Making love is extremely unlikely to cause a second heart attacks in men who have had one, according to a report in the Journal of the American Medical Association. The men most likely to suffer a second heart attack during lovemaking are those who do not exercise.
After recovering from a heart attack, the average man makes love only half as often as he did before the heart attack, not because of any inherent problem in his heart, but because of the fear that it will cause another attack. Sadly, 70 percent of heart attack victims are given no advice about lovemaking after they have recovered. In a study from the University of Toronto, fewer than 12 percent of heart attack victims had chest pain while making love, while more than 36 percent had chest pain while riding a stationary bicycle.
Making love does not require that you be in shape. It takes very little energy to make love. Chances are that you can make love safely if you can walk up two flights of stairs, an activity that requires the same amount of energy. If you have had a heart attack, check with your doctor, who will probably recommend an exercise electrocardiogram to find out how much exercise your heart can tolerate. Then you can start a controlled exercise program to strengthen your heart.
The best way to prevent a heart attack during lovemaking is to stay with your regular partner. Guilt and excitement are far more important in provoking heart attacks than the extra work of making love. A study from Emery Medical School reported that when a man made love to his wife, his heart beats were regular and his pulse never went beyond 100 beats a minute. When he made love to his mistress, his heart beat irregularly more than l30 times a minute. A study in the Japanese Journal of Legal Medicine showed that more than 80 percent of men who died during lovemaking were not making love to their wives. A famous heart researcher, David Kritchevsky of the University of Pennsylvania, wrote:
Heart beats stay at normal rate,
When one beds down with legal mate.
But roosting in another's nest,
flirts with cardiac arrest.