
Is Being Hardworking And Sexually Active Safe While Having Myocardial Infarction?

Activity according to your physical condition
Detailed Answer:
Hello and welcome to HCM. I understand your concerns. Thank you for your question.
There are a lot of reasons that your heart, which suffered a necrotic attack 8 years ago, to undergo gradual changes and lose some of its function. Although 45% of heart's ejection fraction is only a slight reduction of its function (50-70% being the normal range), this may limit your physical activity to some point. However, it is safe for you to perform the physical activities you mentioned above, and you are the best decision maker to when to stop the activity, i.e. if you become short of breath or fatigued. At this point, I would recommend a diuretic to be added in your list of medication, if it is not already there.
Regarding the risk factors, a person who suffered a major cardiovascular event, such as myocardial infarction, is at risk for other events, theoretically. Also, if you are saying that 8 years back not only you had a artery totally blocked, which was treated by stent implantation, but also two other arteries were 75% blocked, then there is a chance that one of these blockages has progressed to another total blockage which has reflected, to some point, to your heart's further function drop. Therefore, after these certain tests you mentioned have been carried out, I would recommend a second coronary angiogram, to exactly assess the arteries, quntitatively evaluate the blockages and decide for further treatment (medical therapy versus stent implantation versus coronary artery by-pass grafting).
I hope you find my answer helpful. I am happy to help, if you have any follow-up questions.
Kind regards,
Dr. Meriton

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
