ME and the GIRLS(COMPLETED)

Part 50:THE EPILOGUE

KRISTAL ACE /DESTINY POV.
Tatlo .Tatlong orad kaming nag antay na may lumabas sa loob ng ICU.At ngayon ay lumabad na ang doctor kanina .Agad kaming napatayo ni Kuya Zey.

" Sino sa inyo ang kamag anak ng pasyenti?" tanong ng doctor.Agad namang lumapit ang kakambal ni Zeon .

" Sumunod ka  saakin may importante akong sasabihin sayu".Sabi nito kay Kuya Zey.Napatingin si Kuya Zey saakin kaya tumungo na lamang ako.

" Isasama ko po sya doc." Turan ni Kuya Zey sa doctor.

" Ikaw ang bahala" yun labg at nag umpisa nang lumakad ang doctor.

Nang makarating kami sa kanyang office .Pinaupo niya kami at ibinigay ang isang papel saamin

"coronary artery disease (CAD), which affects the blood flow to the heart. Decreased blood flow can cause a heart attack." panimula nito.Sh*t ano to bakit may ganto.
" Teka doc .Anong pinagsasabi ninyo eh ang lusog lusog ng kakambal ko"
"Coronary heart disease (CHD) is usually caused by a build-up of fatty deposits (atheroma) on the walls of the arteries around the heart (coronary arteries). The build-up of atheroma makes the arteries narrower, restricting the flow of blood to the heart muscle. This process is called atherosclerosis" sabi pa nito .

" May gamot pa po ba dito doc?"maluha luha kong tanong sa kanya
Napabugtong hininga naman ito
"Treatment for coronary heart disease (CHD) can help manage the symptoms and reduce the risk of further problems.CHD can be managed effectively with a combination of lifestyle changes, medicine and, in some cases, surgery.With the right treatment, the symptoms of CHD can be reduced and the functioning of the heart improved.
Medicine.Many different medicines are used to treat CHD. Usually they either aim to reduce blood pressure or widen the arteries.Some heart medicines have side effects, so it may take a while to find one that works for you. A GP or specialist will discuss the various optionsHeart medicines should not be stopped suddenly without the advice of a doctor as there's a risk this may make your symptoms worse.Blood-thinning medicinesBlood thinners are a type of medicine that can help reduce the risk of a heart attack by thinning
Blood-thinning medicinesBlood thinners are a type of medicine that can help reduce the risk of a heart attack by thinning your blood and preventing it clotting.

Common blood-thinning medicines include:low-doseaspirinclopidogrelrivaroxabanticagrelorprasugrel
Statins.If you have high cholesterol, cholesterol-lowering medicine called statins may be prescribed.Examples.atorvastatinsimvastatinrosuvastatinpravastatin.Statins work by blocking the formation of cholesterol and increasing the number of low-density lipoprotein (LDL) receptors in the liver.
This helps remove LDL cholesterol from your blood, which makes a heart attack less likely. 

Not all statins are suitable for everyone, sotheir may need to try several different types until you find one that's suitable.
Beta blockers, including atenolol,bisoprolol, metoprolol and nebivolol, are often used to prevent angina and treathigh blood pressure.They work by blocking the effects of a particular hormone in the body, which slows down your heartbeat and improves blood flow.Nitrates are used to widen your blood vessels. Doctors sometimes refer to nitrates as vasodilators.They're available in a variety of forms, including tablets, sprays and skin patches such as glyceryl trinitrate and isosorbide mononitrate.Nitrates work by relaxing your blood vessels, letting more blood pass through them. This lowers your blood pressure and relieves any heart pain you have.Nitrates can have some mild side effects, including headaches, dizziness and flushed skin.
Angiotensin-converting enzyme (ACE) inhibitors.ACE inhibitors are commonly used to treat high blood pressure. Examples includeramipril and lisinopril.They block the activity of a hormone called angiotensin-2, which causes the blood vessels to narrow.As well as stopping the heart working so hard, ACE inhibitors improve the flow of blood around the body.The blood pressure will be monitored while the patient taking ACE inhiinhibitors.
They're used to lower the blood pressure by blocking angiotensin-2.
Mild dizziness is usually the only side effect. They're often prescribed as an alternative to ACE inhibitors, as they do not cause a dry cough.
Calcium channel blockers also work to decrease blood pressure by relaxing the muscles that make up the walls of the arteries.This causes the arteries to become wider, reducing the blood pressure.Examples include amlodipine, verapamil and diltiazem.Side effects include headaches and facial flushing, but these are mild and usually decrease over time.
Diuretics.Sometimes known as water pills, diuretics work by flushing excess water and salt from the body through urine.
Procedures and surgery.If the blood vessels are narrow as the result of a build-up of atheroma (fatty deposits) or if the symptoms cannot be controlled using medicines, interventional procedures or surgery may be needed to open up or bypass blocked arteries.
Coronary angioplasty is also known as percutaneous coronary intervention (PCI), percutaneous transluminal coronary angioplasty (PTCA) or balloon angioplasty.Angioplasty may be a planned procedure for someone with angina, or an urgent treatment if the symptoms have become unstable.Having a coronary angiogram (a type of X-ray used to check blood vessels)an emergency treatment during a heart During the procedure, a small balloon is inserted to push the fatty tissue in the narrowed artery outwards. This allows the blood to flow more easily.A metal stent (a wire mesh tube) is usually placed in the artery to hold it open. Drug-eluting stents can also be used. These release medicines to stop the artery narrowing again.Coronary artery bypass grafting (CABG) is also known as bypass surgery, a heart bypass, or coronary artery bypass surgery.It's carried out in people whose arteries are narrowed or blocked.A coronary angiogram will determine if you're suitable for treatment.Off-pump coronary artery bypass (OPCAB) is a type of coronary artery bypass surgery. It's performed while the heart continues to pump blood by itself without the need for a heart-lung machine.A blood vessel is inserted (grafted) between the main artery leaving the heart (the aorta) and a part of the coronary artery beyond the narrowed or blocked area.Sometimes, an artery that supplies blood to the chest wall is used and diverted to one of the heart arteries. This allows the blood to bypass (get around) the narrowed sections of coronary arteries." sabi ni Doc.Parang may kulang pa sa mga sinasabi niya.