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Sildenafil (Viagra®) has two actions that may be of consequence in patients with heart disease. It can lower the blood pressure, and it can interact with nitrates. It should never be used in patients who are taking nitrates.
There are 20 feet of blood vessels in each square inch of human skin.
Hypertension is a silent killer because it is deadly and has no significant early symptoms. The danger from hypertension is the extra load on the heart, which can lead to hypertensive heart disease and kidney damage. This occurs without any major symptoms until the high blood pressure becomes extreme. Regular blood pressure checks are an important method of catching hypertension before it can kill you.
Most childhood vaccines are 90–99% effective in preventing disease. Side effects are rarely serious.
About 3% of all pregnant women will give birth to twins, which is an increase in rate of nearly 60% since the early 1980s.