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All patients had comprehensive ophthalmological evaluations prior to initiating sildenafil therapy and with each dose escalation; patients with active retinopathy or a history of retinal detachment or haemorrhage were excluded. To ensure that total haemoglobin levels and fetal haemoglobin levels were stable prior to starting sildenafil therapy, as these values can significantly affect exercise capacity, patients underwent intensification of their standard sickle cell disease therapy for 3—8 months.

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Specific therapies used for each patient are shown in Table I. Further, Modern Media Group LLC does not warrant the accuracy or competeness of the materials, including without limitation any products or services obtained through the Site, even if Eversight has been advised of the potential loss.

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