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15 These techniques could be useful in clinical practice, particularly applanation tonometry, as numerous studies have shown that increased arterial stiffness as measured by aortic pulse wave velocity (PWV) and augmentation index (AIx) is directly and independently associated with increased risk of cardiovascular complications and events

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For example, a man weighing 154 lb (70 kg) would, at 3 METs, expend approximately 3.5 kcal per minute (210 kcal per hour) during a stimulation and orgasm session