somehow managed to get accomplish with all your octopus tentacles. 75 00:06:30,696.78911565 --> 00:06:37,236.78911565 While all the, while you, my sister, friend, you are getting depleted yourself. 76 00:06:37,956.78911565 --> 00:06:38,946.78911565 I digress. 77 00:06:39,306.78911565 --> 00:06:41,256.78911565 That's for another podcast though. 78 00:06:41,976.78911565 --> 00:06:46,896.78911565 Well, the heart itself also has blood vessels. 79 00:06:47,166.78911565 --> 00:06:48,6.78911565 Yes ma'am. 80 00:06:48,246.78911565 --> 00:06:54,36.78911565 You can see parts of the blood vessels that supply the heart muscle and most pictures of the heart. 81 00:06:54,636.78911565 --> 00:06:56,106.78911565 I'm trying to think of a common. 82 00:06:56,146.78911565 --> 00:06:57,586.78911565 Example here. 83 00:06:57,706.78911565 --> 00:06:58,126.78911565 Hmm. 84 00:06:59,546.78911565 --> 00:07:10,796.78911565 Think of the heart, like the engine of a car, the engine powers the car and keeps it running while the heart powers the body by pumping blood. 85 00:07:11,396.78911565 --> 00:07:17,786.78911565 If the engine or heart stop working properly, the car or your body. 86 00:07:18,176.78911565 --> 00:07:21,116.78911565 Can't function the way it should. 87 00:07:21,866.78911565 --> 00:07:27,986.78911565 The vessels that are responsible for supplying the heart itself with blood. 88 00:07:28,316.78911565 --> 00:07:31,136.78911565 Those are called coronary arteries. 89 00:07:31,856.78911565 --> 00:07:35,486.78911565 So the coronary arteries are like small tubes or pipes. 90 00:07:35,756.78911565 --> 00:07:38,426.78911565 Wrapped around the outside of the heart. 91 00:07:39,26.78911565 --> 00:07:45,116.78911565 The outside of the engine, if you ever pop, open your hood and look, and you can see the engine. 92 00:07:45,416.78911565 --> 00:07:48,836.78911565 They're typically a lot of things going to the engine itself. 93 00:07:49,766.78911565 --> 00:07:54,116.78911565 These tubes are very important because they carry. 94 00:07:54,116.78911565 --> 00:08:00,356.78911565 Uh, blood filled with oxygen to the heart muscles, so it can keep working. 95 00:08:01,136.78911565 --> 00:08:03,146.78911565 Those are the coronary arteries. 96 00:08:03,176.78911565 --> 00:08:04,706.78911565 As I previously mentioned. 97 00:08:05,406.78911565 --> 00:08:07,626.78911565 If these tubes get blocked. 98 00:08:07,676.78911565 --> 00:08:18,956.78911565 The hard can stop beating all together because it's not getting the blood flow to give it the energy it needs to pump. 99 00:08:19,226.78911565 --> 00:08:21,716.78911565 That's like your car stalling out. 100 00:08:21,716.78911565 --> 00:08:26,906.78911565 Well, if the heart is a muscle and has its own blood supply. 101 00:08:27,296.78911565 --> 00:08:34,286.78911565 How does the blood vessels become blocked? What is the heart doing to cause the blockage. 102 00:08:34,746.78911565 --> 00:08:36,336.78911565 Great questions. 103 00:08:36,846.78911565 --> 00:08:38,736.78911565 Well, my sister frame. 104 00:08:39,126.78911565 --> 00:08:43,446.78911565 The heart is not doing anything to block itself, actually. 105 00:08:43,926.78911565 --> 00:08:53,586.78911565 It's all the delicious barbecue ribs, fried chicken, steak, cakes, donuts, all the things that taste also good. 106 00:08:53,916.78911565 --> 00:08:58,836.78911565 That's the beginning of the build up of plaques in your arteries. 107 00:08:59,286.78911565 --> 00:09:00,936.78911565 This is called APHA. 108 00:09:01,116.78911565 --> 00:09:02,136.78911565 Sclerosis. 109 00:09:02,586.78911565 --> 00:09:07,836.78911565 The plaque is composed of fats, cholesterol, and other substances. 110 00:09:08,196.78911565 --> 00:09:15,576.78911565 Abundance found in the blood from the delicious, juicy burger with cheese, and don't forget the added bacon. 111 00:09:16,236.78911565 --> 00:09:18,66.78911565 This is the reason why. 112 00:09:18,336.78911565 --> 00:09:26,616.78911565 Your primary care or your doctors are getting on you about lowering your cholesterol and paying attention to your fat intake. 113 00:09:27,66.78911565 --> 00:09:29,706.78911565 It's not that they don't want you to enjoy food. 114 00:09:29,796.78911565 --> 00:09:30,486.78911565 They do. 115 00:09:30,726.78911565 --> 00:09:33,366.78911565 And I think you should in moderation. 116 00:09:33,696.78911565 --> 00:09:44,736.78911565 But when you have an over abundance of fat and cholesterol and they have nowhere to go, guess what they end up doing? Lining those vessels. 117 00:09:45,516.78911565 --> 00:09:48,366.78911565 Like becoming a sludge in the pipe. 118 00:09:48,906.78911565 --> 00:09:51,666.78911565 And it builds up over time. 119 00:09:52,566.78911565 --> 00:09:57,156.78911565 We all get more to how you can help keep those pipe clean. 