Sexual counselling for individuals with cardiovascular disease and their partners: A Consensus Document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP)

European Heart Journal

Volumn 34, Issue 41, 2013, Pages

  Steinke, Elaine E ^a   Jaarsma, Tiny ^a   Barnason, Susan A ^a   Byrne, Molly ^a   Doherty, Sally ^a   Dougherty, Cynthia M ^a   Fridlund, Bengt ^a   Kautz, Donald D ^a   Mårtensson, Jan ^a   Mosack, Victoria ^a   Moser, Debra K ^a  

^a NONE

Author keywords

AHA Scientific Statements; Cardiovascular disease; Sex; Sex counselling

Indexed keywords

AGE; ANGINA PECTORIS; ARTICLE; CARDIOVASCULAR DISEASE; CEREBROVASCULAR ACCIDENT; COGNITIVE THERAPY; COITAL ANGINA; CONGENITAL HEART DISEASE; CONTRACEPTION; CORONARY ARTERY BYPASS GRAFT; CORONARY ARTERY DISEASE; EMOTION; ENERGY CONSUMPTION; ENERGY EXPENDITURE; ERECTILE DYSFUNCTION; EXERCISE; HEALTH CARE PERSONNEL; HEART FAILURE; HEART FUNCTION; HEART INFARCTION; HEART STRESS; HEART TRANSPLANTATION; HUMAN; LEFT VENTRICULAR ASSIST DEVICE; MEDICAL CARE; MEDICAL SOCIETY; MENTAL HEALTH; PATIENT COUNSELING; PATIENT EDUCATION; PHYSICAL ACTIVITY; PRIORITY JOURNAL; QUALITY OF LIFE; SEX DIFFERENCE; SEXUAL BEHAVIOR; SEXUAL COUNSELING; SEXUAL DYSFUNCTION; SEXUAL FUNCTION; SEXUAL HEALTH; SEXUAL INTERCOURSE; SEXUALITY; SOCIAL STATUS; SOCIAL SUPPORT; TREATMENT OUTCOME; VAGINAL DRYNESS; WELLBEING; WORLD HEALTH ORGANIZATION;

AHA SCIENTIFIC STATEMENTS; CARDIOVASCULAR DISEASE; SEX; SEX COUNSELLING;

AGE FACTORS; CARDIOVASCULAR DISEASES; COGNITIVE THERAPY; CONSENSUS; CORONARY ARTERY BYPASS; ENERGY METABOLISM; EXERCISE THERAPY; FEMALE; HEART TRANSPLANTATION; HEART-ASSIST DEVICES; HOMOSEXUALITY; HUMANS; MALE; PATIENT EDUCATION AS TOPIC; RISK FACTORS; SEX COUNSELING; SEX FACTORS; SEXUAL BEHAVIOR; SEXUAL DYSFUNCTION, PHYSIOLOGICAL; SEXUAL PARTNERS; SOCIAL SUPPORT; STRESS, PSYCHOLOGICAL; TIME FACTORS;

EID: 84890045375     PISSN: 0195668X     EISSN: 15229645     Source Type: Journal    
DOI: 10.1093/eurheartj/eht270     Document Type: Article

References (198)

1. World Health Organization. Defining Sexual Health: Report of a Technical Consultation on Sexual Health, 28-31 January 2002, Geneva. 2006:30. Sexual health document series. Geneva, Switzerland:World Health Organization; 2006.
2. Levine GN, Steinke EE, Bakaeen FG, Bozkurt B, Cheitlin MD, Conti JB, Foster E, Jaarsma T, Kloner RA, Lange RA, Lindau ST, Maron BJ, Moser DK, Ohman EM, Seftel AD, Stewart WJ; on behalf of the American Heart Association Council on Clinical Cardiology, Council on Cardiovascular Nursing, Council on Cardiovascular Surgery and Anesthesia, and Council on Quality of Care and Outcomes Research. Sexual activity and cardiovascular disease: A scientific statement from the American Heart Association. Circulation 2012;125:1058-1072.
3. Kriston L, Gunzler C, Agyemang A, Bengel J, Berner MM; SPARK Study Group. Effect of sexual function on health-related quality of life mediated by depressive symptoms in cardiac rehabilitation: Findings of the SPARK project in 493 patients. J Sex Med 2010;7:2044-2055.
4. Kautz DD, Van Horn ER, Moore C. Sex after stroke: An integrative review and recommendations for clinical practice. Crit Rev Phys Rehabil Med 2009;21:99-115.
5. Eyada M, Atwa M. Sexual function in female patients with unstable angina or non-ST-elevation myocardial infarction. J Sex Med 2007;4:1373-1380.
6. Kazemi-Saleh D, Pishgou B, Assari S, Tavallaii SA. Fear of sexual intercourse in patients with coronary artery disease: A pilot study of associated morbidity. J Sex Med 2007;4:1619-1625.
7. Steinke EE, WrightDW. The role of sexual satisfaction, age, and cardiac risk factors in the reduction of post-MI anxiety. Eur J Cardiovasc Nurs 2006;5:190-196.
8. Steinke EE, Patterson-Midgley P. Importance and timing of sexual counselling after myocardial infarction. J Cardiopulm Rehabil 1998;18:401-407.
