Post-coital death in chronic sildenafil abuser

摘要

Sex-related cardiovascular arrest is a rare event occurring typically among middle-aged men with cardiovascular risk.[1,2]The main etiologies of sex-related sudden cardiovascular arrest are acute coronary syndrome and subarachnoid hemorrhage and,to a lesser extent,chronic coronary artery disease and structural non-ischemic heart disease.[3]Coital angina that occurs during the minutes or hours after sexual activity represents<5%of all anginal attacks and it is rare in patients who do not have angina during strenous physical exertion.[4]Moreover,sexual activity is the cause of<1%of all acute myocardial infarctions.[5]Sudden death during sexual intercourse is reported with an incidence of 0.6%–1.7%.[6–8]The investigation of sudden death related to sexual activity may be difficult as it may be regarded as shameful or disgraceful to the family members and,especially to the remaining partner.Because of rarity of epidemiological data,considerable bias in the investigation of sudden death related to sexual activity has to be expected.[9–11]Extramarital sexual activity with younger partner and unfamiliar setting seems to represent risk factor as well as excessive food and alcohol consumption.[7]