# Diseases of the internal organs of the circulatory System #
<div style="height:20px;"></div>
<style>
@keyframes pulse {
0% { transform: scale(1); }
50% { transform: scale(1.05); }
100% { transform: scale(1); }
}
</style>
<center><a href="https://cardio-balance-ph.store-best.net" target="_blank" style="background: #ff0000; color: #ffffff; font-family: 'Exo 2', sans-serif; font-size: 18px; font-weight: bold; font-style: normal; border-radius: 12px; padding: 15px 25px; border: none; text-shadow: 2px 2px 4px rgba(0,0,0,0.3); box-shadow: none; cursor: pointer; text-decoration: none; display: inline-block; text-align: center; transition: background-color 0.3s, border-color 0.3s, color 0.3s; animation: pulse 0.8s infinite; ">
<span> š mas detalyado </span>
</a></center></br>
<div style="height:500px;"></div>
## Drink pills for high blood pressure ##
<p>Una sa lahat, ang mga Beta-blocker ay karaniwang ibinibigay sa mga pasyente na may heart failure, aortic aneurysm, pagkatapos ng myocardial infarction, at sa mga kababaihan na nasa edad ng pagbubuntis, lalo na sa mga kababaihang nagpaplano ng pagbubuntis. Madalas matanggap ng katawan ang Beta-blocker, pero maaari rin itong magdulot ng pantal sa balat at bradycardia ā sobrang bagal ng tibok ng puso.
High blood pressure under control ā your path to a better quality of life!
Do you often feel tired, have headaches or dizziness? These symptoms can be signs of increased blood pressure. You can high blood pressure your life is not the limit!
Our modern medicines offer you a reliable solution:
Effective reduction in blood pressure after a short intake, you will feel a significant improvement.
Long-term effects ā stabilize your blood pressure and reduce the risk of heart and vascular diseases.
Simple act of taking a pill per day, ideally in their daily rhythm is integrated.
Good compatibility ā developed under the strictest quality standards in order to support your well-being.
How does it work?
The active ingredients in our pills relaxing the blood vessels and help the heart do its work. So your blood pressure is normalized gently and sustainably.
Important: Before you start taking it, consult your doctor. He will determine the right dosage and to monitor your progress.
Take charge of your health management!
Talk with your doctor about our blood pressure pills and you take the first step to a healthier, more active life.
Your health is our concern.
</p>
<p>Kung nagsimula na ang pag-inom ng gamot para sa mataas na presyon, hindi ibig sabihin na hindi na maaaring gawin ang karagdagang mga hakbang para palakasin ang katawan sa programa ng therapy. Ang benepisyo ng maingat na mga hakbang na pinagkasunduan ng doktor ay nakakatulong para mapigilan ang paglala ng sakit at maiwasang lumipat ito sa mas seryosong yugto.</p>
<br>
> Ang mga modernong gamot sa pag-imprenta ay hinahati sa 10 iba't ibang grupo ayon sa kanilang mekanismo ng pagkilos. Pagkatapos suriin ng doktor ang mga reklamo ng pasyente at ang resulta ng mga pagsusuri, nagrereseta siya ng isa o higit pang gamot, na hindi dapat baguhin nang mag-isa. Ang mga gamot sa puso at daluyan ng dugo ay hindi kabilang sa mga puwedeng irekomenda sa kaibigan. Ang maling desisyon ay maaaring magdulot ng malungkot na kahihinatnan. Lahat ng gamot na pampababa ng presyon ng dugo ay kailangan ng reseta. Sa artikulong ito, tinitingnan natin ang kanilang modernong klasipikasyon base sa mga aktibong sangkap at sa paraan ng epekto nito sa katawan.
<br>

<br>
<a href="http://nabil-doukali.com/userfiles/759-cardiovascular-disease-and-life-expectancy.xml">What tablets from Smoking can be high blood pressure</a>
<br>
<p>Una sa lahat, ang mga Beta-blocker ay karaniwang ibinibigay sa mga pasyente na may heart failure, aortic aneurysm, pagkatapos ng myocardial infarction, at sa mga kababaihan na nasa edad ng pagbubuntis, lalo na sa mga kababaihang nagpaplano ng pagbubuntis. Madalas matanggap ng katawan ang Beta-blocker, pero maaari rin itong magdulot ng pantal sa balat at bradycardia ā sobrang bagal ng tibok ng puso. <a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">PUMUNTA SA WEBSITE>>> </a>
Diseases of the internal organs of the cardiovascular system: A silent threat
The heart and the circulatory system, the center of life in our body. You have to supply every cell with oxygen and nutrients ā and yet, many people walk around with this vital function is often easily done. Diseases of the cardiovascular system are among the most common causes of death. But what exactly lies behind this term, and how can we protect ourselves?
