There are certain things you’re not supposed to do during sex and having a heart attack is one of them. We’ve known for a while that bursts of moderate to intense physical activity—including sex—increase heart attack risk, but a few scientists have now put number on that risk. And especially for out-of-shape folks, the diagnosis doesn’t look good (unless you’re aiming for death by sex, of course).

Studying death and sex is a tricky subject: Scientists can’t just round up volunteers, watch them make love, and then note which ones die. So instead they analyzed data from 14 different studies to single out connections between sex, exercise, and the risk of cardiac death or heart attacks.

As the researchers wrote in the Journal of the American Medical Association, “Acute cardiac events were significantly associated with … sexual activity.” When exercising, you’re 3.5 times more likely to get a heart attack, and when having sex (or immediately after sex), you’re 2.7 times more likely.

The main take-home message is not that you should give up sex, but that you should get more regular exercise. That’s because they also discovered that your likelihood of ...