9. Mosack V, Steinke EE. Trends in sexual concerns after myocardial infarction. J Cardiovasc Nurs 2009;24:162-170.
10. Steinke EE. Sexual concerns of patients and partners after an implantable cardioverter defibrillator. Dimens Crit Care Nurs 2003;22:89-96.
11. Steinke EE, Mosack V, Hertzog J, WrightDW. A social-cognitive sexual counselling intervention post-MI: Development and pilot testing. Perspect Psychiatr Care July 12, 2012. DOI:10.1111/j.1744-6163.2012.00345.x. http://onlinelibrary.wiley.com/doi/10.1111/j.1744-6163.2012.00345.x/abstract. Accessed May 31, 2013.
12. Gamel C, Davis BD, Hengeveld M. Nurses' provision of teaching and counselling on sexuality: A review of the literature. J Adv Nurs 1993;18:1219-1227.
13. Bancroft J. Sex therapy needs building not deconstruction. Arch Sex Behav 2009;38: 1028-1030.
14. Heiman Jr. Psychologic treatments for female sexual dysfunction: Are they effective and do we need them Arch Sex Behav 2002;31:445-450.
15. Byrne M, Doherty S, McGee HM, Murphy AW. General practitioner views about discussing sexual issues with patients with coronary heart disease: A national survey in Ireland. BMC Fam Pract 2010;11:40.
16. Ivarsson B, Fridlund B, Sjoberg T. Information from health care professionals about sexual function and coexistence after myocardial infarction: A Swedish national survey. Heart Lung 2009;38:330-335.
17. Steinke EE, Barnason S, Mosack V, WrightDW. Changes in myocardial infarctionspecific sexual counselling by cardiac nurses. Dimens Crit Care Nurs 2011;30: 331-338.
18. Steinke E. A videotape intervention for sexual counselling after myocardial infarction. Heart Lung 2002;31:348-354.
19. Steinke EE, Swan JH. Effectiveness of a videotape for sexual counselling after myocardial infarction. Res Nurs Health 2004;27:269-280.
20. Ivarsson B, Fridlund B, Sjoberg T. Health professionals' views on sexual information following MI. Br J Nurs 2010;19:1052-1054.
21. Steinke E, Patterson-Midgley P. Sexual counselling following acute myocardial infarction. Clin Nurs Res 1996;5:462-472.
22. Steinke EE, Mosack V, Barnason S, Wright DW. Progress in sexual counselling by cardiac nurses, 1994 to 2009. Heart Lung 2011;40:e15-e24.
23. Doherty S, Byrne M, Murphy A, McGee H. TheCharms study: Cardiac rehabilitation staff views about discussing sexual issues with coronary heart disease patients: A national survey in Ireland. J Sex Med 2010;7(suppl s6):392-393. Abstract. PS-08-002.
24. Fridlund B. Healthy sexual life after a cardiac event: What do we know and what do we do now Eur J Cardiovasc Nurs 2009;8:159-160.
25. Altiok M, Yilmaz M. Opinions of individuals who have had myocardial infarction about sex. Sex Disabil 2011;29:263-273.
26. Steinke EE, Patterson-Midgley PE. Perspectives of nurses and patients on the need for sexual counselling of MI patients. Rehabil Nurs 1998;23:64-70.
27. Mosack V, Steinke EE, Wright DW, Walker C, Medina M, Moser DK, Chung ML. Effects of depression on sexual activity and sexual satisfaction in heart failure. Dimens Crit Care Nurs 2011;30:218-225.
28. Lai YH, Hsieh SR,HoWC,Chiou AF. Factors associated with sexual quality of life in patients before and after coronary artery bypass grafting surgery. J Cardiovasc Nurs 2011;26:487-496.
29. Medina M,Walker C, Steinke EE, WrightDW, Mosack V, Farhoud MH. Sexual concerns and sexual counselling in heart failure. Prog Cardiovasc Nurs 2009;24:141-148.
30. Friedman S. Cardiac disease, anxiety, and sexual functioning. Am J Cardiol 2000;86: 46F-50F.
31. Bedell SE, Duperval M, Goldberg R. Cardiologists' discussions about sexuality with patients with chronic coronary artery disease. Am Heart J 2002;144:239-242.
32. Doherty S, Byrne M, Murphy AW, McGee HM. Cardiac rehabilitation staff views about discussing sexual issues with coronary heart disease patients: A national survey in Ireland. Eur J Cardiovasc Nurs 2011;10:101-107.
33. Goossens E, Norekva°l TM, Faerch J, Hody L, Olsen SS, Darmer MR, Jaarsma T, Moons P. Sexual counselling of cardiac patients in Europe: Culture matters. Int J Clin Pract 2011;65:1092-1099.
34. Gott M, Galena E, Hinchliff S, Elford H. "Opening a can of worms": GP and practice nurse barriers to talking about sexual health in primary care. Fam Pract 2004;21: 528-536.
35. Hardin SR. Cardiac disease and sexuality: Implications for research and practice. Nurs Clin North Am 2007;42:593-603; vii.
36. Jaarsma T, Stromberg A, Fridlund B, De Geest S, Ma°rtensson J, Moons P, Norekval TM, Smith K, Steinke E, Thompson DR; UNITE Research Group. Sexual counselling of cardiac patients: Nurses' perception of practice, responsibility and confidence. Eur J Cardiovasc Nurs 2010;9:24-29.
