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Do you know what to do during a cardiac emergency?
Let’s talk about CPR, heart health, and lifesaving response LIVE.
Dr. Mariel Mitz Mopon and Dr. Crystal Hope Guanzon join Beyond the Headlines to share expert insights on emergency response, resuscitation, and the importance of CPR awareness.
Ask your questions in real time 👇
Let’s talk about CPR, heart health, and lifesaving response LIVE.
Dr. Mariel Mitz Mopon and Dr. Crystal Hope Guanzon join Beyond the Headlines to share expert insights on emergency response, resuscitation, and the importance of CPR awareness.
Ask your questions in real time 👇
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NewsTranscript
00:43Good afternoon. Welcome to Beyond the Headlines. I'm DJ Moises.
00:48Over the past days, many Cebuanos were saddened by the sudden passing of two well-known personalities, both reportedly linked
00:56to heart-related conditions.
00:58Heart disease remains one of the leading causes of death, not only in the Philippines, but around the world.
01:06This afternoon, we go beyond the headlines and into the reality surrounding heart health.
01:12Joining us today are two respected cardiologists who will help shed light on these important conversations.
01:18We have Dr. Crystal Hope Guenzon, and we have Dr. Mariel Metz Moton.
01:25So, how? Good afternoon, Dr. Tal and Dr. Metz, and welcome to Beyond the Headlines.
01:32Good afternoon.
01:34Thank you for having us here.
01:35And we are also just as grateful to have you here.
01:40So, now, as mentioned in the intro, recently, there were shocking news about two personalities, and the cause of their
01:51death is said to be associated with heart conditions.
01:56So, the common question that we normally have, ordinary human beings like me is, is heart attack or cardiac cases,
02:09are they more rampant now?
02:12Or is it only because they're social media and people are now more aware of what happened to who?
02:20I think it's both because now there are a lot of new technologies, better diagnostics that can detect heart diseases.
02:29And also, there have been a lot of influencers, even medical influencers that have been sharing awareness and how to
02:40detect cardiovascular diseases.
02:42So, I think it's both.
02:44It's both.
02:44I agree, even the medical communities, they are pushing towards letting everybody know what heart attack is.
02:51That's why there's an increase in knowing what it is.
02:57So, could have been due to that also.
03:01But I think also one factor is there's an increasing incidence and the risk factors among the people, not only
03:10here in Cebu, but worldwide.
03:11Like, for example, the unhealthy lifestyle, the sedentary lifestyle, the diet, and then also the silent risk factors such as
03:23the sex.
03:25The sex males are more prone to developing cardiovascular diseases.
03:28And they also have other development of other comorbidities such as hypertension, diabetes, high cholesterol levels.
03:36So, both of you may have already mentioned a part of this, but why do heart attacks seem to happen,
03:44at least from a lay person like me, to a person who looks active and healthy?
03:51Okay, it's a common misconception, for a heart condition, but there are people who are physically active, so they're into
04:01sports, and then they seem to appear healthy.
04:05But why are they also still prone with cardiovascular diseases?
04:11So, the keynote there is that they seem to appear that they're healthy, they seem to appear that they're fine,
04:17but then they're not.
04:18Not unless we do the tests, because the risk factors for having a coronary artery disease or heart attack later
04:27on, these conditions don't usually have the symptoms.
04:32Say, for example, if you're hypertensive, not all people will have symptoms relating to hypertension, but not unless you measure
04:42the pressure, that's when you know.
04:45Dislipidemia or the elevated cholesterol levels, which is one of the risk factors also for heart attack, they don't have
04:52the necessary symptoms that the patient will feel.
04:55And then, they'll just suddenly collapse without them knowing that they already have the condition they are.
05:04So, yeah, I think that's one of the reasons why people who seem to be really active and healthy, they
05:11would still, some would still have the heart attack.
05:16Because looking healthy does not equate with being cardiovascularly healthy.
05:23Now, you can agree or disagree, because maybe this is fake news, but some studies also show that around 20
05:33% of heart attack occur in adults younger than 40.
05:39And when I read this, it looks new to me, because I am part of those who would associate heart
05:48conditions for people already in their 60s and 70s.
