رجل عمره ٥٤ سنة بعد احتشاء غير معقد بأسبوع، تحسن ويمشي في الممر بدون ألم. نبضه ٧٢ وضغطه ١٢٤/٧٦، ويأخذ أدويته بانتظام. قبل الخروج يسأل الممرض بحرج متى يقدر يرجع للعلاقة الزوجية. أي إجابة من الممرض صحيحة؟

A 54-year-old man a week after an uncomplicated MI is walking the corridor without pain. HR 72, BP 124/76, and he takes his medicines regularly. Before discharge he shyly asks when he can resume sexual activity. Which response by the nurse is correct?

1. Straight after discharge, provided he takes sildenafil with his nitrates
2. Usually when he can climb two flights of stairs without pain or breathlessness
3. When fatigue has fully gone after two weeks of good sleep
4. Only after at least six months, whatever his progress

Answer: B) Usually when he can climb two flights of stairs without pain or breathlessness. The practical teaching guide is tolerating effort equal to climbing two flights of stairs without symptoms. Sildenafil with nitrates is contraindicated because it causes severe hypotension.