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Can I call you back? karela plantation "When it comes to sex and heart issues, in my experience it's as likely to be the partner of the heart patient who is afraid of having sex because it might cause a heart attack as the patient him or herself," Westheimer said. "What I suggest is that people write down their questions and send it to the doctor in advance of their appointment. That way they'll be sure the question gets asked and the doctor will have had time to get prepared to answer it."