Viagra, an erectile dysfunction (ED) medication, has been a staple in treating male sexual function issues. It works primarily by increasing blood flow to the penis, thereby aiding men to achieve and maintain an erection. Importantly, Viagra can also lower blood pressure, a characteristic that needs consideration when discussing its use in heart patients.
Viagra, along with Cialis, Levitra, and Stendra, are part of a class of medications known as PDE5 inhibitors. These drugs work by relaxing the smooth muscle tissue and dilating blood vessels, particularly those in the penis, which facilitates an erection. However, this dilation effect can also impact other blood vessels throughout the body, contributing to the overall decrease in blood pressure.
The American College of Cardiology sets forth guidelines on the use of Viagra, including its use after specific heart procedures such as bypass surgery and ablation. These guidelines serve as a crucial source of information for both medical professionals and patients.
Bypass surgery and ablation are two different cardiovascular procedures.
Bypass surgery aims to redirect blood flow around blocked coronary arteries, while ablation targets and destroys small areas in the heart that may be causing rhythm problems.
According to the American College of Cardiology, heart patients who have recovered from either a coronary artery bypass or ablation should be able to use Viagra or other PDE5 inhibitors. However, patients need to wait a certain amount of time before they start such medications, usually at least six months post the cardiac event, provided their condition is stable.
Viagra and other ED medications are generally considered safe in stable cardiovascular diseases including heart failure, hypertension, and coronary artery disease. A large study even shows that men who take these medications are less likely to experience heart failure, stroke, and heart attack, thereby potentially reducing early death from heart disease by 25 percent.
There's no clear evidence that Viagra is associated with an increased rate of heart attacks or cardiovascular events. In fact, in men without cardiovascular disease, ED pills are largely considered safe.
While Viagra is safe for most men with heart disease, it's not recommended for people with low blood pressure as it dilates the arteries, thereby potentially lowering the blood pressure even further.
The combination of Viagra with nitrates is highly risky, as it significantly increases the risk of potentially life-threatening hypotension, also known as low blood pressure. Therefore, Viagra should not be prescribed to patients receiving any form of nitrate therapy.
Before starting Viagra or any other ED medication after bypass surgery or ablation, it's essential to consult with a healthcare professional. They will consider all factors, including any fears or anxieties the patient may have about sexual activity after a heart event, and ensure the safe use of these medications.
Heart patients who have recovered from bypass surgery or ablation can safely consider Viagra or other ED medications. However, they should always discuss this with their doctor, particularly in relation to their use of other medications like nitrates or blood thinners. Notably, there's no known interaction between Viagra and blood thinners, such as warfarin or Xarelto, but individual medical consultation is crucial to assess personal risks and benefits.