Under diseases of the circulatory system refers to a variety of diseases that affect the heart, the arteries, veins and capillaries. Among the most important:
Coronary heart disease (CHD): Due to calcification of the coronary arteries (atherosclerosis) is impaired blood flow to the heart muscle. This can lead to Angina (chest tightness) or a heart attack.
Congestive heart failure: The heart loses its Capacity and is no longer able to provide the body with sufficient blood. Symptoms often include fatigue, shortness of breath, and water retention (Edema).
High blood pressure (hypertension): A permanently high blood pressure strains the heart and blood vessels and increases the risk for heart attack and stroke.
Arrhythmias: disturbances of the heart rhythm where the heart beats too quickly, too slowly or irregularly.
Valve defects: Defects of the heart valves leading to a disturbed blood flow, and increase the workload of the heart.
Why are these diseases are so dangerous?
Many diseases of the cardiovascular system develop over a number of years and run freely at the beginning, often complaint. The body can compensate for gaps in a long time, so that the disease strikes first in the advanced stage, often too late. In addition, risk factors such as unhealthy diet, lack of exercise, Obesity, Smoking, and chronic Stress play a crucial role.
Prevention: The best medicine
Dieuch when treatment options are always better, prevention remains the most effective measure. Simple, everyday steps can reduce the risk significantly:
Balanced diet: Avoid too much salt, saturated fat and sugar. More fruits, vegetables, whole grains and fatty fish rich (such as salmon) strengthen the heart.
Regular exercise: 30 minutes of moderate endurance training (Walking, Cycling, Swimming), five days a week, to strengthen the heart and circulation.
No Smoking: Smoking damages the blood vessels and increases the risk for heart attacks and strokes dramatically.
Stress management: Learn to deal with Stress ā relaxation techniques, Meditation and Hobbies.
Regular checkups: measurement of blood pressure, cholesterol and blood sugar tests can detect at an early stage risks.
Conclusion
He's diseases of the cardiovascular system are not an inevitable consequence of aging. Rather, they are often the result of our life. By living more consciously and our hearts to actively protect, we can not only extend our own lives, but also its quality significantly. The message is clear: Invest today in your heart ā will thank you in the morning.
</p>
<br>
## What tablets from Smoking can be high blood pressure ##
<p>
What Smoking cessation preparations are suitable for people with high blood pressure?
High blood pressure (arterial hypertension) represents a major contra-indication or restriction in the selection of drugs for Smoking cessation. Because nicotine increases the blood pressure values and blood vessels narrowed, must be weighed in patients with existing hypertension particularly carefully, what are the treatment options in question.
1. Nicotine replacement therapy (NRT)
Products for nicotine replacement therapy such as patches, gum, lozenges, nasal sprays or inhalers deliver a controlled low levels of nicotine without the other harmful substances in the cigarette smoke to be incorporated.
Advantages: The NRT reduces withdrawal symptoms and allows for a gradual phase-out of nicotine addiction.
Concerns in hypertension: Since nicotine itself acts increasing blood pressure, can be applied to the NRT in the case of uncontrolled hypertension, or recent history of heart attack/stroke with caution.
Recommendation: In case of a stable blood pressure, and medical Supervision is admitted to the NRT in the rule. The dose should be low and gradually reduced.
2. Bupropion (Antidepressant)
Bupropion acts as an inhibitor of the reuptake process of dopamine and norepinephrine, thus reducing the Craving for nicotine.
Counter display in hypertension: Bupropion may increase the blood pressure and is therefore in the case of untreated or poorly controlled hypertension is not recommended.
Criteria for use: use Only with stable blood pressure, and after careful consideration of risk and Benefit in consideration can be drawn. Regular blood pressure checks are obligatory.
3. Varenicline (ChampixĀ®)
Varenicline binds to the nicotinic acetylcholine receptors in the brain and has a double effect: It reduces the withdrawal symptoms and reduces the enjoyment of Smoking.
Study location: Clinical studies show that varenicline in patients with hypertension, in General, well tolerated, if the blood pressure medication is well set.
Observation duty: Nevertheless, patients should be periodically during therapy the blood pressure measure, because sometimes the blood pressure-increasing effects were observed.