37. Magnan MA, Norris DM. Nursing students' perceptions of barriers to addressing patient sexuality concerns. J Nurs Educ 2008;47:260-268.
38. Magnan MA, Reynolds KE, Galvin EA. Barriers to addressing patient sexuality in nursing practice. Dermatol Nurs 2006;18:448-454.
39. O'Donovan K. Addressing the taboos: Resuming sexual activity after myocardial infarction. Br J Card Nurs 2007;2:165-175.
40. Yldz H, Dereli E. The views and attitudes of nurses on the topic of sexual counselling. Sex Disabil 2012;30:89-95.
41. Pouraboli B, Azizzadeh FM, Mohammad AS. Knowledge and attitudes of nurses in sexual activity and educate it to patients with myocardial infarction and their spouses. Iran J Crit Care Nurs 2010;2:5-6.
42. Hoekstra T, Lesman-Leegte I, Couperus M, Sanderman R, Jaarsma T. What keeps nurses from the sexual counselling of patients with heart failure Heart Lung 2012;41:492-499.
43. Barnason S, Steinke E, MosackV, WrightDW. Comparison of cardiac rehabilitation and acute care nurses perceptions of providing sexual counselling for cardiac patients. J Cardiopulm Rehabil Prev 2011;31:157-163.
44. Giami A, Pacey S. Training health professionals in sexuality. Sex Relation Ther 2006; 21:267-271.
45. Gott M, Hinchliff S, Galena E. General practitioner attitudes to discussing sexual health issues with older people. Soc Sci Med 2004;58:2093-2103.
46. Gott M, Hinchliff S. Barriers to seeking treatment for sexual problems in primary care: A qualitative study with older people. Fam Pract 2003;20:690-695.
47. Taylor A, Gosney MA. Sexuality in older age: Essential considerations for healthcare professionals. Age Ageing 2011;40:538-543.
48. Sharpe TH. Introduction to sexuality in late life. Fam J 2004;12:199-205.
49. Peate I. Sexual health and the older person: Discusses the importance of providing a service that fully addresses the sexual health of older adults. Nurs Resid Care 2008; 10:241-244.
50. Rosen RC, FisherWA, Eardley I, Niederberger C, Nadel A, Sand M; Men's Attitudes to Life Events and Sexuality (MALES) Study. The multinational Men's Attitudes to Life Events and Sexuality (MALES) study, I: Prevalence of erectile dysfunction and related health concerns in the general population. Curr Med Res Opin 2004;20: 607-617.
51. Steinke EE, Patterson-Midgley P. Sexual counselling of MI patients: Nurses' comfort, responsibility, and practice. Dimens Crit Care Nurs 1996;15:216-223.
52. Steinke EE. Sexual counselling after myocardial infarction. Am J Nurs 2000;100: 38-43.
53. Lindau ST, Abramsohn E, Gosch K, Wroblewski K, Spatz ES, Chan PS, Spertus J, Krumholz HM. Patterns and loss of sexual activity in the year following hospitalization for acute myocardial infarction (a United States National Multisite Observational Study). Am J Cardiol 2012;109:1439-1444.
54. Klein R, Bar-on E, Klein J, Benbenishty R. The impact of sexual therapy on patients after cardiac events participating in a cardiac rehabilitation program. Eur J Cardiovasc Prev Rehabil 2007;14:672-678.
55. Rerkpattanapipat P, Stanek MS, Kotler MN.Sex and the heart: What is the role of the cardiologist Eur Heart J 2001;22:201-208.
56. Crumlish B. Sexual counselling by cardiac nurses for patients following an MI. Br J Nurs 2004;13:710-713.
57. Albarran JW, Bridger S. Problems with providing education on resuming sexual activity after myocardial infarction: Developing written information for patients. Intensive Crit Care Nurs 1997;13:2-11.
58. Ben-Zion I, Shiber A.Heart to heart: Rehabilitation of sexuality in cardiac patients [in Hebrew]. Harefuah 2006;145:350-351, 398, 397.
59. Kaya C, Yilmaz G, Nurkalem Z, Ilktac A, Karaman MI. Sexual functioninwomenwith coronary artery disease: A preliminary study. Int J Impot Res 2007;19:326-329.
60. Traeen B. Sexual dissatisfaction among men and women with congenital and acquired heart disease. Sex Relation Ther 2007;22:13-26.
61. Hoekstra T, Lesman-Leegte I, Luttik ML, Sanderman R, van Veldhuisen DJ, Jaarsma T. Sexual problems in elderly male and female patients with heart failure. Heart 2012;98:1647-1652.
62. Bancroft J. The medicalization of female sexual dysfunction: The need for caution. Arch Sex Behav 2002;31:451-455.
63. KristofferzonML, Lofmark R, Carlsson M. Myocardial infarction: Gender differences in coping and social support. J Adv Nurs 2003;44:360-374.
64. Hunt-ShanksT, Blanchard C, Reid RD. Gender differences in cardiac patients: A longitudinal investigation of exercise, autonomic anxiety, negative affect and depression. Psychol Health Med 2009;14:375-385.
65. McCall-Hosenfeld JS, Freund KM, Legault C, Jaramillo SA, Cochrane BB, Manson JE, Wenger NK, Eaton CB, McNeeley SG, Rodriguez BL, Bonds D. Sexual satisfaction and cardiovascular disease: The Women's Health Initiative. Am J Med 2008;121: 295-301.
