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Robert F. DeBusk, MD

JAMA. 2003;290:3129-3132.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Coital angina is angina that occurs during the minutes or hours following sexual activity. More than 6 million individuals in the United States experience angina pectoris.¹ Coital angina appears to represent less than 5% of all anginal attacks. For various reasons, fewer middle aged or older women engage in sexual activity than age-matched men.² Accordingly, the prevalence of coital angina is higher in men than in women. The comparative physical demands of sexual activity in men and women are unknown. Frequency of coitus diminishes with age in both women and men,² especially after the onset of coronary artery disease, which occurs some 10 years later in women than in men.¹

Coital angina is rare in patients who do not have angina during strenuous physical exertion. It is more prevalent in sedentary individuals with severe coronary artery disease who experience angina with minimal physical activity. . . . [Full Text of this Article]

Mechanisms of Coital Angina

Risk Stratification

Management of Coital Angina

Management of Angina in Patients Treated for Erectile Dysfunction

Conclusion

Author Affiliation: Department of Medicine, Stanford University School of Medicine, Palo Alto, Calif.

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