Archive for the ‘heart attack’ tag
Viagra, sex, and the heart
If your wife is worried about your heart, she can be reassured about Viagra (sildenafil). The medication is not safe for men who use nitrates in any form, including nitroglycerin tablets and spray, long-acting nitrate tablets, nitrate patches, and amyl nitrate. But the drug is quite safe for men who do not take these medications, even if they have stable coronary artery disease or well-controlled hypertension (see Harvard Men’s Health Watch, April 2005). For example, a study from the Mayo Clinic agrees with lots of earlier research and demonstrates that Viagra is safe. More than 100 men with coronary artery disease participated in the trial. Each man underwent two detailed stress tests that used a bike for exercise and used echocardiograms as well as EKGs to monitor the result. Before one of their tests, the volunteers took Viagra (50 or 100 mg, the top dose), and before the other they took a placebo. Compared to the placebo, Viagra did produce a slight drop in systolic blood pressure (the higher number, recorded while the heart is pumping blood), but there were no changes in diastolic blood pressure (the lower number, recorded when the heart is refilling between beats), exercise capacity, symptoms, or echo-cardiograms and EKGs.