Epilogue

Mr. Garcia makes a full recovery after his hypotensive episode. In clinic, he discusses his concerns about erectile dysfunction, and together with his doctor he plans safe use of a PDE5 inhibitor with clear rules about nitrates. His angina is well-controlled on bisoprolol and amlodipine, he keeps sublingual GTN for breakthroughs, and he understands to avoid any nitrate for at least 24 hours after sildenafil use. He continues low‑dose aspirin, maintains weight‑loss efforts, and avoids grapefruit. Lipids and blood pressure remain at target, and he is enrolled in a cardiac prevention program that reinforces exercise, diet, and medication adherence. Dr. Kyriacou thanks you for your careful, stepwise decisions and for catching the high‑risk interactions. 

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