05:53Now, is this true or false?
05:57Yeah, studies have shown that the age of developing cardiovascular diseases have been decreasing.
06:04So, it occurs in the young already.
06:07It's mostly because of unchecked risk factors.
06:10Most of the time, the younger generation would just say that they don't have risk factors, they don't have symptoms,
06:17so they won't have checkups.
06:18Which, in fact, especially if they have unhealthy lifestyle, they will develop those silent type of comorbidities like hypertension, diabetes.
06:30And maybe once the symptoms would occur, and then maybe it's too late already.
06:36It might also be because of the exposure that we have right now, the food that we eat.
06:40I mean, there's a lot of very good food, which is, well, not really good for our hearts, no?
06:47We have access to that.
06:49And, well, smoking, vaping, it's still there, even if it's regulated.
06:54So, yeah, I would say it's true that more people in the younger age groups experience heart attack, acute coronary
07:04syndrome, and that.
07:05How much of it ba is, because of genes, if it's not data, you can make your estimate, no?
07:15How much is it influenced by genes, no?
07:19Or let's say hereditary condition, no?
07:22That's the term that you use.
07:23And how much of it is because of lifestyle, GID?
07:29I think we don't have the data right now, no?
07:31Because sometimes the patient would present with multifactorial risks.
07:36So, there can be genetics involved.
07:38At the same time, this person has already been exposed to the other risk factors, no?
07:46So, maybe let's just say roughly around 20% could be due to genetics, no?
07:54Heredofamilial diseases, no?
07:56And then the rest for the other factors.
07:58I think if you do have risk factors, then especially if you have an unhealthy lifestyle,
08:06you have the highest risk for developing cardiovascular diseases.
08:09But if you have high risk factors, for example, genetic predisposition for developing those cardiovascular diseases,
08:18but if you maintain a healthy lifestyle, then your risk will lower.
08:22Agreed.
08:23So, what are the usual warning signs, at least from your observation, and even those around you?
08:29What's the usual warning signal that's commonly ignored by people until it's too late?
08:41Okay.
08:42Well, when we talk about the usual symptom for heart attack, it's still chest pain.
08:49No, but sometimes, you know, being in a very active environment, sometimes we just, you know, disregard it because we
09:01feel that it's just a muscular pain.
09:03Yeah?
09:04And then sometimes there will be shortness of breath, but then we won't really act on it that much because
09:12people would say,
09:13maybe it's normal, maybe it's aging, maybe it's just the weight gain, something like that.
09:21But still, chest pain remains the number one symptom for heart attack.
09:26But then we'd like to clarify on that because not all patients having heart attack will experience chest pain.
09:32Yeah.
09:33And the shortness of breath, atypical symptoms.
09:40So, like women, those who are diabetics, the elderly, they may have atypical symptoms, meaning their symptoms might not be
09:47the usual ones.
09:48They can have epigastric pain.
09:50It may have pain in the throat.
09:52They can experience that.
09:53Or even shortness of breath.
09:55Or even body malaise.
09:57Prolonged fatigue.
09:58They can have that.
09:59Most common would be, as Dr. Maupon said, would be chest pain.
10:03It can be squeezing, a type of pain, or pressure in the chest.
10:09It can radiate to the left or right upper extremities, the upper hand.
10:14Or it can even radiate to the jaw, neck, jaw, or even at the back.
10:21And then it might also be associated with diaphoresis.
10:24It may be stinted.
10:25It may be stinted.
10:26So, with these symptoms, you should not disregard it.
10:30If you do have these symptoms, if it's been there for about 20 to 30 minutes, it hasn't resolved even
10:37with rest, then you should seek consultation.
10:42Well, to also recognize those in the elderly population, maybe they would experience loss of consciousness, collapse.
10:52That can also be one of the typical symptoms for heart attack.
10:56And by the way, although I also had my own episode, but what you just told me is something new
11:04to me.
11:04People don't necessarily feel shortness of breath or pain, which is not the usual dramatic route that's often associated.
11:14It can be that they just appear like they're resting, and then that's it.