66. Aisuodionoe-Shadrach OI. Perceptions of female sexual health and sexual dysfunction in a cohort of urban professional women in Abuja, Nigeria. Niger J Clin Pract 2012;15:80-83.
67. Baggs JG, Karch AM. Sexual counselling of women with coronary heart disease. Heart Lung 1987;16:154-159.
68. DeLamater J, Hyde JS, Fong MC. Sexual satisfaction in the seventh decade of life. J Sex Marital Ther 2008;34:439-454.
69. Malatesta VJ. Sexual problems,women and aging: An overview. JWomen Aging 2007; 19:139-154.
70. Hinchliff S, Gott M. Seeking medical help for sexual concerns in mid-and later life: A review of the literature. J Sex Res 2011;48:106-117.
71. FisherWA, Rosen RC, Eardley I, Sand M, Goldstein I. Sexual experience of female partners of men with erectile dysfunction: The Female Experience of Men's Attitudes to Life Events and Sexuality (FEMALES) study [published correction appears in J Sex Med 2006;3:189]. J Sex Med 2005;2:675-684.
72. Agren S, Frisman GH, Berg S, Svedjeholm R, Stromberg A. Addressing spouses' unique needs after cardiac surgery when recovery is complicated by heart failure. Heart Lung 2009;38:284-291.
73. O'Farrell P, Murray J, Hotz SB. Psychologic distress among spouses of patients undergoing cardiac rehabilitation. Heart Lung 2000;29:97-104.
74. Samelson DA, Hannon R. Sexual desire in couples living with chronic medical conditions. Fam J 1999;7:29-38.
75. D'Ardenne P. The couple sharing long-term illness. Sex Relation Ther 2004;19: 291-308.
76. Arenhall E, Kristofferzon ML, Fridlund B, Malm D, Nilsson U. The male partners' experiences of the intimate relationships after a first myocardial infarction. Eur J Cardiovasc Nurs 2011;10:108-114.
77. Arenhall E, Kristofferzon ML, Fridlund B, Nilsson U. The female partners' experiences of intimate relationship after a first myocardial infarction. J Clin Nurs 2011; 20:1677-1684.
78. Condon C, McCarthy G. Lifestyle changes following acute myocardial infarction: Patients perspectives. Eur J Cardiovasc Nurs 2006;5:37-44.
79. Steinke EE, Gill-Hopple K, Valdez D,Wooster M. Sexual concerns and educational needs after an implantable cardioverter defibrillator. Heart Lung 2005;34: 299-308.
80. Dougherty CM, Thompson EA. Intimate partner physical and mental health after sudden cardiac arrest and receipt of an implantable cardioverter defibrillator. Res Nurs Health 2009;32:432-442.
81. Tomlinson JM, Fernandes LC, Wylie KR. An e-mail and telephone helpline for sexual problems: Results of a 2-year survey of men's sexual concerns. Int J Clin Pract 2011;65:1085-1091.
82. Hart TA, Schwartz DR. Cognitive-behavioural erectile dysfunction treatment for gay men. Cogn Behav Pract 2010;17:66-76.
83. Eldridge NS. Gender issues in counselling same-sex couples. Prof Psychol Res Pract 1987;18:567-572.
84. Vazquez LD, Sears SF, Shea JB, Vazquez PM. Sexual health for patients with an implantable cardioverter defibrillator. Circulation 2010;122:e465-e467.
85. Zayac S, Finch N. Recipients' of implanted cardioverter-defibrillators actual and perceived adaptation: A review of the literature. J Am Acad Nurse Pract 2009;21: 549-556.
86. Hallas CN, Wray J, Andreou P, Banner NR. Depression and perceptions about heart failure predict quality of life in patients with advanced heart failure. Heart Lung 2011;40:111-121.
87. Trotter R, Gallagher R, Donoghue J. Anxiety in patients undergoing percutaneous coronary interventions. Heart Lung 2011;40:185-192.
88. Koivula M, Halme N, Astedt-Kurki P. Predictors of depressive symptoms among coronary heart disease patients: A cross-sectional study nine years after coronary artery bypass grafting. Heart Lung 2010;39:421-431.
89. Khoueiry G, Flory M, Abi Rafeh N, Zgheib MH, Goldman M, Abdallah T, Wettimuny S, Telesford B, Costantino T, McGinn JT. Depression, disability, and quality of life after off-pump coronary artery bypass grafting: A prospective 9-month follow-up study. Heart Lung 2011;40:217-225.
90. Sasayama S, Ishii N, Ishikura F, Kamijima G, Ogawa S, Kanmatsuse K, Kimoto Y, Sakuma I, Nonogi H, Matsumori A,YamamotoY. Men's Health Study: Epidemiology of erectile dysfunction and cardiovascular disease. Circ J 2003;67:656-659.
91. Archer SL, Gragasin FS,Webster L, Bochinski D, Michelakis ED. Aetiology and management of male erectile dysfunction and female sexual dysfunction in patients with cardiovascular disease. Drugs Aging 2005;22:823-844.
92. Russell ST, Khandheria BK, Nehra A. Erectile dysfunction and cardiovascular disease. Mayo Clin Proc 2004;79:782-794.
93. Vigl M, Hager A, Bauer U, Niggemeyer E, Wittstock B, Kohn FM, Hess J, Kaemmerer H. Sexuality and subjective wellbeing in male patients with congenital heart disease. Heart 2009;95:1179-1183.
