Kamagra Gold 100 mg, which contains sildenafil citrate, affects the cardiovascular system—especially the heart and blood vessels. While it's generally safe for healthy men, there are important risks and considerations, particularly for those with pre-existing heart conditions. Mild blood pressure reduction: Sildenafil acts as a vasodilator, relaxing blood vessels and slightly lowering blood pressure. Improved blood flow: Increases circulation, including to the penile tissues, which helps with erectile function. 1. Low Blood Pressure (Hypotension) Kamagra Gold 100 mg can significantly lower blood pressure, especially if combined with: Nitrates (e.g., nitroglycerin for angina) Alpha-blockers (for prostate or blood pressure issues) This drop can cause dizziness, fainting, blurred vision, or even heart attack in severe cases. 2. Increased Heart Workload During Sex Sexual activity itself raises heart rate and blood pressure. For people with coronary artery disease, arrhythmias, or heart failure, this added strain could provoke: Chest pain (angina) Irregular heartbeat Heart attack 3. Rare but Serious Events Although uncommon, there have been reports of: Heart attack Sudden cardiac death Stroke Palpitations These typically occur in people with pre-existing cardiovascular conditions, not healthy users. Those with recent heart attack or stroke Severe low blood pressure Uncontrolled hypertension or arrhythmias Congestive heart failure