Having a heart attack is a scary experience. Even if your doctor says you're OK, you may still be afraid. How will this affect your life? Will you be able to get back to work or resume activities you enjoy? Even more frightening — will it happen again?
Fear is just one of the many emotions you and your family must deal with. Other emotions that can be particularly difficult to cope with after a heart attack may include:
- Anger. You may be angry and wonder: "Why did I have to have a heart attack, and why now?" It's normal to feel some resentment after a heart attack.
- Guilt. Family members may feel scared at first and then guilty about your heart attack. Some may even feel that they're somehow responsible for doing something that gave you a heart attack.
- Depression. Depression is common after a heart attack. You may feel that you can no longer do things you used to do — that you're not the same person you were before the heart attack. Cardiac rehabilitation programs can be effective in preventing or treating depression after a heart attack. It's important to mention signs or symptoms of depression to your doctor. You also may need to talk with a mental health professional.
These feelings are common, and openly discussing them with your doctor, a family member or a friend may help you better cope. You need to take care of yourself mentally as well as physically after a heart attack. Exercising and participating in cardiac rehabilitation sessions with other people who are recovering from a heart attack may help you work through these feelings.
The goal of emergency treatment of a heart attack is to restore blood flow and save heart tissue. The purpose of subsequent treatment is to promote healing of your heart and prevent another heart attack.
Many hospitals offer cardiac rehabilitation programs that may start while you're in the hospital and, depending on the severity of your attack, continue for weeks to months after you return home. Cardiac rehabilitation programs generally focus on four main areas — medications, lifestyle changes, emotional issues and a gradual return to your normal activities.
Sex after a heart attack
Some people worry that sex after a heart attack will be too strenuous on their hearts. The demands that sexual intercourse place on your heart parallel any other physical exertion — your heart rate, breathing rate and blood pressure increase. However, most people can safely return to sexual activity after recovering from a heart attack. Each person has a different timeline though, depending on his or her level of physical comfort, psychological readiness and previous sexual activity. Ask your doctor when it's safe to resume sexual activity. With time, you'll likely be able to resume your normal sexual patterns.
Some heart medications may affect sexual function. If you're having problems with sexual dysfunction, talk to your doctor. He or she may be able to help you pinpoint the problem and seek the appropriate treatment.
You and your family may have a lot of questions and concerns after your heart attack. If so, it might be helpful to talk to others who are experiencing some of the same things as you and your family. Many cardiac rehabilitation programs offer counseling services and support groups for heart attack survivors.
Surviving a heart attack doesn't mean that life as you knew it is over. On the contrary, many people can lead full, active lives after a heart attack. But it may mean making some positive changes in your daily habits, being patient as you recover and adopting a can-do attitude.
May. 15, 2013
- Heart attack. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/heartattack/printall-index.html. Accessed March 21, 2013.
- Crawford MH, ed. Current Diagnosis & Treatment: Cardiology. 3rd ed. New York, N.Y.: The McGraw-Hill Companies; 2009. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=8. Accessed March 22, 2013.
- Field JM, et al. Part 1: Executive summary - 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122(suppl):S640.
- Understand your risk of heart attack. American Heart Association. http://www.heart.org/HEARTORG/Conditions/HeartAttack/UnderstandYourRiskofHeartAttack/Understand-Your-Risk-of-Heart-Attack_UCM_002040_Article.jsp. Accessed March 23, 2013.
- O'Gara PT, et al. 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction: Executive Summary: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013;127:529.
- Reeder GS, et al. Overview of the acute management of ST elevation myocardial infarction. http://www.uptodate.com/home. Accessed March 22, 2013.
- Thygesen K, et al. Third universal definition of myocardial infarction. Circulation. 2012;126:2020.
- Stefanini GG, et al. Drug-eluting coronary-artery stents. New England Journal of Medicine. 2013;368:254.
- Alcoholic beverages and cardiovascular disease. American Heart Association. http://www.heart.org/HEARTORG/GettingHealthy/NutritionCenter/Alcoholic-Beverages-and-Cardiovascular-Disease_UCM_305864_Article.jsp. Accessed March 22, 2013.