The answer

Anxiety about having sex after a myocardial infarction (MI) – or diagnosis of any heart condition such as angina – is very common, but according to guidance issued by NICE, the risk of having a subsequent MI after someone has recovered from such an event is no greater than if they hadn’t had one at all. This assumes that the recovery has been uncomplicated, but if four weeks or so have elapsed, Kelvin and Maggie may resume sexual relations if they wish.

The British Heart Foundation (BHF) recommends avoiding too much alcohol or heavy food before having sex for the first time after a cardiac event or diagnosis, and only doing what feels comfortable. A relaxing environment – such as making sure the room isn’t too hot or cold – can also help, it says.

Seeking medical advice is advisable, however, if Kelvin is experiencing impotence or lowered libido (sex drive). If this is the case, Vicky should reassure him that it is common and usually temporary, perhaps stemming from concerns about the heart attack he has had, any medicines he is taking as a result, or a concurrent condition such as diabetes.