Conversation: The conversation between human and AI assistant.
[|Human|] I am a 65 year old male with heat desease.  For some reason after I masturbated my heart muscle hurt.  I am on medicine therapy.  Is this pain temporary?.  A third of my heart is dead and I have  about three artiies that are 90 to 100% occulded.  I would guess I just over did it and need to lay off it for awhile,  Is that correct?
[|AI|]  Hello, Masturbation or nay form of sex during orgasm results in high output of sympathetic activity which increases the workload on heart. As you have fixed heart blockage so during this exertion there is less supply to the heart resulting in anginal pain. On simple understanding during Masturbation your heart has to work 3- 5 times more than its normal resulting in pain. One option is to take sorbitol tablet before proposed action of either Masturbation / sex. Avoid Viagra in all circumstances.  Regards Chat Doctor.  Mumbai