120 00:09:57,366.78911565 --> 00:09:57,936.78911565 Okay. 121 00:09:58,236.78911565 --> 00:10:05,526.78911565 So over time, this buildup of plaque narrows, the arteries and restrict or decreased blood flow. 122 00:10:05,916.78911565 --> 00:10:07,746.78911565 It's all sludge. 123 00:10:08,196.78911565 --> 00:10:12,546.78911565 The buildup typically take years, but that is changing too. 124 00:10:12,816.78911565 --> 00:10:17,466.78911565 As more and more younger souls are having heart attack these days. 125 00:10:17,646.78911565 --> 00:10:18,246.78911565 Why. 126 00:10:18,636.78911565 --> 00:10:23,736.78911565 Because of the obesity issue that we have in our country. 127 00:10:25,46.78911565 --> 00:10:32,6.78911565 I remember growing up in Jamaica, we had a river runoff called a canal that was close to our home. 128 00:10:32,336.78911565 --> 00:10:38,546.78911565 It was a place for fun and cooling off those hot summer days, washing clothes and more. 129 00:10:38,846.78911565 --> 00:10:50,936.78911565 However, whenever we have heavy rains, The water in the canal would be muddy from dirt, from the mountains or wherever it's just dark and brown. 130 00:10:50,936.78911565 --> 00:10:52,226.78911565 It was just yucky. 131 00:10:52,706.78911565 --> 00:10:56,936.78911565 Think of that, like eating a big burger or a rack of ribs. 132 00:10:57,326.78911565 --> 00:11:04,886.78911565 It muddies your blood with a bunch of fat and cholesterol looking for somewhere to go and be deposited. 133 00:11:05,126.78911565 --> 00:11:06,986.78911565 If it doesn't break down. 134 00:11:08,336.78911565 --> 00:11:09,416.78911565 Back to the canal. 135 00:11:09,836.78911565 --> 00:11:12,386.78911565 This eventually clears a couple of days later. 136 00:11:12,566.78911565 --> 00:11:12,956.78911565 Right. 137 00:11:13,136.78911565 --> 00:11:18,746.78911565 But in the case of our bodies, other organs help to clear the gook in our bloodstream. 138 00:11:19,166.78911565 --> 00:11:22,76.78911565 Exercise is great for this also. 139 00:11:22,766.78911565 --> 00:11:26,816.78911565 However, sometimes, especially after hurricanes. 140 00:11:27,296.78911565 --> 00:11:39,266.78911565 Uprooted trees can clog the river upstream, leading to no water in the canal for washing clothes, cooling down the fishing, other local Marine life. 141 00:11:39,716.78911565 --> 00:11:40,316.78911565 Dies. 142 00:11:40,346.78911565 --> 00:11:42,836.78911565 Sometimes only trickle of water comes down. 143 00:11:43,436.78911565 --> 00:11:48,236.78911565 That is to say the plaque built up from cholesterol. 144 00:11:48,476.78911565 --> 00:11:53,726.78911565 Clogs up and can eventually block the arteries, serving your heart. 145 00:11:54,566.78911565 --> 00:11:56,636.78911565 And other places in your body too. 146 00:11:56,666.78911565 --> 00:11:58,256.78911565 We'll get to that later on. 147 00:11:59,96.78911565 --> 00:12:00,806.78911565 With common technology. 148 00:12:00,956.78911565 --> 00:12:09,236.78911565 Sometimes the plaque can be cleared or a bypass can be created to allow the flow again. 149 00:12:09,596.78911565 --> 00:12:11,36.78911565 To the heart muscle. 150 00:12:12,56.78911565 --> 00:12:21,536.78911565 If you had a rerouting of the arteries for the clearance that is commonly seen in medical records as cabbage. 151 00:12:22,106.78911565 --> 00:12:27,836.78911565 C a B G coronary artery bypass, Grafton. 152 00:12:28,166.78911565 --> 00:12:40,316.78911565 And this would be followed by a number to say, how many arteries did they bypass our graft? But as you can imagine, time is off the essence. 153 00:12:40,886.78911565 --> 00:12:43,526.78911565 Life now hangs in the balance. 154 00:12:43,946.78911565 --> 00:12:50,726.78911565 Uh, heart attack is a medical emergency and immediate treatment is crucial to restore blood flow. 155 00:12:50,996.78911565 --> 00:12:53,156.78911565 Getting the heart pumping again. 156 00:12:53,456.78911565 --> 00:12:57,866.78911565 Minimize heart damage and improve your survival chances. 157 00:12:58,646.78911565 --> 00:13:07,556.78911565 Understanding these causes and recognizing the symptoms early can help in preventing a heart attack or reducing its severity. 158 00:13:08,186.78911565 --> 00:13:16,466.78911565 Now I remember watching, um, was it Sanford and son and, you know, he would grab his heart and say, oh, I'm having a heart attack. 159 00:13:17,726.78911565 --> 00:13:22,526.78911565 That is not truly how it presents itself in woman. 160 00:13:23,6.78911565 --> 00:13:24,926.78911565 It's totally different. 161 00:13:25,406.78911565 --> 00:13:27,596.78911565 It doesn't have to be your left arm. 162 00:13:27,656.78911565 --> 00:13:29,216.78911565 It can be your right arm. 163 00:13:29,456.78911565 --> 00:13:34,796.78911565 It could feel like just a bad feeling in your chest or something sitting on your chest. 164 00:13:34,856.78911565 --> 00:13:36,836.78911565 It doesn't present. 