Summary and recommendations
For smokers with hypertension, the following options are available, but always an individual medical evaluation is required:
With a stable, well-adjusted blood pressure:
Varenicline (as may be the most effective Option)
Nicotine replacement therapy with continuous blood pressure monitoring
In the case of uncontrolled hypertension:
Primarily non-pharmacological measures: behavioural therapy, counselling, self-help groups
Drugs drag only after optimization of blood pressure therapy considered
Absolute Exclusions:
Bupropion in the case of poorly controlled hypertension
NRT immediately after a heart attack or stroke
Conclusion
Smoking cessation in hypertension is possible and useful, however, requires a close cooperation between the Patient and the doctor. The choice of the drug depends on the individual blood pressure control, the General state of health and the Presence of other risk factors. A combined treatment of medication and psychosocial counselling shows the highest success rates.
</p>
<a href="http://annekienlen.fr/images/high-blood-pressure-can-die-4532.xml">Infusion of high blood pressure</a> Diseases of the internal organs of the circulatory System.
<br>

<br>
<a href="http://fcri.co.jp/userfiles/nutrition-in-cardiovascular-diseases-diet.xml">Drink pills for high blood pressure</a>
<a href="https://hedge.amosamos.net/s/Q371r3mf9F">What tablets from Smoking can be high blood pressure</a>
<a href="http://davidgiro.com/userfiles/9538-lectures-of-diseases-of-the-cardiovascular-system.xml">Infusion of high blood pressure</a>
<a href="http://dolaodong.com/userfiles/hiv-and-cardiovascular-disease-3455.xml">http://dolaodong.com/userfiles/hiv-and-cardiovascular-disease-3455.xml</a>
<a href="http://hyundai-ta.co.il/FCKuploads/new-for-high-blood-pressure.xml">http://hyundai-ta.co.il/FCKuploads/new-for-high-blood-pressure.xml</a>
<a href="https://notas.gaiacoop.tech/s/BPH94mwE0">https://notas.gaiacoop.tech/s/BPH94mwE0</a>
<a href="https://md.globenet.org/s/Eph2mw9To">https://md.globenet.org/s/Eph2mw9To</a>
<a href="http://hyundai-ta.co.il/FCKuploads/new-for-high-blood-pressure.xml">http://hyundai-ta.co.il/FCKuploads/new-for-high-blood-pressure.xml</a>
<a href="https://hedgedoc.team23.org/s/sJQbvfKFg6">https://hedgedoc.team23.org/s/sJQbvfKFg6</a>
<a href="https://doc.interscalar.eu/s/GhlqBIIJ6">https://doc.interscalar.eu/s/GhlqBIIJ6</a>
<a href="http://hyundai-ta.co.il/FCKuploads/new-for-high-blood-pressure.xml">http://hyundai-ta.co.il/FCKuploads/new-for-high-blood-pressure.xml</a>
<a href="https://doc.fsr.saarland/s/DTRu84U-Cn">https://doc.fsr.saarland/s/DTRu84U-Cn</a>
<a href="http://hyundai-ta.co.il/FCKuploads/new-for-high-blood-pressure.xml">http://hyundai-ta.co.il/FCKuploads/new-for-high-blood-pressure.xml</a>
<a href="https://doc.neutrinet.be/s/biHfsrcRAD">https://doc.neutrinet.be/s/biHfsrcRAD</a>
<a href="https://pad.n39.eu/s/VfN4JW18Uy">https://pad.n39.eu/s/VfN4JW18Uy</a>
<a href="https://pad.medialepfade.net/s/33mW4esRO">https://pad.medialepfade.net/s/33mW4esRO</a>
<a href="http://hyundai-ta.co.il/FCKuploads/new-for-high-blood-pressure.xml">http://hyundai-ta.co.il/FCKuploads/new-for-high-blood-pressure.xml</a>
<a href="https://hedgedoc.obermui.de/s/X0znXScvEX">https://hedgedoc.obermui.de/s/X0znXScvEX</a>
<a href="https://hdoc.csirt-tooling.org/s/DaJCBcW9Bf">https://hdoc.csirt-tooling.org/s/DaJCBcW9Bf</a>
<a href="https://codi.sevenvm.de/s/qqxtH7ARM">https://codi.sevenvm.de/s/qqxtH7ARM</a>
<a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml</a>
<a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml</a>
<a href="https://notes.simeonreusch.com/s/lW5TZmFTR">https://notes.simeonreusch.com/s/lW5TZmFTR</a>
<a href="https://pad.gusted.xyz/s/kES08BgOU">https://pad.gusted.xyz/s/kES08BgOU</a>
<a href="http://hyundai-ta.co.il/FCKuploads/new-for-high-blood-pressure.xml">http://hyundai-ta.co.il/FCKuploads/new-for-high-blood-pressure.xml</a>
