心臟病患者可以服用犀利士嗎？
心臟病患者可以服用犀利士嗎？
心臟病患者是否能服用犀利士，需根據個人體質、病情穩定性及用藥史進行評估。以下為核心要點：
穩定型心臟病患者可以考慮服用
對於病情穩定且未經常出現心絞痛等症狀的心臟病患者，經醫師評估後，適量服用犀利士通常是安全的。穩定型冠心病患者、過去曾發生心臟病但已完全康復者，若目前未服用硝酸鹽類藥物（如硝酸甘油），可以在醫師指導下嘗試犀利士。
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不穩定型心臟病患者應避免使用
不穩定型心絞痛患者、近期內發生心肌梗塞或嚴重心律不整的患者，不建議使用犀利士。因性行為本身可能增加心臟負擔，這類患者服用犀利士後，可能加劇心血管事件的風險。
硝酸鹽類藥物使用者禁用犀利士
犀利士與硝酸鹽類藥物（例如硝酸甘油、異山梨酯等）同時使用可能導致嚴重低血壓，甚至危及生命。因此，正在使用硝酸鹽藥物的心臟病患者應避免服用犀利士。
犀利士的作用機制及其對心臟的影響
犀利士通過抑制磷酸二酯酶-5（PDE-5），增加陰莖海綿體內一氧化氮的作用，從而放鬆血管平滑肌，改善血液流動，實現勃起效果。然而，這種作用機制也會對全身血管造成影響，特別是對心臟血流動力學的改變。
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