I do not know how they figure this out but here you go:
The study on the autopsy reports involved “only a very modest number of patients,” and thus “there is no way to know how much, if any, an extramarital affair relationship truly increases risk or the mechanism,” said Levine, who directs the Cardiac Care Unit at the Michael E. DeBakey VA Medical Center.
“I would not blow this too out of context,” he said. “Without being sarcastic, I really can state that I have not ever had a patient who asked me about the cardiac risks of an extramarital affair.”



