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Effective treatment of coronary artery disease (CAD) requires patient education, risk factor modification, medical therapy, and, as indicated, coronary revascularization. Aspirin should be given to all patients with known or suspected CAD, unless contraindicated. The standard dose is 80 to 325 mg a day (table 1).
The current literature do not recommend long term use of nitrates for most patients of coronary artery disease (CAD). The use of Viagra is absolutely contraindicated in first 24 hours of hours (Total 48 hours). The reason for this precaution is as follows. If by any chance you develop angina after use of viagra (sildenafil), you will
Background: Triptans are contraindicated in patients with known or suspected coronary artery disease (CAD); however, few studies have evaluated triptans in patients with obstructive CAD to quantify the vasoconstrictive effect on diseased coronary vessels. Methods: Patients undergoing percutaneous transluminal coronary angioplasty for symptomatic single-vessel CAD were
A large proportion of patients who have erectile dysfunction also have coronary artery disease (CAD). In these patients, nitrate therapy is a contraindication to the use of sildenafil. To assess whether the metabolic anti-ischemic agent, trimetazidine, is effective in controlling episodes of myocardial ischemia during sexual activity in patients who have CAD
More study is needed to evaluate the effect of switching patients taking nitrates who wish to use phosphodiesterase-5 inhibitors to other antianginal therapies that are not contraindicated with phosphodiesterase-5 inhibitors and that do not exacerbate CV risk in patients with CAD and ED. (Viagra) in the treatment of erectile dysfunction
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