165 00:13:37,286.78911565 --> 00:13:45,26.78911565 Typical way of heart pain and a left shoulder pain and a left arm pain in woman. 166 00:13:45,416.78911565 --> 00:13:47,756.78911565 The way it presents in us. 167 00:13:48,86.78911565 --> 00:13:49,796.78911565 It's totally different. 168 00:13:50,36.78911565 --> 00:13:54,386.78911565 So you have to be a tune to any changes in your body. 169 00:13:54,716.78911565 --> 00:13:56,966.78911565 And if you have questions. 170 00:13:57,356.78911565 --> 00:14:01,646.78911565 Get to an urgent care, get to the hospital, get to your primary care. 171 00:14:01,946.78911565 --> 00:14:04,286.78911565 You don't need to figure this out on your own. 172 00:14:04,706.78911565 --> 00:14:05,126.78911565 Right. 173 00:14:05,456.78911565 --> 00:14:21,56.78911565 Your life hangs in the balance, no time for guessing or thinking you're going to drink some pink stuff or take a pill here or there, or, um, what is someone tell me they drink, uh, vinegar, right? Is that. 174 00:14:21,326.78911565 --> 00:14:22,256.78911565 I think it's vinegar. 175 00:14:22,796.78911565 --> 00:14:24,686.78911565 Uh, for upset stomach. 176 00:14:25,706.78911565 --> 00:14:28,136.78911565 When you don't know you. 177 00:14:28,526.78911565 --> 00:14:29,126.78911565 Ask. 178 00:14:29,786.78911565 --> 00:14:31,976.78911565 Again, For some reason. 179 00:14:32,756.78911565 --> 00:14:37,526.78911565 It's just different the way a heart attack present in women than for men. 180 00:14:38,996.78911565 --> 00:14:44,306.78911565 After retiring from the military, some of my regular activities started to slow down a bit. 181 00:14:44,966.78911565 --> 00:14:47,696.78911565 And COVID didn't help either. 182 00:14:48,326.78911565 --> 00:14:50,756.78911565 I thought becoming a pescatarian. 183 00:14:51,26.78911565 --> 00:14:57,206.78911565 Would do the trick, but even after 15 years off, Eating mostly seafood. 184 00:14:57,446.78911565 --> 00:14:59,966.78911565 My cholesterol started to trend up. 185 00:15:00,326.78911565 --> 00:15:04,196.78911565 My canal started to get sludgy and dirty. 186 00:15:04,766.78911565 --> 00:15:05,606.78911565 What. 187 00:15:06,776.78911565 --> 00:15:08,576.78911565 Like, I'm not having this. 188 00:15:09,86.78911565 --> 00:15:10,556.78911565 It could be the sweets. 189 00:15:10,646.78911565 --> 00:15:13,826.78911565 Add my love, hate relationship with bread. 190 00:15:14,576.78911565 --> 00:15:17,516.78911565 Sister friend, can you relate? So. 191 00:15:18,206.78911565 --> 00:15:20,6.78911565 I had to do something about it. 192 00:15:20,456.78911565 --> 00:15:21,476.78911565 You can too. 193 00:15:21,506.78911565 --> 00:15:23,636.78911565 It is never too late. 194 00:15:24,86.78911565 --> 00:15:24,596.78911565 Okay. 195 00:15:24,836.78911565 --> 00:15:31,586.78911565 So here are the risk factors and numbers follow along to see if any of these applies. 196 00:15:32,246.78911565 --> 00:15:37,376.78911565 This is a great discussion to have with your primary medical team. 197 00:15:37,706.78911565 --> 00:15:47,156.78911565 You want to know if you're at risk for heart attack and watch you can do to reduce the chance of that ever happening. 198 00:15:48,836.78911565 --> 00:15:49,406.78911565 All right. 199 00:15:49,646.78911565 --> 00:15:54,866.78911565 Risk factors include not limited to high blood pressure. 200 00:15:55,346.78911565 --> 00:15:57,656.78911565 High cholesterol levels. 201 00:15:58,106.78911565 --> 00:15:59,156.78911565 Smoking. 202 00:15:59,726.78911565 --> 00:16:00,986.78911565 Obesity. 203 00:16:01,466.78911565 --> 00:16:06,206.78911565 Even if you think you're not obese, you're a little thick or just a little overweight. 204 00:16:07,76.78911565 --> 00:16:09,86.78911565 That is a risk factor. 205 00:16:09,566.78911565 --> 00:16:11,846.78911565 Lack of physical activity. 206 00:16:12,266.78911565 --> 00:16:27,626.78911565 If you are working from home and sitting at the computer all day, you need to have some kind of alarm where you get up on a regular basis to go do something to walk around and of course having an unhealthy diet. 207 00:16:28,256.78911565 --> 00:16:29,876.78911565 Are all risk factors. 208 00:16:30,56.78911565 --> 00:16:30,986.78911565 Additionally. 209 00:16:31,646.78911565 --> 00:16:36,296.78911565 Certain medical conditions like diabetes can increase the risk. 210 00:16:36,746.78911565 --> 00:16:39,236.78911565 Anyone in your family with heart disease. 211 00:16:39,806.78911565 --> 00:16:40,226.7891156 Hmm. 212 00:16:41,246.7891156 --> 00:16:43,166.7891156 Also age. 213 00:16:43,586.7891156 --> 00:16:47,96.7891156 Especially over 50 and post-menopause. 214 00:16:47,576.7891156 --> 00:16:51,686.7891156 And stressed are also important factors to consider. 