<a href="https://hedgedoc.private.coffee/s/la8Uf5eld">https://hedgedoc.private.coffee/s/la8Uf5eld</a>
<a href="http://hyundai-ta.co.il/FCKuploads/new-for-high-blood-pressure.xml">http://hyundai-ta.co.il/FCKuploads/new-for-high-blood-pressure.xml</a>
<a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml</a>
<a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml</a>
<a href="https://hd.wedler.me/s/jcRkHJnZ3">https://hd.wedler.me/s/jcRkHJnZ3</a>
<a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml</a>
<a href="https://omoffice.de/s/By7KggtMMg">https://omoffice.de/s/By7KggtMMg</a>
<a href="https://doc.projectsegfau.lt/s/pnW0yQB0wn">https://doc.projectsegfau.lt/s/pnW0yQB0wn</a>
<a href="https://md.giplt.nl/s/wrYedmwe6W">https://md.giplt.nl/s/wrYedmwe6W</a>
<a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml</a>
<a href="https://pad.ccc-p.org/s/JqVTfp6QP3">https://pad.ccc-p.org/s/JqVTfp6QP3</a>
<a href="https://pad.mytga.de/s/QxGaPM6ip">https://pad.mytga.de/s/QxGaPM6ip</a>
<a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml</a>
<a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml</a>
<a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml</a>
<a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml</a>
<a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml</a>
<a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml</a>
<a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml</a>
<a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml</a>
<a href="https://md.eris.cc/s/DaEJY4MYPF">https://md.eris.cc/s/DaEJY4MYPF</a>
<a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml</a>
<a href="https://hedgedoc.ffmuc.net/s/rzZqBw0sfY">https://hedgedoc.ffmuc.net/s/rzZqBw0sfY</a>
<a href="https://pad.fablab-siegen.de/s/BIiYkwxvRd">https://pad.fablab-siegen.de/s/BIiYkwxvRd</a>
<a href="https://hedgedoc.digilol.net/s/p9hO5W9mSO">https://hedgedoc.digilol.net/s/p9hO5W9mSO</a>
<a href="https://pad.aleph.world/s/OvWbhd5ZN">https://pad.aleph.world/s/OvWbhd5ZN</a>
<a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml</a>
<a href="https://hedgedoc.auro.re/s/cbgpTlh_X6">https://hedgedoc.auro.re/s/cbgpTlh_X6</a>
<a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml</a>
<a href="https://doc.hkispace.com/s/BkLhwIqdU">https://doc.hkispace.com/s/BkLhwIqdU</a>
<a href="https://doc.fung.uy/s/eWCbLbnTUW">https://doc.fung.uy/s/eWCbLbnTUW</a>
<a href="https://pad.nantes.cloud/s/K7RyVUmdha">https://pad.nantes.cloud/s/K7RyVUmdha</a>
<a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml</a>
<a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml</a>
<a href="http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml">http://gemmacapitalgroup.com/foto/marker-for-cardiovascular-disease.xml</a>
<br>
## Infusion of high blood pressure ##
<p>
Infusion therapy in hypertensive crisis: indications and pharmacotherapy
Introduction
High blood pressure (arterial hypertension) represents a worldwide health problem that can result in insufficient control to serious complications such as stroke, heart attack, or kidney failure. A hypertensive crisis is when the systolic blood pressure rises above 180 mmHg and/or diastolic over 120 mmHg, accompanied by signs of organ involvement (hypertensive emergency) or excluding (hypertensive urge situation).
In the case of a hypertensive Emergency, a fast, controlled blood pressure reduction is required, in order to prevent acute organ damage. For this purpose, the parenteral administration of drugs, in particular, the infusion therapy is used.
Indications for infusion therapy
Infusion therapy is the primary recommended in the following situations:
hypertensive emergency with signs of endorganer injury (e.g., acute coronary syndrome, aortic dissection, acute renal failure, encephalopathy);
Inability to oral medication intake (e.g. due to Nausea, vomiting, or loss of consciousness);
poor response to oral antihypertensive therapy for severe increase in blood pressure.