11:21Now, are there indicators also that would present already, even, I'm just hoping against hope, even weeks or days prior
11:34to the attack?
11:37Because they would always say it's a silent killer, right?
11:40But I'm just hoping that the killer would at least give a warning.
11:44Warning signs.
11:48It actually depends on the mechanism.
11:50If you already have a coronary artery disease prior on, you might experience chest pain, shortness of breath, fatigue months
12:01or years before that, before the attack.
12:03But then, if acute coronary syndrome is really, really sudden, so sometimes, yeah, it would depend on the underlying factor.
12:14Many patients who survived heart attack say they've been having warning episodes.
12:21Sometimes they just attribute it as reflux, heartburn, or prolonged fatigue, and then they just disregard it.
12:31But most of the time, they have symptoms, which has been going on and off for weeks, and then with
12:37increasing severity and frequency.
12:40And by the way, I'm guilty of this.
12:42No.
12:42Because I've read this in one of the spam emails when I was younger.
12:47When you feel something, you just do a dry cough.
12:52Oh.
12:53And that's already a remedy.
12:55Is that true or not?
12:58I don't think about that.
13:00Okay, so don't worry about urban legend.
13:02Because I'm guilty of that.
13:04Because when I also had the episode, it was like, oh.
13:06You were hooking me.
13:07Because I read it somewhere.
13:09So, fake news to Shana.
13:10Okay, now the other one is, at what particular age, most companies, they already have their annual physical checks.
13:18But at what particular age do you think people should begin to take heart health more seriously?
13:28And sometimes I say, I don't know if it's an age.
13:30Okay, we were told that the plaques were already forming even on our early ages.
13:41Even those very young mga, siguro five-year-olds, if they can already have their lifestyle modifications, that would be
13:52very helpful.
13:53Because we really don't know how much the increase in the plaque burden there will be.
13:59So, it's good, actually, that most of the companies now, I think, they will screen their employees.
14:06They will do ECGs at age 30 and above.
14:11But then we have this new guideline coming in, the 2026 dyslipidemia guidelines, telling us that as early as 19
14:19years old,
14:19you should have yourself checked for dyslipidemia, cholesterol checks, and sugar levels.
14:28So, the earlier we act on it, the better.
14:32And now we have more and more people also who work in non-traditional hours.
14:40Like, they work on night shifts.
14:42What's the impact also?
14:46Because I read somewhere that sleep and rest is also a factor.
14:50But what about those who may have, theoretically, they have adequate sleep, like six hours, seven hours, eight hours,
14:57but they sleep during the day instead of sleeping during the night.
15:02Will that also be a factor?
15:05Night shift workers, they have a significantly elevated cardiac risk because there is a disruption in their circadian rhythm.
15:15So, it disrupts the glucose metabolism.
15:18It increases risk for hypertension, diabetes, and arrhythmias.
15:21So, for these people, they also have an increased risk for having chronic inflammation.
15:29So, these people should have more workup done, especially if they have underlying conditions, they have other risk factors, they
15:37have vices.
15:40Smoking, most of the time, if they're stressed out, they smoke, they drink to cope up with the stress.
15:45So, another risk factor is that they have.
15:47So, these people should undergo a complete workup.
15:52Yeah, I would like to also point out that some of these workers, because of the change in the shift,
15:59they tend to drink a lot of caffeine.
16:03But then, black coffee is okay, but then they use the three-in-one, which has cream and then the
16:10sugar also.
16:11So, making them more at risk for having diabetes, dyslipidemia.
16:15So, yeah, they are very at risk, not just because of the circadian rhythm dysregulation, but then because of the
16:24activity and the lifestyle that comes with it.
16:27My doctor told me about a certain window, but it applies more to stroke.
16:35How about for heart attack, for the lack of a more popular mainstream term,
16:44Is there such a thing as a crucial minute that has to be addressed immediately?
16:51Otherwise, it can be fatal outside that window.
16:56Okay.
16:57So, actually, heart attack is just like having a stroke.
17:00It's just a different blood supply that's been affected.
17:05So, in heart attack, supposedly, once there is chest pain, you should have gone to the emergency room first,
17:11and then the ECG should have been taken for within 10 minutes.