94. Roose SP, Seidman SN. Sexual activity and cardiac risk: Is depression a contributing factor Am J Cardiol 2000;86:38F-40F.
95. Mandras SA, Uber PA,Mehra MR. Sexual activityand chronic heart failure.Mayo Clin Proc 2007;82:1203-1210.
96. Cheitlin MD. Sexual activity and cardiac risk. Am J Cardiol 2005;96:24M-28M.
97. Steinke EE. Intimacy needs and chronic illness: Strategies for sexual counselling and self-management. J Gerontol Nurs 2005;31:40-50.
98. Steinke EE, Wright DW, Chung ML, Moser DK. Sexual self-concept, anxiety, and self-efficacy predict sexual activity in heart failure and healthy elders [published correction appears in Heart Lung 2008;37:485]. Heart Lung 2008;37:323-333.
99. Pedersen SS, van den Broek KC, Sears SF Jr. Psychological intervention following implantation of an implantable defibrillator: A reviewand future recommendations. Pacing Clin Electrophysiol 2007;30:1546-1554.
100. Jaarsma T, Steinke EE, Gianotten WL. Sexual problems in cardiac patients: How to assess, when to refer. J Cardiovasc Nurs 2010;25:159-164.
101. Annon JS. The PLISSIT model: A proposed conceptual scheme for the behavioral treatment of sexual problems. J Sex Educ Ther 1976;2:1-15.
102. Stilos K, Doyle C, Daines P. Addressing the sexual health needs of patients with gynecologic cancers. Clin J Oncol Nurs 2008;12:457-463.
103. Anderson CD, Kautz DD, Bryant S, Clanin N. Physical healthcare patterns and nursing interventions. In: Jacelon CS, ed. Specialty Practice of Rehabilitation Nursing: A Core Curriculum Glenview, IL: Association of Rehabilitation Nurses; 2011. p 103-144.
104. Hordern A. Intimacy and sexuality after cancer: A critical review of the literature. Cancer Nurs 2008;31:E9-E17.
105. Mick J, Hughes M, Cohen MZ. Using the BETTER Model to assess sexuality. Clin J Oncol Nurs 2004;8:84-86.
106. Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D'Agostino R Jr. The Female Sexual Function Index (FSFI): A multidimensional selfreport instrument for the assessment of female sexual function. J Sex Marital Ther 2000;26:191-208.
107. Wiegel M, Meston C, Rosen R. The Female Sexual Function Index (FSFI): Crossvalidation and development of clinical cutoff scores. J Sex Marital Ther 2005;31: 1-20.
108. Taylor JF, Rosen RC, Leiblum SR. Self-report assessment of female sexual function: Psychometric evaluation of the Brief Index of Sexual Functioning forWomen. Arch Sex Behav 1994;23:627-643.
109. Mazer NA, Leiblum SR, Rosen RC. The Brief Index of Sexual Functioning for Women (BISF-W): A new scoring algorithm and comparison of normative and surgically menopausal populations. Menopause 2000;7:350-363.
110. Shifren JL, Braunstein GD, Simon JA, Casson PR, Buster JE, Redmond GP, Burki RE, Ginsburg ES, Rosen RC, Leiblum SR, Caramelli KE, Mazer NA. Transdermal testosterone treatment in women with impaired sexual function after oophorectomy. N Engl J Med 2000;343:682-688.
111. Clayton AH, McGarvey EL, Clavet GJ. The Changes in Sexual Functioning Questionnaire (CSFQ): Development, reliability, and validity. Psychopharmacol Bull 1997;33:731-745.
112. Keller A, McGarvey EL, Clayton AH. Reliability and construct validity of the Changes in Sexual Functioning Questionnaire short-form (CSFQ-14). J Sex Marital Ther 2006;32:43-52.
113. Derogatis LR. The Derogatis Interview for Sexual Functioning (DISF/DISF-SR): An introductory report. J Sex Marital Ther 1997;23:291-304.
114. Mykletun A, Dahl AA, O'Leary MP, Fossa° SD. Assessment of male sexual function by the Brief Sexual Function Inventory. BJU Int 2006;97:316-323.
115. Rosen RC, Cappelleri JC, Smith MD, Lipsky J, Pena BM. Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Int J Impot Res 1999;11: 319-326.
116. McGahuey CA, Gelenberg AJ, Laukes CA, Moreno FA, Delgado PL, McKnight KM, Manber R. The Arizona Sexual Experience Scale (ASEX): Reliability and validity. J Sex Marital Ther 2000;26:25-40.
117. Kushnir B, Fox KM, TomlinsonW, Aber CP. The effect of a pre-discharge consultation on the resumption of work, sexual activity, and driving following acute myocardial infarction. Scand J Rehabil Med 1976;8:155-159.
118. Stern MJ, Cleary P. The National Exercise and Heart Disease Project: Long-term psychosocial outcome. Arch Intern Med 1982;142:1093-1097.
119. Stern MJ, Gorman PA, Kaslow L. The group counselling v exercise therapy study: A controlled intervention with subjects following myocardial infarction. Arch Intern Med 1983;143:1719-1725.