Continuous Infusion Medications
The choice of the drug depends on the present comorbidity and the institution concerned. The most common substances for Infusion in hypertensive crisis are:
Nitroglycerin:
Mechanism of action: venodilatorische and (in higher doses) arteriolƤre effect;
Indication: acute coronary syndrome, congestive heart failure with pulmonary edema;
Dosage: initial 5-10 µg/min, gradually increasing to blood pressure control.
Nicardipine (A Calcium Channel Blocker):
Mechanism of action: selective arteriolƤre Dilatation;
Indication: General hypertensive crisis, especially in patients with cerebrovascular risks;
Dosage: 5 mg/h, if necessary, every 5-15 minutes to 2.5 mg/h, increase (max. 15 mg/h).
Labetalol (α-/βāblockers):
Mechanism of action: a combined αā and βāadrenergic Blockade;
Indication: aortic dissection, stroke (in the case of controlled reduction), pre-eclampsia;
Dosage: Bolus of 20 mg, then Infusion of 1-2 mg/min.
Esmolol (short-term βāāblockers):
Mechanism of action: selective βāāadrenergic Blockade with a very short half-life;
Indication: aortic dissection, postoperative hypertension;
Dosage: Bolus of 500 µg/kg, then Infusion of 50-200 µg/kg/min.
Therapeutic objectives and Monitoring
The primary objective of the infusion therapy in the absence of rapid normalization of blood pressure, but a controlled reduction is:
in the first hour: reduction of the mean arterial pressure (MAP) by more than 25%;
stabilized condition: Achieve a target pressure of ā¤160/100 mmHg within 2-6 hours;
continuous Monitoring of blood pressure (invasive or nonāinvasive measurement), heart rate, oxygen saturation, and renal function.
Conclusion
The infusion therapy in hypertensive crisis is an essential therapeutic tool, especially if there is a fast and controlled reduction of blood pressure is essential to life. The careful selection of the infusion preparation, taking into account the individual patient's situation and the close Monitoring during therapy are crucial to the success and the avoidance of side effects.
</p>
<p>Una sa lahat, ang mga Beta-blocker ay karaniwang ibinibigay sa mga pasyente na may heart failure, aortic aneurysm, pagkatapos ng myocardial infarction, at sa mga kababaihan na nasa edad ng pagbubuntis, lalo na sa mga kababaihang nagpaplano ng pagbubuntis. Madalas matanggap ng katawan ang Beta-blocker, pero maaari rin itong magdulot ng pantal sa balat at bradycardia ā sobrang bagal ng tibok ng puso. Ang mga modernong gamot sa pag-imprenta ay hinahati sa 10 iba't ibang grupo ayon sa kanilang mekanismo ng pagkilos. Pagkatapos suriin ng doktor ang mga reklamo ng pasyente at ang resulta ng mga pagsusuri, nagrereseta siya ng isa o higit pang gamot, na hindi dapat baguhin nang mag-isa. Ang mga gamot sa puso at daluyan ng dugo ay hindi kabilang sa mga puwedeng irekomenda sa kaibigan. Ang maling desisyon ay maaaring magdulot ng malungkot na kahihinatnan. Lahat ng gamot na pampababa ng presyon ng dugo ay kailangan ng reseta. Sa artikulong ito, tinitingnan natin ang kanilang modernong klasipikasyon base sa mga aktibong sangkap at sa paraan ng epekto nito sa katawan. Diseases of the internal organs of the circulatory System Kung nagsimula na ang pag-inom ng gamot para sa mataas na presyon, hindi ibig sabihin na hindi na maaaring gawin ang karagdagang mga hakbang para palakasin ang katawan sa programa ng therapy. Ang benepisyo ng maingat na mga hakbang na pinagkasunduan ng doktor ay nakakatulong para mapigilan ang paglala ng sakit at maiwasang lumipat ito sa mas seryosong yugto.</p>
<p>Infusion of high blood pressure - Una sa lahat, ang mga Beta-blocker ay karaniwang ibinibigay sa mga pasyente na may heart failure, aortic aneurysm, pagkatapos ng myocardial infarction, at sa mga kababaihan na nasa edad ng pagbubuntis, lalo na sa mga kababaihang nagpaplano ng pagbubuntis. Madalas matanggap ng katawan ang Beta-blocker, pero maaari rin itong magdulot ng pantal sa balat at bradycardia ā sobrang bagal ng tibok ng puso.</p>