Showing posts with label Circulation. Show all posts
Showing posts with label Circulation. Show all posts

Monday, September 12, 2011

AskDrKK: How a sexual act linked to physical exercise?

#DrKKAnswers:
1. Both are measured in terms of MET (metabolic equivalent of oxygen consumption).
2. 1 MET = 3.5 mL O2 uptake/kg per min (resting oxygen uptake in a sitting position).
3. Sexual act is equated to 2-3m METS during the pre-orgasmic phase and 3 to 4 METS during orgasm.
4. This is equivalent to walking at two to four miles per hour on a level surface [1].
5. Exercise stress testing is used to assess both exercise tolerance and tolerance for sex [2].
6. A sexual act causes a modest increase in myocardial oxygen demand that lasts only a brief time [3].
7. Exercise training attenuates the heart rate response [4] and reduces the small risk of heart attack following sex [5,6].

References:
1. Arch Intern Med 1984; 144:1745.
2. Am J Cardiol 2000; 86:51F.
3. Am J Cardiol 2000; 86:27F.
4. Circulation 1977; 55:738.
5. JAMA 1996; 275:1405.
6. Heart 2001; 86:387.

Tuesday, July 19, 2011

Dr KK Answers:What is the prognosis in a case with low gradient aortic stenosis?

Patients with low gradient aortic stenosis (narrowed aortic valve) with preserved left heart pumping function (ejection fraction) and concentric left heart (ventricular) hypertrophy have a poor prognosis.
 A new study also has shown that patients with low gradient aortic stenosis without concentric hypertrophy have outcomes similar to patients with moderate aortic stenosis. 
Source: Circulation 2011; 123:887