Post-coital Hemoptysis Due to Silent Coronary Artery DiseaseAhmed M Shafter1* and Rachid Elkoustaf2
- *Corresponding Author:
- Ahmed M. Shafter
University of California
School of Medicine, USA
Tel: +1 415-476-9000
E-mail: [email protected]
Received date: March 06, 2017; Accepted date: June 14, 2017; Published date: June 19, 2017
Citation: Shafter AM, Elkoustaf R (2017) Post-coital Hemoptysis Due to Silent Coronary Artery Disease. J Clin Case Rep 7:972. doi: 10.4172/2165-7920.1000972
Copyright: © 2017 Shafter AM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Hemoptysis after physical activity is a quite common presenting symptom. However, hemoptysis during/after sexual intercourse is a rare condition, and cardiac decompensation has been mostly implicated in the etiology This is because, exertion associated with sexual stimulation and coitus can cause transient hemoptysis secondary to a transient elevation of pulmonary capillary pressure with subsequent rupture of pulmonary capillaries and hemoptysis.
We present a 56-year-old Caucasian male, with a past medical history of hypertension, hyperlipidemia, obesity and sleep apnea who presented with h haemoptysis of four-months duration. Echocardiography revealed normal left ventricular systolic function, with Ejection Fraction EF of 55%. Grade I diastolic dysfunction, mild mitral regurgitation and aortic regurgitation.
Ischemic mitral regurgitation is a complication of coronary artery disease. It is a dynamic lesion and its severity may increase with different forms of exercise leading to flash pulmonary edema. This case highlights that silent coronary artery disease can present as post-coital hemoptysis in middle aged patients, the importance to rule out underlying cardiac pathologies through an extensive cardiac workup in patients presenting with post-coital haemoptysis.