Part 3 of 4
Heart, Physical fitness and additional Medication screening

Have you had a heart attack, stroke, or chest pain during exertion in the last 6 months?

Yes
No

Has your doctor advised you not to engage in physical or sexual activity?

Yes
No

Do you feel very breathless or experience chest pain during light or moderate physical activity?

Yes
No

Are you taking Riociguat or other guanylate cyclase stimulators?

Yes
No

Are you taking CYP3A4 inhibitors such as erythromycin, ketoconazole, itraconazole, cimetidine or diltiazem?

Yes
No

Are you taking Sacubitril/Valsartan (Entresto)?

Yes
No
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