Stent placement is currently one of the most important and effective measures for the treatment of coronary artery disease. It is becoming more and more common for patients with coronary artery disease to receive interventional therapy. In this article I would like to discuss the sexual life of patients with coronary artery disease (including stenting). Before we discuss this issue, let’s look at the physiological changes that occur in men after middle age with regard to their sex life. In men after middle age, the number of spontaneous erections decreases, the intensity of stimulation required for erection increases, the hardness of erection decreases, the duration of erection decreases, and the period of inactivity increases. This is a physiological phenomenon in normal men without organic disease. For patients with cardiovascular disease who have undergone invasive treatments such as stent placement, there are adverse effects on sexual harmony in both physiological and psychological terms. First, there is a correlation between cardiovascular disease and male hypogonadism; second, a serious cardiovascular event may bring negative psychosexual effects in cardiac patients. Some surveys have shown that one quarter of patients no longer have sex after myocardial infarction, and the same 1/4 of patients have no change in their sex life, and about half of them have a decrease in the number and quality of sex. The impact of angina on sexual life is similar to that of myocardial infarction. The man in the article belongs to the large group of patients with coronary artery disease who have decreased sexual performance multiple times DD. Medications used to treat cardiovascular disease can also have an impact on sexual life. Patients undergoing stent placement generally require beta-blockers such as betalactam, which can cause a decrease in libido leading to erectile dysfunction and, in a few patients, impotence. Although calcium antagonists and ACEIs commonly used in cardiovascular diseases do not have direct sexual dysfunctional effects, they may cause erectile dysfunction due to poor local blood supply to the perineum by lowering blood pressure and reducing blood supply to the perineum. Cardiovascular patients who use diuretics for a long time may suffer from general weakness and erectile dysfunction due to low potassium (e.g. thiazide diuretics). Another class of diuretics such as spironolactone has anti-androgenic effects, leading to impotence and gynecomastia. Cardiovascular disease has a more serious negative psychological impact on patients. The change from being a normal person to a patient, from being healthy to facing a potentially life-threatening condition at any time, causes patients with cardiovascular disease to have a changed attitude towards life and living, and to value their lives less than before. The length of life is more important than the quality of survival; cardiac patients know that “heart safety” is “life safety”, if “sex” may not be safe, compared with “life safety”. If “sex” may not be safe, compared with “life safety”, “sexual happiness” can of course be completely ignored. This is the real psychological state of many cardiovascular patients DD they are afraid of sex, afraid that sex may bring him to the end of the disaster! After receiving stent placement, Xiao Wei had this concern deep inside his heart. Interventional therapy such as stenting can open narrowed coronary arteries, improve myocardial blood supply in patients with coronary heart disease, reduce the occurrence of angina pectoris and improve the quality of survival of patients with coronary heart disease. Interventional treatment (stent placement) itself does not affect the patient’s sex life, but the stent placement measures strengthen the patient’s awareness of “heart disease” and make them more alert to the fact that “sex is bad for the heart”, which makes them less enthusiastic to initiate sex. The patient’s desire to initiate sex decreases. After understanding the reasons why they are less enthusiastic about sex, let’s see how we can help the couple to harmonize the husband’s worries with the wife’s “sexual happiness”. The husband was worried that sex would affect his heart, and the wife did not understand him and blamed the stent that was placed in his heart. We already know that there is no problem with the stent, the problem is the husband’s concern. Does sex increase the risk for heart patients? The risk of sex cannot be evaluated without looking at the amount of sexual exercise. The average oxygen consumption of men when they reach orgasm is between 3.3 METs and, due to human variability, between about 2-5.4 METs. If a patient with cardiovascular disease is able to tolerate 5-6 METs of exercise in a routine exercise tolerance test, this indicates that the risk of a cardiovascular event during sex is extremely low and the sex life is safe. One thing Wei should do is to get his exercise tolerance measured by a cardiovascular specialist to evaluate whether he is safe during sex. It is normal for heart patients to experience a decline in “sexual interest”, but heart patients can also have a harmonious and satisfying sex life, which requires rehabilitation training for sex. The first thing is to keep an optimistic attitude. After stenting, the narrowed coronary arteries have been reopened, so there is no need to worry about the “diseased heart” and be freed from the “shadow of the heart”. At the same time, appropriate physical exercise can improve the patient’s exercise tolerance, improve heart function and improve sexual function. Lastly, and most importantly, emotional communication between husband and wife is essential. Wives should understand their husbands’ “hidden worries” and take the initiative to share them, accompanying them to medical appointments to relieve their “hidden worries”; and accompany them to exercise and encourage them more to help their husbands recover their strength. Husbands also need to understand the normal needs of 40-year-old women in terms of sexual life. The old saying “thirty like a wolf, forty like a tiger”, although not very accurate, but this age of women do have a lot of “sexual interest anon”, the desire to have a beautiful sex life is also a normal physiological needs. The more communication, more communication and more care between the couple, the more harmonious the sexual life will be, which will help the heart of the heart patients after the stent placement to put down the “burden”, in the couple’s life lightly, to get a satisfactory and happy sex life.