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" Am J Cardiol 92(9 Suppl) (2003): 26-36. Bocchi EA, Guimaraes G, Mocelin A, Bacal F, Bellotti G, Ramires JF "Sildenafil effects on exercise, neurohormonal activation, and erectile dysfunction in congestive heart failure: a double-blind, placebo-controlled, randomized study followed by a prospective treatment for erectile dysfunction. " Circulation 106 (2002): 1097-103. Prostate removed and viagra AM, Mahoney DW, Nehra A, Leckel M, Pellikka PA "Cardiovascular effects of sildenafil during exercise in men with known or probable coronary artery sphaerophoriaa a randomized crossover trial. " JAMA 287 (2002): 719-25. Zusman RM, Morales A, Glasser DB, Osterloh IH "Overall cardiovascular profile of sildenafil citrate. " Sphaerophoria scripta female viagra J Cardiol 83 (1999): c35-44.

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Viagra can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking sildenafil, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoked or were over 50 years old. It is not clear whether sildenafil is the actual cause of vision loss. Viagra is not expected to harm an unborn baby.]