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    As with other ACE inhibitorsZestril should be given with caution to patients with mitral valve stenosis and obstruction in the outflow of the left ventricle such as aortic stenosis or hypertrophic cardiomyopathy.

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    Like all medicinesthis medicine can cause side effectsalthough not everybody gets them.

    If you need surgerytell the surgeon ahead of time that you are using Zestril.

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