17:16So, we would know what to do if we activate the cath lab or not, and we will be able
17:22to give you the medications.
17:24Time is muscle.
17:25That's what we usually say when there's an acute coronary syndrome.
17:30And then, there's a certain period where we can do revascularization through certain medications,
17:36or if we subject the patient to an angiogram and a PCI,
17:44so we can do fibrinolysis for those institutions that are not PCI capable or could not do angioplasty.
17:53If the event was around four hours, or earlier, we could do it earlier.
18:03The earlier, the better, because the longer that the heart could not be oxygenated well,
18:09then the larger the damage.
18:11So, I think that's the crucial period.
18:13But then again, we wouldn't really know until after how many days what can the effect be.
18:20So, there can be an irregular rhythm, there can be pump failure, especially if the management is not adequate.
18:29That's why we advise patients, if you have chest pain, you have to go to the hospital right away,
18:35especially if it's been there for 20 or 30 minutes, because you might be having heart attack,
18:41and then time is muscle.
18:43So, every second you delay would mean that you would have permanent damage to the heart.
18:48So, there is a golden period, at least within 90 minutes from the time of onset or first medical contact.
18:57So, it should be, as much as possible, you should go to the ER right away.
19:01So, what about for the people around, and then somebody would already verbalize it,
19:07that I think I'm having a condition.
19:10So, what would be the first things also that they need to be equipped for them to react accordingly?
19:19I think they should be educated that having these conditions might actually be a heart attack.
19:28Sometimes, the people around would just tell you, oh, it's nothing, it's just panuhot or something.
19:36So, maybe the idea that it might not be that could push the patient to go to the emergency room
19:44directly.
19:45So, is there any barriers there?
19:48Of course, in the ideal setting, there should have been an ECG, an electrocardiogram, to check the rhythm of the
19:56heart,
19:56and to check what kind of heart attack it is.
19:59Is it an ST elevation MI or a non-ST elevation MI?
20:06Cardiac biomarkers should be in place.
20:07This is in the hospital setting, Nagir.
20:09So, yeah, and then, of course, other ancillary laboratories, that should be.
20:18For a normal, because I mentioned to Dr. Tal earlier, that many years ago, in one of the companies that
20:26I was working with,
20:28so, somebody had an overtime on a Sunday, and then, nag-harta ta.
20:33But at that time, people thought that he wasn't just kidding.
20:36And then, eventually, by the time they found out that it was for real, he was not kidding, all they
20:42did was just this.
20:44And so, it resulted to dead on arrival.
20:48The first thing that you should do if someone collapses would be to assess them.
20:53Because you have to assess if they're still breathing, if they're still opposed.
20:58So, if there's movement, there's breathing, then you can just stay beside the patient, wait for the emergency medical services
21:06to arrive,
21:07and then transport the patient so that we can do a workup on why he collapsed.
21:11But if there is no more pulse, no breathing, then you should start CPR.
21:16Because this CPR is very important to help save lives.
21:22Yeah, I think this is where basic life support comes in.
21:26There's actually an advocacy ongoing that as much people would have to know what basic life support is
21:34so that they can assess whenever there's a patient that is, I mean, there's a layperson even that's unconscious.
21:41They would know what to do.
21:43So, yeah, hopefully everyone takes part of it, basic life support.
21:48Actually, there is one of our advocacies is to teach at least one member in each household how to do
21:57CPR.
21:57Because cardiac arrest can happen anywhere, anytime.
22:01So, it can happen to your family member.
22:03And then there's no first responder there.
22:06So, you can't always expect that there will be emergency medical services nearby.
22:12So, the best thing that you can do is to learn CPR.
22:15So, if you need to use this life-saving technique, then you will be able to help save your family
22:22members.
22:23And, yeah, because that's also the part that I'm interested in about.
22:29That's why we're also having this conversation.
22:30Because I also found out that both of you are engaged in terms of educating and training people on basic
22:41life support in the barangay level.
22:44Well, how is it progressing so far?
22:46Actually, the support is overwhelming.
22:51The response is overwhelming.
