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    A randomized, double-blind, 16 week placebo-controlled study was conducted in 405 patients with pulmonary arterial hypertension, defined as a resting mean pulmonary artery pressure mPAP 25 mm Hg, pulmonary capillary wedge pressure PCWP 15 mm Hg, and pulmonary vascular resistance PVR 3 Wood units via right heart catheterization cheapest cialis available

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