Sudden cardiac death of a woman during extramarital sex: a case report and review of the literature.

Sudden death of cardiac patients related to sexual activity has been widely reported in the medical and forensic literature, specifically of male partners in heterosexual relationships, usually with extramarital partners. We present a unique case of a 46 year old woman who died during a sexual encounter with her lover. Cause of death was an acute cardiac failure due to hypertensive chronic cardiovascular disease, following sexual activity. The factors which contributed to her death are discussed and reviewed in light of similar reports in men.