Open Heart Surgery Recovery Is a Full-Time Job

You are now home from the hospital, and while the healing process is well underway, or you would not have been discharged, there are miles to go. There seem to be so many instructions to remember. You simply will not be up to much in the first few weeks, and in some cases, for several more. I won’t understate this. Yes, an upbeat approach by the hospital medical staff may have sent you waltzing home and it’s thrilling to be leaving the hospital, where you haven’t been permitted to sleep through the night. Yet you are returning home greatly fatigued, with a medications schedule to manage, possibly a tank of oxygen, and perhaps recurrent irregular heartbeats or other complications that remain unresolved. Now is the time to dedicate yourself to the hard work of recovery. Alternating rest and exercise, and above all patience with the physical and emotional trials ahead, is your assignment for the next several weeks.

You and your caregiver will mostly be on your own unless your particular situation requires a treatment plan that includes post-op visits from a home health care nurse. Even if that’s the case, now is the time to review any guidelines your hospital medical team has given you about what to be aware of.

If you have purchased the paperback or downloaded the e-book version of The Open Heart Companion: Preparation and Guidance for Open-Heart Surgery Recovery, from my website http://www.openheartcoach.com, it’s time to reread Chapter 5, “The Challenges You May Face.” This chapter provides detailed information not only on challenges that may arise in your recovery, but it also supplies solutions as well. For example, on the subject of feeling isolated: “This is the time to find other open-heart surgery survivors and their caregivers to talk to. Swap stories, share information, hear what other families have gone through. Just knowing that you are not alone as you go through your rehabilitation can lift the veil of isolation. There can be a tendency to hold one’s surgery and recovery experiences too privately, but not reaching out to others will only deprive you of receiving compassionate support. If you are feeling isolated, do yourself a favor: reach out to friends and family, and look for a heart surgery support group locally or online.” However, whenever in doubt about what you may be experiencing specifically, contact your designated medical liaison for professional diagnosis or medical attention. No question or concern is too trivial.

For most of us, there is a difficult recovery challenge from the time we leave the hospital until we are healed and strong enough to enroll in a local rehab program. That’s one of the reasons for my book, to bridge this gap as so little medical attention is focused on the recuperation period that lasts anywhere from four to eight weeks. We thought getting through surgery was the biggest hurdle. However, the hurdle is greater when we are home on our own with not much progress to report fast enough -- and without all those experts in the hospital to lean on.

Every recovery is different. If you’ve been told to expect improvement “two days forward, one day back,” you might be disappointed to experience instead only one good day (a period of energetic spunk) followed by two, three, or even four days of just plain feeling lousy. Even to meet the assignment of increasing your walking time from five minutes to ten minutes a day may feel like an insurmountable task at first. You may also be swinging in and out of temporary depression. (In my case, I wished the discharge nursing staff had emphasized the psychological challenges of recovery, not just the physical stresses.) Or, you may feel “off,” and think you might be coming down with a virus. That might be the case, but feeling off can be due to other things as well: you may have become anemic (as I did); you may be having an allergic reaction; sleep deprivation may have caught up with you—there are many possibilities. Know that everyone goes through discouragement, yet those who are informed to expect ups and downs will fare far better.

Recovery after surgery takes time. There’s often a feeling of “being all alone.” Because I, and dozens of patients and caregivers who were interviewed for The Open Heart Companion, have gone through open-heart surgery recovery ourselves, I offer the help you need via a free monthly phone support group, a newsletter specifically on recovery, a highly informational paperback (also available as an e-book), and general practical tips. Stop by my site at http://www.openheartcoach.com to see how we can help you recover faster.

Maggie Lichtenberg, PCC, a recent open-heart surgery thriver, is an open heart coach to heart patients and their loved ones, a professional speaker, and frequently published author. To subscribe to her free online newsletter, Heart To Heart, send a blank email message to HeartToHeart-On@zines.webvalence.com. To learn more about Maggie's free phone support group and other programs go to http://www.openheartcoach.com.

Knowing Heart Attack Signs Can Save Your Life

Chest pain is the most common heart attack sign but it is important to understand that there are different kinds of chest pain. Many people with coronary artery disease suffer from angina pectoris which is chest pain or discomfort when the heart is not receiving enough blood. It normally occurs when the heart is working harder, such as during exercise or physical activity, but goes away when the activity is stopped.

The chest pain associated with a heart attack can occur at any time, most notably in the morning, and is of long duration and continuous. People with a history of angina may experience more frequent anginal attacks in the weeks or days before they have a heart attack.

The chest pain is often described as severe, as if something was crushing the heart attack victim's chest; a heavy, squeezing or extreme pressure sensation. Some people have described it as a tightness of the chest or burning sensation. The pain itself usually begins in the center of the chest. Then it can radiate outwards and affect the shoulders, neck, jaw, or arms. These chest pains will last 15 to minutes and are not relieved by resting or taking nitroglycerin.

The signs of a heart attack for women and older adults can be different. Often their symptoms present as atypical chest pains. This means it feels more like indigestion or heartburn and can include nausea and vomiting. Women are more likely than men to have a silent or unrecognized heart attack. For women they will also experience shortness of breath and fatigue and weakness of the shoulders and upper arms.

Older adults will often seek medical attention for a variety of symptoms including difficulty breathing, confusion, fainting, dizziness, abdominal pain or cough. They often think they are having a stroke when in fact they are suffering a heart attack.

Other symptoms that occur during a heart attack are responses to the damage that the heart is undergoing during the attack. Anxiety, tachycardia (rapid heart beat), and vasoconstriction (narrowing of the blood vessels) occur in response to sympathetic nervous system stimulation. This results in cool, clammy, mottled skin. The respiratory center of the brain responds to pain and blood chemistry changes by increasing respiration rate. Death of heart tissue causes inflammation that causes an increase in white blood cells and an elevation in temperature.

Depending of the location and amount of infracted (dead) heart tissue other signs of heart can include high blood pressure, low blood pressure, nausea, vomiting, or bradycardia (slow heart rate). Irritation of the diaphragm can cause the hiccups as well. In extreme cases the first sign of a heart attack is a sudden death. This is particularly likely in the event that a major blood vessel is completely blocked.

It is utmost importance to seek medical attention at the first signs of heart attack. The sooner a heart attack victim receives medical attention the better their chances of survival.