Is Viagra Safe for Heart Valve Prolapse and Ankylosing Spondylitis? - Cardiology

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Hello Doctor: I have mitral valve prolapse and ankylosing spondylitis.
My usual blood pressure is in the 60s over 90s.
Recently, I have been drinking green tea frequently, and I'm unsure if this is appropriate for my condition.
I have always taken my medication at 6:30.
Given my health status, would taking Viagra be unsuitable for me? Thank you, Doctor.

Mr. Lin, 50~59 year old female. Ask Date: 2002/11/28

Dr. Zhong Yuxun reply Cardiology


Hello Mr.
Lin! There are many reports indicating that green tea is beneficial for health, such as cancer prevention and preventing vascular sclerosis; however, the principle is that the concentration of the tea should not be too high, as it may stimulate the heart and cause discomfort, especially in individuals with mitral valve prolapse.
Therefore, it is better to consume it as a mild tea.
You are 53 years old and experiencing erectile dysfunction; you should first consult a urologist for an examination, and then see a cardiologist to determine whether you can use Viagra.
Best wishes for your health from Dr.
Chung Yu-Hsuan, Department of Cardiology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2002/11/28

More Info


When considering the safety of Viagra (sildenafil) for individuals with mitral valve prolapse (MVP) and ankylosing spondylitis, it is essential to understand both the pharmacological effects of the medication and the underlying health conditions.

Viagra is primarily used to treat erectile dysfunction by increasing blood flow to the penis. It works by inhibiting an enzyme called phosphodiesterase type 5 (PDE5), which leads to relaxation of blood vessels and improved blood flow. While Viagra is generally considered safe for many individuals, there are specific considerations for those with cardiovascular conditions, including mitral valve prolapse.

Mitral valve prolapse is a condition where the mitral valve does not close properly, which can lead to various symptoms, including palpitations, chest pain, and anxiety. In most cases, MVP is benign and does not require treatment unless it leads to significant complications like mitral regurgitation or arrhythmias. Viagra does not have a direct contraindication for MVP, but it is crucial to consider the overall cardiovascular health of the individual. If you have a history of significant heart issues, such as heart failure or severe arrhythmias, it is advisable to consult with a healthcare provider before using Viagra.

Regarding your blood pressure readings of 60s over 90s, this is relatively low but may not be concerning if you are asymptomatic. However, low blood pressure can be exacerbated by medications like Viagra, which can cause further vasodilation and potentially lead to dizziness or fainting. Therefore, it is essential to monitor your blood pressure closely and discuss any concerns with your healthcare provider.

As for ankylosing spondylitis, this inflammatory condition primarily affects the spine and can lead to chronic pain and stiffness. There is no direct interaction between Viagra and ankylosing spondylitis, but managing the pain and inflammation associated with this condition is crucial for overall well-being.

Regarding your consumption of green tea, it is generally considered safe and may even have health benefits due to its antioxidant properties. However, excessive caffeine intake can lead to increased heart rate and anxiety, which might exacerbate symptoms related to MVP. Moderation is key, and it would be wise to monitor how your body responds to green tea consumption.

In summary, Viagra may be safe for individuals with mitral valve prolapse and ankylosing spondylitis, but it is essential to consider your overall cardiovascular health, blood pressure levels, and any other medications you may be taking. Always consult with your healthcare provider before starting any new medication, especially if you have underlying health conditions. They can provide personalized advice based on your medical history and current health status, ensuring that you make informed decisions regarding your treatment options.

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