215 00:16:52,16.7891156 --> 00:16:52,526.7891156 Yes. 216 00:16:52,556.7891156 --> 00:16:56,426.7891156 Stress is also an important factor. 217 00:16:56,546.7891156 --> 00:16:57,626.7891156 Say what. 218 00:16:58,316.7891156 --> 00:17:00,596.7891156 I checked off a few of those boxes up there. 219 00:17:00,596.7891156 --> 00:17:03,896.7891156 How about you? As we say in the army. 220 00:17:04,376.7891156 --> 00:17:06,566.7891156 Uh, about face. 221 00:17:07,166.7891156 --> 00:17:09,896.7891156 That means a 180 turn. 222 00:17:09,926.7891156 --> 00:17:11,606.7891156 Yes, you can do it. 223 00:17:12,166.7891156 --> 00:17:15,316.7891156 It's never too late to consider prevention mode. 224 00:17:15,586.7891156 --> 00:17:18,526.7891156 By making a decision to change. 225 00:17:19,186.7891156 --> 00:17:29,686.7891156 Heart health and sexual health are closely interconnected as both rely on a healthy cardiovascular system. 226 00:17:30,256.7891156 --> 00:17:31,606.7891156 A healthy heart. 227 00:17:32,266.7891156 --> 00:17:34,516.7891156 The heart pumps blood throughout the body. 228 00:17:34,546.7891156 --> 00:17:38,626.7891156 And this circulation is essential for sexual function. 229 00:17:38,926.7891156 --> 00:17:44,146.7891156 Uh, heart attack, which damages the heart muscles and reduces its efficiency. 230 00:17:44,146.7891156 --> 00:17:47,626.7891156 I can directly impact sexual health. 231 00:17:47,806.7891156 --> 00:17:48,586.7891156 For example. 232 00:17:49,336.7891156 --> 00:18:00,946.7891156 Reduced blood flow can lead to erectile dysfunction, E D in men, as the clogging of the blood vessels affects blood vessels everywhere. 233 00:18:01,756.7891156 --> 00:18:02,596.7891156 Yes. 234 00:18:02,836.7891156 --> 00:18:07,156.7891156 This also includes the blood vessels to the penis. 235 00:18:07,906.7891156 --> 00:18:09,316.7891156 Clogged blood vessels. 236 00:18:09,706.7891156 --> 00:18:15,106.7891156 Maybe too narrow or damaged to allow sufficient blood to reach the penis. 237 00:18:15,436.7891156 --> 00:18:20,686.7891156 Similarly, women may experience reduced libido or desire for sex. 238 00:18:21,436.7891156 --> 00:18:26,446.7891156 And vaginal dryness due to decreased blood flow to the pelvic area. 239 00:18:26,446.7891156 --> 00:18:30,256.7891156 Vaginal dryness may also be due to hormonal changes. 240 00:18:30,286.7891156 --> 00:18:36,706.7891156 Uh, whether you're perimenopausal or post-menopause, that also has an effect. 241 00:18:37,426.7891156 --> 00:18:40,726.7891156 Erectile dysfunction is its own topic. 242 00:18:40,756.7891156 --> 00:18:47,326.7891156 And we'll address in another podcast because there ed affects you as well. 243 00:18:47,836.7891156 --> 00:18:51,196.7891156 The menopause discussion is fast upcoming. 244 00:18:51,896.7891156 --> 00:18:56,36.7891156 Some of you may joke and say that sex is an exercise. 245 00:18:56,666.7891156 --> 00:19:09,56.7891156 Uh, you may call it sexercise but sex is more along the line of lack a semi-final this podcast is to help some of you get off the bench. 246 00:19:09,356.7891156 --> 00:19:11,156.7891156 And back into the game. 247 00:19:12,356.7891156 --> 00:19:18,596.7891156 Sex tend to use a lot of energy and an orgasm by either party. 248 00:19:18,956.7891156 --> 00:19:21,656.7891156 Causes full on exertion. 249 00:19:22,26.7891156 --> 00:19:22,926.7891156 So some of you. 250 00:19:23,316.7891156 --> 00:19:23,946.7891156 Are wandering. 251 00:19:23,946.7891156 --> 00:19:29,436.7891156 So what's the level of exertion during sex and heart attack risk watch. 252 00:19:29,676.7891156 --> 00:19:30,246.7891156 I do. 253 00:19:30,336.7891156 --> 00:19:34,326.7891156 How do I know? Well, sister, friend. 254 00:19:34,626.7891156 --> 00:19:50,376.7891156 Sexual activity is considered moderate, physical exertion, similar to climbing two flights of stairs or brisk walking for most people, sex places, a modest demand on the cardiovascular system. 255 00:19:50,766.7891156 --> 00:19:54,936.7891156 The heart rate typically increased to about one 30 beats per minute. 256 00:19:55,626.7891156 --> 00:20:01,926.7891156 And that could be a lot for some that could be no problem for others. 257 00:20:02,206.7891156 --> 00:20:05,476.7891156 So it really depends on your baseline activity. 258 00:20:06,46.7891156 --> 00:20:10,186.7891156 Sex should not be your only activity. 259 00:20:10,186.7891156 --> 00:20:12,16.7891156 I know some of you would like it to be. 260 00:20:12,766.7891156 --> 00:20:15,286.7891156 And say, Hey, it's a sexual activity. 261 00:20:15,346.7891156 --> 00:20:21,46.7891156 Why can't I just use that for my exercise? Sexercise won't work. 262 00:20:21,286.7891156 --> 00:20:28,276.7891156 You have to build up to it by doing all the things, to get your heart used to that strain. 263 00:20:28,666.7891156 --> 00:20:30,976.7891156 Right, or that demand on the heart. 