Affairs of the heart can have far reaching cardiac complications

The first scientific statement to offer detailed guidance for patients, published in the American Heart Association journal and the European Heart Journal, covers recommended positions and a warning about the increased stress of extramarital sex.

Lead author, Professor Elaine Steinke of Wichita State University, said patients were often anxious that sex would trigger another event.

“The topic sometimes gets passed over because of embarrassment or discomfort. Starting

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