120. Fridlund B, Ho gstedt B, Lidell E, Larsson PA. Recovery after myocardial infarction: Effects of a caring rehabilitation programme. Scand J Caring Sci 1991;5:23-32.
121. Bertie J, King A, Reed N, Marshall AJ, Ricketts C. Benefits and weaknesses of a cardiac rehabilitation programme. J R Coll Physicians Lond 1992;26:147-151.
122. Froelicher ES, Kee LL, Newton KM, Lindskog B, Livingston M. Return to work, sexual activity, and other activities after acute myocardial infarction. Heart Lung 1994;23:423-435.
123. Song H,OhH, Kim H, SeoW. Effects of a sexual rehabilitation intervention program on stroke patients and their spouses. NeuroRehabilitation 2011;28:143-150.
124. Ko DT, Hebert PR, Coffey CS, Sedrakyan A, Curtis JP, Krumholz HM. Beta-blocker therapy and symptoms of depression, fatigue, and sexual dysfunction. JAMA 2002; 288:351-357.
125. Baumhakel M, Schlimmer N, Kratz M, Hackett G, Hacket G, Jackson G, Bohm M. Cardiovascular risk, drugs and erectile function: A systematic analysis [published correction appears in Int J Clin Pract 2011;65:516]. Int J Clin Pract 2011;65:289-298.
126. Steinke EE, Jaarsma T. Impact of cardiovascular disease on sexuality. In: Moser DK, Riegel B, eds. Cardiac Nursing: A Companion to Braunwald's Heart Disease St Louis, MO: Saunders Elsevier; 2008. p 241-253.
127. Whipple B. Sexual counselling of couples after a mastectomy or myocardial infarction. Nurs Forum 1987;23:85-91.
128. Parzeller M, Bux R, Raschka C, Bratzke H. Sudden cardiovascular death associated with sexual activity: A forensic autopsy study (1972-2004). Forensic Sci Med Pathol 2006;2:109-114.
129. Ueno M. The so-called coital death. Jpn J Legal Med 1963;17:330-340.
130. Lee S, Chae J, Cho Y. Causes of sudden death related to sexual activity: Results of a medicolegal postmortem study from 2001 to 2005. J Korean Med Sci 2006;21: 995-999.
131. Bohlen JG, Held JP, Sanderson MO, Patterson RP. Heart rate, rate-pressure product, and oxygen uptake during four sexual activities. Arch Intern Med 1984; 144:1745-1748.
132. Nemec ED, Mansfield L, Kennedy JW. Heart rate and blood pressure responses during sexual activity in normal males. Am Heart J 1976;92:274-277.
133. Kaiser FE. Core concepts: Disorders of sexual functions. Clin Geriatr 2002;10: 47-60.
134. Walbroehl GS. Sexual activity and the postcoronary patient.AmFamPhysician 1984; 29:175-177.
135. Bloch A, Maeder JP, Haissly JC. Sexual problems after myocardial infarction. Am Heart J 1975;90:536-537.
136. Briggs LM. Sexual healing: Caring for patients recovering from myocardial infarction. Br J Nurs 1994;3:837-842.
137. DroryY. Sexual activity and cardiovascular risk. Eur Heart J Suppl 2002;4:H13-H18.
138. DeBusk RF. Evaluating the cardiovascular tolerance for sex. Am J Cardiol 2000;86: 51F-56F.
139. Seidl A, Bullough B, Haughey B, Scherer Y, Rhodes M, Brown G. Understanding the effects of a myocardial infarction on sexual functioning: A basis for sexual counselling. Rehabil Nurs 1991;16:255-264.
140. Kostis JB, Jackson G, Rosen R, Barrett-Connor E, Billups K, Burnett AL, Carson C 3rd, Cheitlin M, Debusk R, Fonseca V, Ganz P, Goldstein I, Guay A, Hatzichristou D, Hollander JE, Hutter A, Katz S, Kloner RA, Mittleman M, Montorsi F, Montorsi P, Nehra A, Sadovsky R, Shabsigh R. Sexual dysfunction and cardiac risk (the Second Princeton Consensus Conference). Am J Cardiol 2005;96:313-321.
141. Dahabreh IJ, Paulus JK. Association of episodic physical and sexual activity with triggering of acute cardiac events: Systematic review and meta-analysis. JAMA 2011; 305:1225-1233.
142. Mo ller J, Ahlbom A, Hulting J, Diderichsen F, de Faire U, Reuterwall C, Hallqvist J. Sexual activity as a trigger of myocardial infarction: A case-crossover analysis in the Stockholm Heart Epidemiology Programme (SHEEP). Heart 2001;86: 387-390.
143. Boone T, Kelley R. Sexual issues and research in counselling the postmyocardial infarction patient. J Cardiovasc Nurs 1990;4:65-75.
144. Franklin BA, Munnings F. Sex after a heart attack: Making a full recovery. Physicians Sportsmed 1994;22:84-89.
145. DeBusk R, Drory Y, Goldstein I, Jackson G, Kaul S, Kimmel SE, Kostis JB, Kloner RA, Lakin M, Meston CM, Mittleman M, Muller JE, Padma-Nathan H, Rosen RC, Stein RA, Zusman R. Management of sexual dysfunction in patients with cardiovascular disease: Recommendations of the Princeton Consensus Panel. Am J Cardiol 2000;86:175-181.