264 00:20:31,186.7891156 --> 00:20:33,676.7891156 So when you're in a sexual activity, The risk. 265 00:20:34,66.7891156 --> 00:20:35,476.7891156 We'll not be great. 266 00:20:36,526.7891156 --> 00:20:58,126.7891156 Can you trigger a heart attack during sex for individuals with heart disease, the increase in heart rate and blood pressure during sex could potentially trigger a heart attack, especially if the person is not accustomed to physical activity or has severe coronary artery disease. 267 00:20:58,576.7891156 --> 00:21:00,286.7891156 Severe heart issues. 268 00:21:00,496.7891156 --> 00:21:06,166.7891156 However, the absolute risk remains very, very low. 269 00:21:06,746.7891156 --> 00:21:15,206.7891156 The American heart association suggest that most people with stable heart disease can safely engage in sexual activity. 270 00:21:15,866.7891156 --> 00:21:19,466.7891156 After consulting with their healthcare provider. 271 00:21:19,886.7891156 --> 00:21:22,76.7891156 Oh, disclaimer, here. 272 00:21:22,556.7891156 --> 00:21:25,796.7891156 Though my expertise is that of a medical doctor. 273 00:21:26,66.7891156 --> 00:21:30,206.7891156 I do not specialize in cardiac issues. 274 00:21:30,536.7891156 --> 00:21:32,426.7891156 I am not a cardiologist. 275 00:21:32,456.7891156 --> 00:21:35,126.7891156 I do not work in that realm. 276 00:21:35,516.7891156 --> 00:21:40,976.7891156 Additionally only your primary health provider knows your overall health. 277 00:21:41,246.7891156 --> 00:21:52,46.7891156 So always consult with your primary team and or cardiologists for personal advice as far as what you should do. 278 00:21:52,256.7891156 --> 00:21:57,716.7891156 And what is your risk factor? Please take heed to this disclaimer. 279 00:21:58,166.7891156 --> 00:22:03,596.7891156 There are lots to discuss with your primary health provider. 280 00:22:03,776.7891156 --> 00:22:10,406.7891156 And I will give you some hints later on about some things you could say in some common questions to ask. 281 00:22:10,586.7891156 --> 00:22:11,66.7891156 So. 282 00:22:12,336.7891156 --> 00:22:24,606.7891156 The risk of having a heart attack during sexual activity is relatively low in study estimate that less than 1% of heart attacks occurred during sexual intercourse. 283 00:22:25,386.7891156 --> 00:22:30,966.7891156 According to a study published in the journal of the American college of cardiology back in 2012. 284 00:22:31,386.7891156 --> 00:22:37,146.7891156 Sexual activity is responsible for only about 0.9%. 285 00:22:37,476.7891156 --> 00:22:39,216.7891156 Of all heart attacks. 286 00:22:39,876.7891156 --> 00:22:46,926.7891156 Yours may be higher or lower based on the discussion you have with your primary care team, right. 287 00:22:47,166.7891156 --> 00:22:49,26.7891156 Or your cardiac team. 288 00:22:49,506.7891156 --> 00:22:51,156.7891156 If you are concerned. 289 00:22:51,516.7891156 --> 00:22:53,796.7891156 Please speak with your team. 290 00:22:54,966.7891156 --> 00:23:00,786.7891156 Survival rates after a heart attack are high when it occurs during sex. 291 00:23:01,146.7891156 --> 00:23:05,436.7891156 Largely because the partner often calls for immediate help. 292 00:23:05,796.7891156 --> 00:23:13,716.7891156 However, the chances of survival can vary depending on factors like the speed of medical response. 293 00:23:14,76.7891156 --> 00:23:17,46.7891156 And underlying health condition. 294 00:23:17,96.7891156 --> 00:23:17,696.7891156 Again. 295 00:23:18,236.7891156 --> 00:23:21,266.7891156 I said it before in some of my previous podcasts. 296 00:23:21,686.7891156 --> 00:23:25,766.7891156 The exercise is not bench pressing and all that stuff. 297 00:23:25,766.7891156 --> 00:23:29,726.7891156 Just getting out for a little stroll, a walk regularly. 298 00:23:30,86.7891156 --> 00:23:34,886.7891156 30 minutes, four times a week just to get on a bike or get out and walk. 299 00:23:35,306.7891156 --> 00:23:37,676.7891156 It makes a world of difference. 300 00:23:38,546.7891156 --> 00:23:46,556.7891156 So what happens? If you had no idea about all this stuff, and now you are, your hubby had a heart attack. 301 00:23:47,36.7891156 --> 00:23:56,876.7891156 You may have heard about heart attack in the distance, in the periphery of the others, but now that it's affecting you, it's now personal. 302 00:23:57,506.7891156 --> 00:24:09,836.7891156 What now what next? Undoubtedly, the aftermath comes with both physical and emotional challenges that can profoundly affect your life. 303 00:24:10,616.7891156 --> 00:24:12,446.7891156 Immediately following a heart attack. 304 00:24:12,476.7891156 --> 00:24:22,596.7891156 Many patients may experience fatigue, chest pain, and shortness of breath as the heart muscle recovers from the damage, right? Over the longterm. 305 00:24:22,926.7891156 --> 00:24:29,76.7891156 These symptoms may persist and patients might develop complications such as heart failure. 