22:53This barangay CPR campaign, our first thought would be to tap into a barangay.
23:02And then we found out that Barangay Santo Nino, which is our pilot, our first barangay, it's very active with
23:11this.
23:12Their barangay captain, Barangay Captain Lourdes Ramirez, very active.
23:17And we also found out that they recently purchased an automated external defibrillator, which is very good because it's available
23:25within their barangay.
23:26Anyone who needs that, they know it's just in the ground floor of their barangay hall.
23:31And how about, was this already implemented also in other barangays just yet?
23:40Or which is the upcoming barangays also that you wish to do the same?
23:45Okay.
23:46Beyond the recent advocacy, the Philippine Heart Association every year launches a National CPR Day.
23:59So, what we do here in Cebu is that we choose an area and then not just one barangay, but
24:06a city.
24:08And then we tap into the LGUs.
24:12We partner with them so that they can also invite the barangay health workers and the like.
24:21So, after that, there will be a session on how to do CPR.
24:27We will educate them what are the necessary things needed, like the AED and the other things needed for you
24:35to have a successful CPR.
24:37And it's, again, it's very overwhelming because most of these people, they didn't know that there should be, I mean,
24:45CPR is life-saving.
24:48And they don't know how to do it.
24:50So, I think it furthered the reach of the CPR campaign because we will be roaming around.
24:58And then for the next years to come, there will be more areas that we can cover, no?
25:04And also, there are barangays there.
25:05So, yeah, I think it's a very good implementation so far.
25:11Actually, we recently met with Mayor Nester Archival last April 29, together with Dr. Reposar, who's the medical director in
25:22CCMC, and barangay Captain Lourdes Ramirez.
25:25We talked to them about implementing CPR in the different barangays.
25:31Also, Mayor Archival suggested that we do this in the 80 barangays within Cebu City.
25:39And hopefully, by the year 2027, each barangay will be CPR capable.
25:44So, for the past few years, the Philippine Heart Association has been doing this.
25:48In 2024, we did it in Lapu-Lapu.
25:52And then last year, we had it in Mandawi City, in Mandani Bay.
25:56And then next year, this year, we don't know yet.
26:00But hopefully, we'll be able to teach a lot of people how to do CPR.
26:05I'm glad, actually, that at least there's already progress with respect to CPR and basic life support in the barangay
26:15level.
26:16I remember when I also had my own training like this.
26:22And then I knew the trainer said,
26:27That's the correct one.
26:31But anyhow, now at least it's getting to be more institutionalized.
26:35What about in schools?
26:37Now, do you also have programs?
26:40Yes, actually, we follow the RA-10871, which is the Basic Life Support Schools Act.
26:50So, this one, this would promote CPR in both public and private schools.
26:56So, last year, we had CPR training in Ateneo.
27:00They are very receptive.
27:02They have also booked with us for this year in August.
27:08And at least in Ateneo, they're very supportive of our advocacy.
27:14And then they also have their own AED devices within their school.
27:19So, hopefully, we're trying to reach out to the different schools within Cebu City.
27:24We're still awaiting the response.
27:26But hopefully, in the next few years, all Cebuanos, especially the kids, will learn how to do CPR.
27:34Also, the teachers.
27:35We invite the teachers to learn how to do CPR.
27:40Because there have been instances where the students just collapsed and then they don't know what to do.
27:50So, maybe with them being trained on how to do basic life support, again, the reach could be more, I
27:59mean, the areas that could be covered.
28:03And speaking of the younger population, I will ask the same question earlier about heart condition in general.
28:13But this time on the younger population, how rampant is it now?
28:17Okay, normally, heart attack is not normally associated to people younger than 20, at least from a lay person.
28:30But how rampant is it now?
28:34Is the number increasing?
28:35Or just like my question earlier, is it also because people are now more aware?
28:43Well, the hospital census are showing that more and more people in less than 40 years of age are having
28:51diseases of the heart.
28:54May it be acute coronary syndrome.
28:56May it be a coronary artery disease.
28:58I think the youngest that we had to put a stent on was 32-year-old.
29:05Yeah.
29:06And it was multifactorial.
