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"Long before it's in the papers"
June 20, 2005

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Common heart defect may increase risk of stroke during sex

Sept. 22, 2004
Special to World Science

A 23-year-old woman, shortly after having sex, suddenly developed an inability to talk correctly or control her right arm. Doctors determined she had had a stroke, possibly brought on by a heart defect she shared with about one in five people worldwide, a small hole between two of the heart's chambers. 

Researchers are finding that this defect, widely considered relatively harmless, may increase the risk of having strokes during sex, even among young adults.

In the July issue of the research journal Archives of Neurology, researchers with the University of Washington School of Medicine reported on four hospital patients who had had similar experiences to that of the young woman. After investigating their cases, the researchers found the patients all had the heart condition, called patent foramen ovale.  

Fetuses have a normal opening between the left and right upper chambers of the heart. Patent foramen ovale occurs when this opening fails to close naturally soon after the baby is born.

The University of Washington finding adds to evidence, previously unclear, that the condition may increase stroke risk, the authors wrote. The strokes could come about when increased pressure in the chest, as can occur during sex, pushes a blood clot through the hole and toward the brain.

Researchers started noticing at least two decades ago that some cases of stroke were attributable to patent foramen ovale, said Kyra Becker of the University of Washington School of Medicine, Seattle, U.S.A., one of the authors of the study. However, researchers haven’t been able to quantify exactly how much the condition increases stroke risk, if at all.

The actual risk of having a stroke due to patent foramen ovale is probably “quite small,” wrote Becker in a recent email. But no one has clarified exactly how much the risk is, she added; studies are currently addressing this question.

—EJL

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