146. Ebrahim S, May M, Ben Shlomo Y, McCarron P, Frankel S, Yarnell J, Davey Smith G. Sexual intercourse and risk of ischaemic stroke and coronary heart disease: The Caerphilly study. J Epidemiol Community Health 2002;56:99-102.
147. Davey Smith G, Frankel S, Yarnell J. Sex and death: Are they related Findings from the Caerphilly Cohort Study. BMJ 1997;315:1641-1644.
148. Antman EM Jr, Anbe DT, Armstrong PW, Bates ER, Green LA, Hand M, Hochman JS, Krumholz HM, Kushner FG, Lamas GA, Mullany CJ, Ornato JP, Pearle DL, Sloan MA, Smith SC Jr; American College of Cardiology; American Heart Association; Canadian Cardiovascular Society. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction: Executive summary: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1999 guidelines for the management of patients with acute myocardial infarction) [published correction appears in J Am Coll Cardiol 2005;45:1376]. J Am Coll Cardiol 2004; 44:671-719.
149. Palmeri ST, Kostis JB, Casazza L, Sleeper LA, Lu M, Nezgoda J, Rosen RS. Heart rate and blood pressure response in adult men and women during exercise and sexual activity. Am J Cardiol 2007;100:1795-1801.
150. Stein RA. The effect of exercise training on heart rate during coitus in the post myocardial infarction patient. Circulation 1977;55:738-740.
151. Muller JE, Mittleman MA, Maclure M, Sherwood JB, Tofler GH. Triggering myocardial infarction by sexual activity: Lowabsolute risk and prevention by regular physical exertion: Determinants of Myocardial Infarction Onset Study Investigators. JAMA 1996;275:1405-1409.
152. Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB. Impotence and its medical and psychosocial correlates: Results of the Massachusetts Male Aging Study. J Urol 1994;151:54-61.
153. Derby CA, Mohr BA, Goldstein I, Feldman HA, Johannes CB, McKinlay JB. Modifiable risk factors and erectile dysfunction: Can lifestyle changes modify risk Urology 2000;56:302-306.
154. Esposito K, Giugliano F, Di Palo C, Giugliano G, Marfella R, D'Andrea F, D'Armiento M, Giugliano D. Effect of lifestyle changes on erectile dysfunction in obese men: A randomized controlled trial. JAMA 2004;291:2978-2984.
155. Jaarsma T, Dracup K, Walden J, Stevenson LW. Sexual function in patients with advanced heart failure. Heart Lung 1996;25:262-270.
156. DeBusk RF. Sexual activity in patients with angina. JAMA 2003;290:3129-3132.
157. Papadopoulos C, Beaumont C, Shelley SI, Larrimore P. Myocardial infarction and sexual activity of the female patient. Arch Intern Med 1983;143:1528-1530.
158. DeBusk RF. Erectile dysfunction therapy in special populations and applications: Coronary artery disease. Am J Cardiol 2005;96:62M-66M.
159. Carson CC 3rd. Cardiac safety in clinical trials of phosphodiesterase 5 inhibitors. Am J Cardiol 2005;96:37M-41M.
160. Samuels LE, Holmes EC, Petrucci R. Psychosocial and sexual concerns of patients with implantable left ventricular assist devices: A pilot study. J Thorac Cardiovasc Surg 2004;127:1432-1435.
161. Marcuccilli L, Casida JJ, Peters RM, Wright S. Sex and intimacy among patients with implantable left-ventricular assist devices. J Cardiovasc Nurs 2011;26: 504-511.
162. Gundle MJ, Reeves BR Jr, Tate S, Raft D, McLaurin LP. Psychosocial outcome after coronary artery surgery. Am J Psychiatry 1980;137:1591-1594.
163. Kornfeld DS, Heller SS, Frank KA, Wilson SN, Malm Jr. Psychological and behavioral responses after coronary artery bypass surgery. Circulation 1982;66(pt 2): III24-III28.
164. Nashef SA, Mackenzie M. Sexual function after coronary surgery. BMJ 1991;302: 724.
165. Thurer SL, Thurer RL. The sexual adjustment of coronary bypass surgery patients: A 4-year follow up. Rehabil Couns Bull 1983;27:108-112.
166. Sjo land H, Wiklund I, Caidahl K, Hartford M, Karlsson T, Herlitz J. Improvement in quality of life differs betweenwomenandmenafter coronary artery bypass surgery. J Intern Med 1999;245:445-454.
167. Langeluddecke P, Fulcher G, Baird D, Hughes C, Tennant C. A prospective evaluation of the psychosocial effects of coronary artery bypass surgery. J Psychosom Res 1989;33:37-45.
168. Folks DG 3rd, Blake DJ, Fleece L, Sokol RS, Freeman AM 3rd. Quality of life six months after coronary artery bypass surgery: A preliminary report. South Med J 1986;79:397-399.
169. Lukkarinen H, Lukkarinen O. Sexual satisfaction among patients after coronary bypass surgery or percutaneous transluminal angioplasty: Eight-year follow-up. Heart Lung 2007;36:262-269.
170. Djurović A, Marić D, Brdareski Z, Konstantinović L, Rafajlovski S, Obradović S, Ilić R, Mijailović Z. Sexual rehabilitation after myocardial infarction and coronary bypass surgery: Why do we not perform our job Vojnosanit Pregl 2010;67:579-587.