29:08So, the numbers really are increasing for ages 40 years old and below.
29:13And just like my example earlier, dry calf, which is fake news.
29:18What are the other myths man said that you've heard as you engage in the barangay or the schools about
29:27heart attack that should be corrected?
29:31Okay, like I'm going to dry calf.
29:34Okay.
29:35Going back, it's a myth that, again, heart attack can only be present in patients that are old.
29:46In the elderly.
29:47Yeah, so that's a very big myth because, again, we've seen patients younger than 40 years old having them.
29:55And that if you are not hypertensive or you don't have diabetes, you could not have a heart attack.
30:02That's also a myth.
30:03Yeah, because that was my condition also.
30:05I see.
30:06Yeah.
30:08Also, it doesn't mean that if you are an athlete, you are athletic, that you will not have cardiovascular disease.
30:17There are people who think that they don't have any underlying conditions but have no workup.
30:27So, we don't know if they're heart conditions because there are other cardiovascular diseases such as your congenital heart problems.
30:34Or they have arrhythmias.
30:37They have electrolyte conduction defects.
30:41So, also valvular problems like rheumatic heart diseases, which is common here in the Philippines.
30:47So, there could be a lot of cardiovascular diseases that may cause to the sudden cardiac death.
30:54Okay.
30:55And if there's any, let's say, top three lifestyle adjustment or change that you would recommend to reduce the risk,
31:05what would that be?
31:07Should I go first?
31:08First, for me, would be do not skip on your preventive checkups, your annual physical examinations.
31:14There will be really subtle abnormalities there that, well, he or she might not be able.
31:22I mean, the patient might not be asymptomatic of it.
31:25But then that's the starting point, actually, of the workup.
31:28We've had patients who just had non-specific STT wave changes in the ECG.
31:33But then when we worked the patient up, that's the time that we knew that the patient was already diabetic,
31:38has a very high cholesterol.
31:40And those are actually risk factors for having a heart attack.
31:44And maybe the second one would be to really eliminate smoking, vaping also.
31:49So, yeah, it can increase the inflammation of the body, which can be a trigger for a heart attack, even
31:57in those with no risk factors.
31:59Third one, having a physical activity, like not sedentary life.
32:06So, especially now with our age, we have Netflix, Disney, we have a lot of gadgets.
32:14So, most of us would be sitting down, not exercising.
32:17So, exercising three to five times a week, at least 15 to 30 minutes every time you exercise, it can
32:26help lower your risk for developing cardiovascular diseases.
32:30And it seems like you want to add something?
32:32Oh, yeah, I agree.
32:33Yeah.
32:34Sedentary lifestyle is the new smoking right now.
32:37So, yeah.
32:38And we are, because of our very good public transport, maybe, that people don't seem to walk as much going
32:46to places, so it can be a risk factor still.
32:51So, yeah, maybe that active lifestyle.
32:53At least 30 minutes a day.
32:55I think that's a very good reminder as we close this conversation.
32:59I like how you said it, a sedentary lifestyle is the new smoking.
33:02Because it looks harmless.
33:04It is.
33:05You're not doing something unhealthy, but in fact, it is unhealthy.
33:10Yeah.
33:11So, I think that's a good way to remind our viewers so that we would be able to prevent heart
33:22conditions.
33:24Or, at least, thank you also for helping us understand that in case we notice something, then we also better
33:32know what to do.
33:34So, you have any parting words to our audience before we let you go?
33:42Ah, okay.
33:44Maybe just to influence others, but not to take these conditions, like, we have to take it seriously, no?
33:52So, do not influence others.
33:54If you don't believe that this could be a heart attack, at least don't influence the, I mean, others not
34:02to go to the hospital immediately because the early diagnosis is life-changing, no?
34:08So, we actually did partner with some of the satellite hospitals.
34:13We are from Vicente Soto and we launched the ACS network, no?
34:18So that it would be, the patients could have an access to the tertiary hospitals that has PCI capability or
34:31capability to do angioplasty, revascularization when they have a heart attack.
34:35So, yeah.
34:37And by the way, you might want to share, because during my time, I think there were only five.
