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An oral administration of phosphodiesterase-5 (PED-5) inhibitor, sildenafil, has been regarded as a safe and effective treatment for patients suffering with pulmonary arterial hypertension (PAH) 1 , 2) Methods: One patient with primary pulmonary hypertension and another with secondary pulmonary hypertension caused by collagen disease were given 50 mg oral sildenafil during cardiac catheterization for assessment of the acute hemodynamic effects of the drug. Cialis pulmonary arterial hypertension Best Quality and EXTRA LOW PRICES, pulmonary arterial hypertension cialis. 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