Doctors from a hospital in the United States were involved in an unusual event when a 45-year-old woman was taken to the emergency room. She was worried about the chest pain that started right after she had sex with her husband.

“During her orgasm, she felt an ‘explosion’ in her chest with radiation on her back,” experts said in a scientific paper published in the American Journal of Case Reports.

The severity of the pain was so great that the woman described it as severe on a 10 out of 10 scale. She also claimed she had throbbing, shortness of breath, and nausea. His blood pressure was around 220/140 mmHg, which according to the medical literature was extremely high and even more worrying.

health history

A dose of morphine and fentanyl was given to treat severe chest pain. Thus, he felt an improvement in his pain. The process continued with exams, evaluation according to other fields and taking other drugs. Three days later, he was discharged for follow-up at home.

After the initial tests, the expert team determined that the patient had a history of hypertension, which had to take medication every day. However, it had been over a year since I stopped taking the pills.

“The patient presented with a history of approximately 17 years of tobacco abuse and stated that he currently smokes six to seven cigarettes a day,” the report says.

What happened?

The case was documented as acute aortic syndrome (AAS) by William Bryan Bishop and other physicians. This is an aortic dissection, meaning that part of the aortic wall is broken, carrying blood out of the heart.

“This is a serious disease process, typically manifested by sharp, piercing chest pain with radiation to the back,” they wrote. Because of this, she felt ‘heartbroken’.

According to them, the woman’s life was in danger; He would die if he was not treated soon. In fact, the chance of dying if not tested increased by 1% per hour. Due to its severity, it can have neurological effects and damage other organs.

Bishop and his team suggested that one patient had an “atypical” theme during intercourse, not previously described in the literature, because the only documents recorded cases of men feeling “burst” in sex or intercourse. masturbation.

It occurred in response to physical exertion and emotional turmoil. “Physiological parameters of respiratory rate, heart rate, and blood pressure increase with sexual intercourse in conjunction with exercise,” they stressed.

While on ASA their heart rate goes from 110 to 180 beats per minute and systolic blood pressure rises from 30 to 80, which resonates greatly, being worse in people with a history of hypertension.

“Our patient is unusual, as our case represents a smaller proportion of ASS cases and is a woman who had consensual sex with her husband. However, there were key risk factors for ASA, including uncontrolled and untreated hypertension and a history of tobacco abuse,” they added.

Thanks to the procedures, medication intake and administration improved. Of course, he is now being treated for hypertension and tobacco addiction.

“This is not a commonly reported event. Understanding the physiological changes and stress of sexual intercourse and how it affects hemodynamics can help predict adverse outcomes in patients with pre-existing cardiovascular risk factors,” they concluded in the scientific journal article.