34:41Does that number already improve since four years ago?
34:47Three.
34:49We have, well, Soto, Perpetual, Chongwa Main, Chongwa Mandawe, Cebu Doctors, UC Med.
34:58What else?
34:59Yeah, I think in the metro, we have six, six PCI-capable.
35:04During my batch, during my time, Mandawe, Chongwa did not have that capability.
35:09No, they recently, yeah, it was just recent.
35:12So, at least six.
35:13So, at least it's progressive.
35:15Yes.
35:15And then, because of her capstone project for the ACS network, there are, the Cebuanos from the south have better
35:27access to cardiovascular care within the city.
35:31So, they can be transported more faster to, they can be transported faster to city for coronary angiogram and if
35:43further intervention is needed.
35:45And what would they just do for them to avail of that?
35:50So, the satellite hospital that we partnered with in the south was Cebu South Medical Center.
35:58So, in patients having chest pain, they can be assessed there from the south.
36:04Mga Barili, Karkar, because they're actually far away from the metro.
36:10So, what they do, they assess the patients there.
36:14We are training them to, if it's possible, if it's really a heart attack, they can identify early on so
36:24that there will be coordination for the transfer of the patient to our institution so we can do PCI.
36:30So, that's just actually, that's the ACS network for everyone.
36:37There's coordination between transfers so that they would be transferred earlier.
36:41And then, we are also trying to do fibrinolysis like for patients na could not really be, I mean, for
36:53instances that they could not be transferred to the hospital.
36:58If there's still a golden period where we can do fibrinolysis, then the hospital will be equipped for that.
37:05So, ongoing project.
37:08Mostly, the patients are transferred in Soto for revascularization.
37:14What about the north?
37:16Actually, there will be a project soon to have an ACS network there in the north.
37:23We are still in the works with Dr. Elise Catalan to have a proposal and to coordinate with the hospital
37:34so that we can establish the ACS network there.
37:38And not only ACS network, we'll also have a heart failure network there in the different big hospitals or big
37:45government hospitals within Cebu.
37:47So, thank you very much for your time and your expertise and even your advocacy to make heart health more
37:57accessible to more people here in Cebu.
38:01If I may add, if ever you see someone who suddenly became unconscious, so don't hesitate to approach that patient
38:12and then assess.
38:14Because if, for example, that patient went into cardiac arrest and then it took you a few minutes to be
38:22able to do something about the patient, like, for example, start CPR,
38:25then those four to six minutes of that patient without blood circulating within their body could mean death for them.
38:33So, first thing that you do is the decision to approach and assess and then do CPR if needed.
38:40Maybe for those who want to learn basic life support, the Philippine Heart Association Cebu Chapter has classes for that
38:49also.
38:50So, you can contact the Philippine Heart Association Cebu Chapter.
38:54Through their Facebook page?
38:56Yes.
38:56Any, yeah.
38:58We do it every Wednesdays now.
39:01So, yeah.
39:02Inviting everyone to learn CPR.
39:05So, if, actually, CPR training, hands-only CPR is for all.
39:09So, if you want your company, your school, or lay people, if you want to learn, you can always send
39:16a letter to the Philippine Heart Association requesting for training so that at least you'll get to learn how to
39:22do CPR.
39:23Sounds like after this, I'll call our HR and we will be sending a letter.
39:29No problem.
39:30Yes.
39:30So, thank you very much for your time and your expertise.
39:35So, heart disease does not only affect the elderly, the unhealthy, or the visibly sick.
39:43It can affect busy professionals, entrepreneurs, parents, friends, even people who appear strong and productive every single day.
39:54And through basic life support training and efforts to strengthen the ACS network in Cebu, the goal is not only
40:02treatment, but preparedness, faster response, awareness, and community action.
40:08So, thank you for being with us today.
40:10I'm DJ Moises.
40:11This is Beyond the Headlines.
40:13Have a good afternoon.
40:42We'll see you next time.
40:44I'm DJ Moises.
40:44I'm DJ Moises.
40:45I'm DJ Moises.
40:45I'm DJ Moises.
40:45I'm DJ Moises.
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