Ischemia – the imbalance between the supply and demand of the heart for oxygenated blood. I thought it was as simple as that, but then you came and made me realize there’s a much deleterious underlying condition to it.

The risk factors for this insufficiency took various forms. Calls were left unreturned. Conversations felt dry and passive. Some plans got cancelled over minor reasons, and then arguments became too dragging to argue over. These contributed to the gradual progression and development of an irreversible process – the decreased perfusion of feelings towards one another. In more than 90% of cases, the disorder had only become clinically evident in chronic conditions, once a tally of misunderstandings outweighed the hope of having any of it substantially resolved.

The pathogenesis was an unending blame game. Initially, there was a sudden severe narrowing or closure of the large vessels. It happened to you, to us, when a plaque existed, and our relationship went atherosclerotic. You grew narrow-minded; I became hard-headed. The excessive build up of plaque caused clogging, and it blocked your thoughts into meeting mine. That’s why we argued. A lot. And it made the diagnosis incurable.   You said I had an increased demand for your time and effort, that I asked more of which you could possibly give. I, on the other hand, have claimed that it rooted from your diminished passion-carrying component. Roses, chocolates, and balloons became a compensatory mechanism for the lapses you’ve done. Until I have accustomed myself in looking at these supposedly “romantic things” as variables of pain, conflict and broken promises. I never wanted that. But I grew bitter. And you are largely responsible for my stenotic ideations of true love. The kind which loves you back when every word sends a positive chronotropic and inotropic effect? Nah, it does not exist. For now.

I felt angina, especially when a large area got affected – when I uprooted myself from deep into your life. And it was awful. Excruciating. But really, I had been cautious. My heart was enclosed by a double-layered protective sac called sanity and self-respect. I guarded myself from believing every lie, and pretended that those sweet words did not reverberate at the back of my head. But you were an exception. You penetrated the wall. And from the inside chambers, you deprived me from the love I deserved.

Your insufficiency in making me feel loved had validated the statistical claim of heart diseases as the predominant cause of mortality on Earth. You have deprived me with what I deserved, until every fiber of this muscular ***** found enclosed my rib cage had been used to the lack of care, the lack of contact, and the indifference.

Yes, you have killed me gradually, by not loving me enough. And you have left me with a necrosed, dysfunctional heart.