306 00:24:29,316.7891156 --> 00:24:41,166.7891156 Arrhythmias or she has irregular heartbeat or reduce physical Andorrans therefore regular followup with a healthcare provider, lifestyle changes. 307 00:24:41,736.7891156 --> 00:24:50,496.7891156 And medication are often necessary to manage these conditions and prevent future heart attacks. 308 00:24:51,156.7891156 --> 00:24:54,936.7891156 Before sex can emerge back into the picture. 309 00:24:55,326.7891156 --> 00:25:01,236.7891156 Please, please consider how to be stable physically first. 310 00:25:01,806.7891156 --> 00:25:13,986.7891156 Discussing sexual health after a heart attack can be challenging due to the stigma and embarrassment that often surrounds the topic, right? There's this assumption of, well, you just had a heart attack. 311 00:25:13,986.7891156 --> 00:25:14,76.7891156 What. 312 00:25:14,286.7891156 --> 00:25:21,786.7891156 Why should you be caring about sex? Sex is also a part of life just as how you have to adjust your eating habits. 313 00:25:21,966.7891156 --> 00:25:27,36.7891156 You may have to adjust your sexual habits and your sexual appetite. 314 00:25:27,936.7891156 --> 00:25:31,26.7891156 Many patients and even healthcare providers. 315 00:25:31,296.7891156 --> 00:25:34,956.7891156 May feel uncomfortable addressing sexual concerns. 316 00:25:35,196.7891156 --> 00:25:38,286.7891156 Lead into a lack of information and support. 317 00:25:38,406.7891156 --> 00:25:47,376.7891156 However, it's crucial to overcome these barriers as sexual health is an important aspect of overall wellbeing. 318 00:25:48,6.7891156 --> 00:25:53,256.7891156 Open communication with a partner and seeking guidance from your healthcare provider. 319 00:25:53,526.7891156 --> 00:25:57,156.7891156 Can help individuals navigate these concerns. 320 00:25:57,576.7891156 --> 00:26:02,706.7891156 And this will foster both physical and emotional recovery after a heart attack now. 321 00:26:03,186.7891156 --> 00:26:04,146.7891156 Remember. 322 00:26:05,16.7891156 --> 00:26:09,96.7891156 Every one's heart attack is going to be different. 323 00:26:09,786.7891156 --> 00:26:11,316.7891156 Everybody is different. 324 00:26:11,466.7891156 --> 00:26:40,386.7891156 How far gone was it? How long did it take before they get to you? What kind of damage did you have? Did you actually have to have a surgery done or did you just have a procedure where they clean out the plaque, the level of medical care that you receive to bring you back or get you back to stable? That is going to have an impact on the concern off address and sexuality and when to return to that kind of activity. 325 00:26:40,386.7891156 --> 00:26:45,516.7891156 As you can imagine the recovery after a heart attack requires rehab. 326 00:26:45,996.7891156 --> 00:26:49,716.7891156 Emotional and physical rehabilitation. 327 00:26:50,166.7891156 --> 00:26:57,456.7891156 The road to recover is a gradual process that involves healing in the physical and emotional realm. 328 00:26:57,756.7891156 --> 00:27:00,876.7891156 How long the typical recovery timeline. 329 00:27:01,296.7891156 --> 00:27:04,386.7891156 As discussed previously can vary. 330 00:27:05,346.7891156 --> 00:27:16,206.7891156 The initial phase, though, we'll focus on stabilizing the heart and preventing further damage and they will work with you to help you regain your strength. 331 00:27:16,446.7891156 --> 00:27:21,756.7891156 Go through a cardiac rehabilitation program because that is essential. 332 00:27:22,86.7891156 --> 00:27:28,266.7891156 All of which are critical for reducing the risk of future heart attack events and improving overall health. 333 00:27:28,596.7891156 --> 00:27:30,426.7891156 This is serious business. 334 00:27:30,726.7891156 --> 00:27:32,496.7891156 So my approach is. 335 00:27:32,946.7891156 --> 00:27:34,176.7891156 Why wait. 336 00:27:34,446.7891156 --> 00:27:36,846.7891156 To go through something like that. 337 00:27:37,176.7891156 --> 00:27:39,276.7891156 To prompt a change. 338 00:27:39,636.7891156 --> 00:27:41,466.7891156 Why not change now. 339 00:27:41,976.7891156 --> 00:27:43,656.7891156 I have heard some, a few voice. 340 00:27:43,926.7891156 --> 00:27:47,106.7891156 That the dietary changes are too restricting. 341 00:27:47,406.7891156 --> 00:27:49,146.7891156 You can't live like that. 342 00:27:49,866.7891156 --> 00:27:52,836.7891156 Did you hear that? You can't live like that. 343 00:27:52,836.7891156 --> 00:27:57,396.7891156 If you don't adjust, then you won't live like that. 344 00:27:57,906.7891156 --> 00:28:03,726.7891156 And why wait to have a drastic measure in doing the things, you know, you ought to do. 345 00:28:03,756.7891156 --> 00:28:05,886.7891156 I start doing it little at a time. 346 00:28:05,916.7891156 --> 00:28:21,36.7891156 Now nutrition is only a part of the rehabilitation process though, right? You do not have to be a vegan and swear off everything, but the seriousness of a heart attack requires some drastic measures. 