The purpose of this study is to determine the amount of cardiac work as measured by heart
rate and blood pressure during physical exertion compared to sexual activity.
Physical exertion will be measured by a standardized treadmill test. Sexual activity will
be performed in the study subject's home with his/her spouse or regular partner. Each study
subject will wear a blood pressure and heart rate monitor at home during their sexual
activity and will be asked to complete a one page diary upon completion of the activity.
Normotensive and subject with mild hypertension will be studied to determine if hypertensive
subjects have a relatively greater increase in their blood pressure during either physical
exercise or sexual activity.
1) Male or female age 40-80
1. Current sexual partner less than six months duration or sexually inactive patients
defined as engaging in sexual intercourse less than one time monthly
2. Uncontrolled hypertension (resting blood pressure >160/100); secondary hypertension;
renal failure (serum creatinine >3.0); congestive heart failure (NYHA functional
Class III-IV); acute coronary syndrome; PCI or open heart surgery within past 3
months; cerebrovascular disease within the past 6 months and any other major medical
or psychiatric disorder.
- Individuals who regularly (more than 3 times weekly) perform rigorous physical
- Individuals unable to perform an exercise treadmill stress test.
- Lack of informed consent