Вальсальва

Sexual activity is an important component of patient and partner quality of life for men and women with cardiovascular disease (CVD), including many elderly patients. Decreased sexual activity and function are common in patients with CVD and are often interrelated to anxiety and depression. The intent of this American Heart Association Scientific Statement is to synthesize and summarize data relevant to sexual activity and heart disease in order to provide recommendations and foster physician and other healthcare professional communication with patients about sexual activity. Recommendations in this document are based on published studies, the Princeton Consensus Panel the 36th Bethesda Conference, European Society of Cardiology recommendations on physical activity and sports participation for patients with CVD, practice guidelines from the American College of Cardiology/American Heart Association and other organizations, and the multidisciplinary expertise of the writing group.

http://circ.ahajournals.org/content/125/8/1058.full