347 00:28:21,516.7891156 --> 00:28:22,26.7891156 Then. 348 00:28:22,716.7891156 --> 00:28:25,296.7891156 Things can be moderated after that. 349 00:28:25,716.7891156 --> 00:28:27,336.7891156 It is not the end. 350 00:28:27,426.7891156 --> 00:28:30,726.7891156 As long as you still here, there is hope, right. 351 00:28:31,626.7891156 --> 00:28:33,336.7891156 Because of this apprehension. 352 00:28:33,786.7891156 --> 00:28:37,236.7891156 Emotional barriers are common during recovery. 353 00:28:37,566.7891156 --> 00:28:39,156.7891156 Fear of another heart attack. 354 00:28:39,216.7891156 --> 00:28:43,536.7891156 We're statistic says occurs approximately 25% of the time. 355 00:28:44,16.7891156 --> 00:28:48,966.7891156 Anxiety about sexual performance and changes in self image. 356 00:28:49,266.7891156 --> 00:28:58,656.7891156 These can all contribute to stress and depression, sister, friend, you can overcome these emotional challenges. 357 00:28:59,46.7891156 --> 00:29:11,776.7891156 It requires open communication with your hubby counseling can help address fears and anxieties while partner involvement can strengthen relationship and provide emotional support. 358 00:29:11,826.7891157 --> 00:29:15,366.7891157 There are a lot of information on physical rehabilitation. 359 00:29:15,696.7891157 --> 00:29:22,536.7891157 As it plays a vital role in helping heart attack survivors, regain their strength and confidence. 360 00:29:22,986.7891157 --> 00:29:28,866.7891157 It's important to resume physical activities, including sexual activities. 361 00:29:29,316.7891157 --> 00:29:30,996.7891157 Gradually. 362 00:29:31,536.7891157 --> 00:29:39,636.7891157 And all under medical guidance to ensure safety and effectiveness. 363 00:29:40,26.7891157 --> 00:29:41,46.7891157 Everyone. 364 00:29:41,406.7891157 --> 00:29:43,86.7891157 Please hear this again. 365 00:29:43,836.7891157 --> 00:29:45,186.7891157 Gradually. 366 00:29:45,636.7891157 --> 00:29:48,576.7891157 All under medical guidance. 367 00:29:49,326.7891157 --> 00:29:51,636.7891157 Here's one of your question. 368 00:29:52,566.7891157 --> 00:29:54,96.7891157 My husband had a heart attack. 369 00:29:54,126.7891157 --> 00:29:58,656.7891157 Three months ago, we were talking about past sexual encounters. 370 00:29:58,656.7891157 --> 00:30:01,806.7891157 And when I hugged him, he got an erection. 371 00:30:02,106.7891157 --> 00:30:05,166.7891157 I was so scared that I ran out of the room. 372 00:30:05,866.7891157 --> 00:30:11,396.7891157 What should I do about this? This is quite common. 373 00:30:11,726.7891157 --> 00:30:14,756.7891157 But I'm guessing that you ran because you thought. 374 00:30:14,996.7891157 --> 00:30:20,186.7891157 If he had sex or an orgasm, he may have another heart attack. 375 00:30:20,486.7891157 --> 00:30:21,146.7891157 Correct. 376 00:30:21,566.7891157 --> 00:30:22,946.7891157 This is a tough one. 377 00:30:23,276.7891157 --> 00:30:27,416.7891157 Please talk to him, share with him your concerns. 378 00:30:27,656.7891157 --> 00:30:32,36.7891157 Your involvement is crucial in his recovery process. 379 00:30:32,366.7891157 --> 00:30:37,316.7891157 You can provide emotional support and help maintain intimacy and connection. 380 00:30:37,766.7891157 --> 00:30:42,236.7891157 Even when sexual activity is a limited or non-existent. 381 00:30:43,196.7891157 --> 00:30:49,256.7891157 Then make an appointment with your primary care or cardiologist to talk about this. 382 00:30:49,476.7891157 --> 00:30:52,86.7891157 If I'm uncomfortable with in-person. 383 00:30:52,446.7891157 --> 00:30:53,346.7891157 Appointments. 384 00:30:53,706.7891157 --> 00:31:02,46.7891157 Try sending a note via your electronic medical records and schedule a tele console or telephone. 385 00:31:02,46.7891157 --> 00:31:02,676.7891157 Follow-up. 386 00:31:02,976.7891157 --> 00:31:05,856.7891157 Those have become quite common now since coven. 387 00:31:06,726.7891157 --> 00:31:10,416.7891157 Well, what to say? I want to ask. 388 00:31:10,416.7891157 --> 00:31:11,736.7891157 Here's an example. 389 00:31:12,816.7891157 --> 00:31:14,316.7891157 Doctor X, Y, Z. 390 00:31:14,766.7891157 --> 00:31:16,656.7891157 When I hugged my husband. 391 00:31:16,956.7891157 --> 00:31:18,516.7891157 He had an erection. 392 00:31:19,356.7891157 --> 00:31:23,76.7891157 And I was terrified of him having another heart attack. 393 00:31:23,676.7891157 --> 00:31:44,256.7891157 Is that a realistic fear? Can we cuddle? What should I do? If he gets aroused and have an erection again? When will it be safe for him to have sex and an orgasm? These are some good engage in Frank. 