171. Papadopoulos C, Shelley SI, Piccolo M, Beaumont C, Barnett L. Sexual activity after coronary bypass surgery. Chest 1986;90:681-685.
172. Renshaw DC, Karstaedt A. Is there (sex) life after coronary bypass Compr Ther 1988;14:61-66.
173. Hoad NA, Crawford IC. Rehabilitation after coronary artery by-pass grafting and improved quality of life. Br J Sports Med 1990;24:120-122.
174. Ross AB, Brodie EE, Carroll D, Niven CA, Hotchkiss R. The psychosocial and physical impact of exercise rehabilitation following coronary artery bypass surgery. Coron Health Care 2000;4:63-70.
175. Roviaro S, Holmes DS, Holmsten RD. Influence of a cardiac rehabilitation program on the cardiovascular, psychological, and social functioning of cardiac patients. J Behav Med 1984;7:61-81.
176. King KM, Gortner SR. Women's short-term recovery from cardiac surgery. Prog Cardiovasc Nurs 1996;11:5-15.
177. Moore SM. CABG discharge information: Addressing women's recovery. Clin Nurs Res 1996;5:97-104.
178. Lough ME, Lindsey AM, Shinn JA, Stotts NA. Life satisfaction following heart transplantation. J Heart Transplant 1985;4:446-449.
179. Tabler JB, Frierson RL. Sexual concerns after heart transplantation. J Heart Transplant 1990;9:397-403.
180. Phan A, IshakWW, Shen BJ, Fuess J, Philip K, Bresee C, Czer L, Schwarz ER. Persistent sexual dysfunction impairs quality of life after cardiac transplantation. J Sex Med 2010;7:2765-2773.
181. Kavanagh T. Exercise training in patients after heart transplantation. Herz 1991;16: 243-250.
182. Keteyian S, Shepard R, Ehrman J, Fedel F, Glick C, Rhoads K, Levine TB. Cardiovascular responses of heart transplant patients to exercise training. J Appl Physiol 1991; 70:2627-2631.
183. Kobashigawa JA, Leaf DA, Lee N, Gleeson MP, Liu H, Hamilton MA, Moriguchi JD, Kawata N, Einhorn K, Herlihy E, Laks H. A controlled trial of exercise rehabilitation after heart transplantation [published correction appears in N Engl J Med 1999;340:976]. N Engl J Med 1999;340:272-277.
184. Jaarsma T. Sexual problems in heart failure patients. Eur J Cardiovasc Nurs 2002;1: 61-67.
185. Westlake C, Dracup K,Walden JA, FonarowG. Sexuality of patients with advanced heart failure and their spouses or partners. J Heart Lung Transplant 1999;18: 1133-1138.
186. Hoekstra T, Jaarsma T, Sanderman R, van Veldhuisen DJ, Lesman-Leegte I. Perceived sexual difficulties and associated factors in patients with heart failure. Am Heart J 2012;163:246-251.
187. Rastogi S, Rodriguez JJ, Kapur V, Schwarz ER. Why do patients with heart failure suffer from erectile dysfunction A critical review and suggestions on how to approach this problem. Int J Impot Res 2005;17(suppl 1):S25-S36.
188. Frattini E, Lindsay P, Kerr E, Park YJ. Learning needs of congestive heart failure patients. Prog Cardiovasc Nurs 1998;13:11-16, 33.
189. Walker RL, Campbell KA, Sears SF, Glenn BA, Sotile R, Curtis AB, Conti JB.Women and the implantable cardioverter defibrillator: A lifespan perspectiveon key psychosocial issues. Clin Cardiol 2004;27:543-546.
190. Vural A, Agacdiken A, Celikyurt U, Culha M, Kahraman G, Kozdag G, Ural D. Effect of cardiac resynchronization therapy on libido and erectile dysfunction. Clin Cardiol 2011;34:437-441.
191. Moons P, Van Deyk K, Marquet K, De Bleser L, BudtsW, De Geest S. Sexual functioning and congenital heart disease: Something to worry about Int J Cardiol 2007; 121:30-35.
192. Rogers P, Mansour D, Mattinson A, O'Sullivan JJ. A collaborative clinic between contraception and sexual health services and an adult congenital heart disease clinic. J Fam Plann Reprod Health Care 2007;33:17-21.
193. Lyon ME, Kuehl K, McCarter R. Transition to adulthood in congenital heart disease: Missed adolescent milestones. J Adolesc Health 2006;39:121-124.
194. Monga TN, Lawson JS, Inglis J. Sexual dysfunction in stroke patients. Arch Phys Med Rehabil 1986;67:19-22.
195. Thompson SB,Walker L. Sexual dysfunction after stroke: Underestimating the importance of psychological and physical issues. Webmed Central Physical Medicine 2011;2:WMC002281.
196. Kautz DD. Hope for love: Practical advice for intimacy and sex after stroke. Rehabil Nurs 2007;32:95-103.
197. Kautz DD, Upadhyaya RC. Appreciating diversity and enhancing intimacy. In: Mauk KL, ed. Gerontological Nursing: Competencies for Care Sudbury, MA: Jones & Bartlett; 2010. p 602-627.
198. Lemieux L, Cohen-Schneider R, Holzapfel S.Aphasia and sexuality. Sex Disabil 2001; 19:253-266.