Why does the heart beat rapidly before intercourse?

Rapid heartbeat before sexual intercourse may be caused by physiological factors, or it could result from conditions such as hypertension or coronary atherosclerotic heart disease. The specific analysis is as follows:

I. Physiological Factors

This commonly occurs during first-time intercourse or when anxiety about pain or premature ejaculation causes sympathetic nervous system activation. This is a normal physiological response that usually resolves on its own and does not require excessive concern.

II. Pathological Factors

1. Hypertension

Patients with hypertension often experience elevated blood pressure and increased heart rate when emotionally stressed. Excessive anxiety before intercourse can trigger these symptoms, accompanied by discomfort such as headache and head fullness. It is recommended to take medications such as nifedipine controlled-release tablets or sacubitril valsartan sodium tablets under medical guidance to alleviate symptoms.

2. Coronary Atherosclerotic Heart Disease

Patients with coronary atherosclerotic heart disease typically present with palpitations and chest tightness. Excessive anxiety before intercourse may worsen these symptoms and lead to additional manifestations such as dyspnea and chest pain. In such cases, treatment should follow medical advice, including medications like enteric-coated aspirin tablets or clopidogrel hydrogen sulfate tablets.

Besides the above common causes, other diseases such as ventricular hypertrophy, atrial fibrillation, or rheumatic heart disease may also be responsible. Patients should seek timely medical evaluation and treatment to avoid delays in managing their condition.