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Kukreja’s discovery is particularly noteworthy because Viagra generally is not recommended or prescribed now to men with many types of heart problems. Other than for treating impotence, however, little has been known about additional beneficial effects of Viagra, although clinicians and researchers worldwide have been looking for more uses for the medicine. Shortly after it was released, reports linked Viagra to sudden heart attacks and hypotension during sex in men who were taking nitroglycerin for cardiovascular disease, prompting the FDA and Pfizer to amend prescription labels to warn doctors against prescribing the drug for impotence in patients with known heart conditions. Kukreja began looking at Viagra early this year as part of his on-going research into “preconditioning,” which is a way to protect the heart muscle from serious damage in the future by subjecting it to very brief periods of deprivation of blood flow and, therefore, oxygen. Kukreja and his colleagues at VCU’s School of Medicine have been studying preconditioning for fourteen years.
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