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The incidence of myocardial infarction or stroke was similar in patients receiving sildenafil for the treatment of ED or placebo, and most cases occurred within a few hours to days after a sildenafil dose or placebo. n at least one patient with ginaric viagra cardiomyopathy, decreased blood pressure, marked reductions in ventricular dimensions, increased ejection fraction and subaortic gradient at rest, ventricular premature complexes, and unsustained ventricular tachycardia occurred following sildenafil administration for the treatment of ED. A precipitous reduction in blood pressure may occur with nitrate or nitrite use over the initial 24 hours following a dose of sildenafil; therefore, such concomitant therapy is contraindicated.

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