394 00:31:44,526.7891157 --> 00:31:47,436.7891157 And to the point questions to ask. 395 00:31:47,856.7891157 --> 00:31:56,46.7891157 Remember sexual activity is like moderate exercise, but everyone's moderate is different. 396 00:31:56,286.7891157 --> 00:32:01,926.7891157 How many flight of stairs would be considered moderate for you or for him? Right. 397 00:32:02,376.7891157 --> 00:32:05,166.7891157 We have to be realistic about all of this. 398 00:32:05,776.7891157 --> 00:32:08,116.7891157 This is a terrifying way to live. 399 00:32:08,626.7891157 --> 00:32:17,326.7891157 Thinking that you may be responsible for your significant other, having a heart attack and possibly dying. 400 00:32:18,46.7891157 --> 00:32:19,366.7891157 This is serious. 401 00:32:19,966.7891156 --> 00:32:29,146.7891156 I wish I could be more specific for you, but as you have learned now, everything, and everyone is different. 402 00:32:29,476.7891156 --> 00:32:32,476.7891156 Additionally, this is outside my specialty. 403 00:32:32,746.7891156 --> 00:32:34,906.7891156 And I am not on your care team. 404 00:32:35,386.7891156 --> 00:32:39,616.7891156 But I do hope the suggestions here are helpful for you. 405 00:32:40,646.7891156 --> 00:32:44,606.7891156 At your appointment to discuss resuming sexual activity. 406 00:32:44,966.7891156 --> 00:32:51,506.7891156 Also ask about holistic approaches to enhance sexual health after a heart attack. 407 00:32:51,926.7891156 --> 00:33:00,146.7891156 This approach can provide powerful tools in the recovery journey, integrating mind and body to promote overall wellbeing. 408 00:33:00,566.7891156 --> 00:33:06,776.7891156 Practices such as yoga, meditation and mindfulness play a crucial role. 409 00:33:07,106.7891156 --> 00:33:12,716.7891156 In this process, You will find that these activities help reduce stress. 410 00:33:13,196.7891156 --> 00:33:15,206.7891156 A significant factor in heart health. 411 00:33:15,596.7891156 --> 00:33:19,586.7891156 By promoting relaxation and emotional balance. 412 00:33:19,836.7891156 --> 00:33:21,486.7891156 Other alternative therapies. 413 00:33:21,486.7891156 --> 00:33:26,556.7891156 I also offer potential benefit for sexual health post heart attack. 414 00:33:27,36.7891156 --> 00:33:34,326.7891156 Occupant your for instance, may help improve circulation and reduce stress massage therapy. 415 00:33:34,326.7891156 --> 00:33:36,486.7891156 Not only helps relieve muscle tension. 416 00:33:36,786.7891156 --> 00:33:40,776.7891156 But also foster physical closeness and intimacy. 417 00:33:41,196.7891156 --> 00:33:41,886.7891156 Um, wait. 418 00:33:42,186.7891156 --> 00:33:43,686.7891156 Oh clarification. 419 00:33:43,926.7891156 --> 00:33:44,886.7891156 That's a massage. 420 00:33:45,426.7891156 --> 00:33:46,836.7891156 With each other. 421 00:33:47,256.7891156 --> 00:33:49,926.7891156 Not at the massage parlor. 422 00:33:50,16.7891156 --> 00:33:50,976.7891156 Oh, my goodness. 423 00:33:51,576.7891156 --> 00:33:56,46.7891156 I'll massage that you give each other, please clarification here. 424 00:33:56,46.7891156 --> 00:34:00,96.7891156 I'm not sending you to any special massage parlor. 425 00:34:01,206.7891156 --> 00:34:18,426.7891156 Oh, my nevertheless, it's a vital to consult your healthcare provider before trying any alternative treatment as they need to be safe and compatible with your medical conditions and medication. 426 00:34:18,476.7891156 --> 00:34:28,616.7891156 Therapy and counseling, particularly sex therapy or couples counseling are essential for addressing sexual health issues that may arise after a heart attack. 427 00:34:29,156.7891156 --> 00:34:31,826.7891156 As the emotional aspect of recovery. 428 00:34:32,96.7891156 --> 00:34:35,246.7891156 Are deeply intertwined with physical health. 429 00:34:35,786.7891156 --> 00:34:41,366.7891156 Counseling can help rebuild confidence, improve communication between partners. 430 00:34:41,726.7891156 --> 00:34:50,156.7891156 And ultimately foster a healthier, more fulfilling, intimate life after a heart attack. 431 00:34:51,996.7891156 --> 00:35:00,306.7891156 Well, sister, friend, I know you have choices, so I thank you for tuning into Intimacy After podcast. 432 00:35:00,726.7891156 --> 00:35:09,276.7891156 You may subscribe for bimonthly alerts or stay in the know by visiting my website@queenquanta.com. 433 00:35:09,516.7891156 --> 00:35:13,661.7891156 That's Queen Q-U-A-N-T a.com. 434 00:35:14,431.7891156 --> 00:35:22,806.7891156 Until next time, remember, a life without Intimacy is like your favorite meal without salt. 435 00:35:23,691.7891156 --> 00:35:26,311.7891156 Ladies, let's spice it up. 436 00:35:26,811.7891156 --> 00:35:30,101.7891156 Life is beautiful, and God is awesome. 437 00:35:30,671.7891156 --> 00:35:33,616.6271156 This is Queen, signing out.
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