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He was discharged after 5 days without any complication. Sildenafil may cause coronary steal or may lead to vasodilation causing hypotension in patient with pre-existing cardiovascular disease, especially in patients on nitrate therapy. Our patient was nitrate free, with normal blood pressure values. Emotional stimulation associated with anticipated sexual activity may have been a triggering factor for vulnerable coronary plaque rupture.<\/jats:p>","DOI":"10.1136\/bcr-2012-006504","type":"journal-article","created":{"date-parts":[[2012,10,19]],"date-time":"2012-10-19T22:57:43Z","timestamp":1350687463000},"page":"bcr2012006504","source":"Crossref","is-referenced-by-count":3,"title":["An unusual adverse effect of sildenafil citrate: Acute myocardial infarction in a nitrate-free patient"],"prefix":"10.1136","volume":"2012","author":[{"given":"Huseyin 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