Sexual Activity Triggering Myocardial Infarction

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Abstract
Contemporary therapy for acute myocardial infarction (MI), including thrombolytic and other adjunctive drug therapies1and direct percutaneous transluminal coronary angioplasty,2has dramatically lowered the short-term mortality from this condition. Moreover, lipid-lowering drug therapy, aspirin, and β-blockers,3as well as angiotensin-converting enzyme inhibitors for left ventricular dysfunction,4given in the postacute phase, have decreased not only the rate of reinfarction and death but also the rate of rehospitalization for unstable angina pectoris and the need for coronary revascularization.5In short, the prospects for a rapid and complete recovery from acute MI and avoidance of future cardiac events have never been better. However, despite these favorable prospects, physicians and patients are too often burdened by the misconception that sexual activity after acute MI is dangerous. See also p 1405. The report of Muller et al6in this issue ofThe Journalindicates that the actual risk

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