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Previous Volume 341:700 August 26, 1999 Number 9 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: A 70-year-old man came to his physician with acute myocardial infarction after self-administration of sildenafil (Viagra) and nitrates, a case highlighting a new trigger for acute myocardial infarction. He had a history of hypertension and hypercholesterolemia, and atypical chest pain had developed a few weeks previously. A thallium exercise test revealed neither angina nor evidence of ischemia at a heart rate of 146 beats per minute, and exercise capacity was normal for his age. Two weeks after the exercise test, another episode of chest pain occurred, one and a half hours after he took sildenafil that had . . . [Full Text of this Article]

References

This article has been cited by other articles:

• Fazan, R. Jr, Huber, D. A., Silva, C. A. A., Dias da Silva, V. J., Salgado, M. C. O., Salgado, H. C. (2008). Sildenafil acts on the central nervous system increasing sympathetic activity. J. Appl. Physiol. 104: 1683-1689 [Abstract] [Full Text]  
• Lewis, G. D., Witzke, C., Colon-Hernandez, P., Guerrero, J. L., Bloch, K. D., Semigran, M. J. (2006). Sildenafil Improves Coronary Artery Patency in a Canine Model of Platelet-Mediated Cyclic Coronary Occlusion After Thrombolysis. J Am Coll Cardiol 47: 1471-1477 [Abstract] [Full Text]  
• Jackson, G., Giuliano, F. (2002). Moderators' introduction. Eur Heart J Suppl 4: H1-H6 [Abstract]  
• Drory, Y. (2002). Sexual activity and cardiovascular risk. Eur Heart J Suppl 4: H13-H18 [Abstract]  
• Egan, R. A., Pomeranz, H., Morgan, J. C., Johnston, K. C. (2002). Transient ischemic attack an stroke associated with sildenafil (Viagra) use. Neurology 59: 293-294 [Full Text]  
• Dunn, N., Boshier, A., Layton, D., Wilton, L. V, Heeley, E., Shakir, S. A W (2001). Cardiovascular events in users of sildenafil. BMJ 323: 50-50 [Full Text]  
• Shakir, S. A W, Wilton, L. V, Boshier, A., Layton, D., Heeley, E. (2001). Cardiovascular events in users of sildenafil: results from first phase of prescription event monitoring in England. BMJ 322: 651-652 [Full Text]  
• Herrmann, H. C., Chang, G., Klugherz, B. D., Mahoney, P. D. (2000). Hemodynamic Effects of Sildenafil in Men with Severe Coronary Artery Disease. NEJM 342: 1622-1626 [Abstract] [Full Text]