Rehabilitation after a heart attack and life after a heart attack

Prohibited work after a heart attack

This question worries many – today myocardial infarction overtakes those who are still of working age. According to statistics, in 75-80% of cases, patients return to normal life 6 months after MI. These data concern, among other things, the work. These figures are averaged, and someone may need only 2 months, in another case, this period may be delayed for six months or more.

Of course, you should not return to such jobs or professions when you have to experience mental and emotional stress for more than half a day. It is not recommended to work more than 8 hours per shift and at night. Persons who have undergone MI are forbidden to engage in work in which they have to maintain electrical installations.

Forbidden works include the following:

  • drivers of public and freight vehicles;
  • dispatcher of control panels on the railway, power plants, air traffic controller;
  • persons who have to walk a lot during working hours;
  • construction of power lines, gas and oil pipelines, railways and highways;
  • crane operator, climber;
  • crew members of the air transport;
  • conveyor, weaving.

Work at home or in the garden is something that always awaits the patient upon returning home. How to be in this case? Do not overwork, trying to redo all the work – watch your well-being. If you notice symptoms of angina pectoris, stop physical activity and rest. And remember: for you, this amount of work is excessive – it must be reduced.

Lifestyle recommendations

After a heart attack, the patient, often forcedly, completely revises his life and the habits that led him to the disease:

  • low mobility;
  • alcohol, smoking;
  • junk food;
  • the presence of severe stress.

All these negative factors can quickly lead to a relapse or more sad consequences for health and life. Therefore, it seems important to make changes in all these areas to facilitate the general condition and improve the body.

Physical activity has a beneficial effect on the general well-being and healing of the heart and blood vessels. Muscles need a sufficient load, but agreed with the attending physician.

Complete cessation of smoking and alcoholic beverages is an effective preventive way of possible heart problems. The compounds contained in cigarette smoke have a destructive effect on the arterial system, leading to vasospasm.

A carefully selected diet, low in animal salts and fats, removes a significant burden from the entire cardiovascular system. Fried foods and high-calorie foods are excluded. Weight gain is an additional risk factor.

Situations that provoke excitement, nervous tension, experiences, must be excluded from life as much as possible. Strong emotions, whether joyful or not, lead to an increase in heart rate.

Myocardial infarction is a disease that has a direct effect on other systems and organs. Together with other pathologies that are present in many patients, such a diagnosis requires significant changes in life. This explains the importance of introducing new, healthy habits that will minimize the risks of a possible recurrence of a heart attack.

After the illness, the quality of health changes both at the physical and mental levels. Much depends on the age, general condition of the body, the severity of the infarction.

Systems and organs become at risk of developing various diseases, because the heart is no longer working 100% and the delivery of oxygen and nutrients is incomplete. Relapse prevention measures are aimed at the maximum recovery and maintenance of the function of the cardiovascular system.

Changes in the psyche depend on the state of the patient’s personality and his reaction to a life-threatening disease. External factors (living environment) can have a significant impact on mental health shifts. These include the influence of:

  • medical attendants;
  • family and friends;
  • roommates, etc.

It is necessary to create a favorable psychological climate around a person affected by a heart attack. Especially in the first days and weeks, when the process of getting used to the new state and the change of lifestyle.

For many people, the response to the disease is adequate – they are interested in the necessary precautions, the possible consequences, the regimen of the day, nutrition, stress, etc., follow the prescribed regimen and keep emotions under control.

Less commonly, patients are afraid of a possible, repeated heart attack and even death. They fearfully increase physical activity. May be observed:

  • anxiety in movements;
  • increased heart rate;
  • increased sweating;
  • insomnia.

Elderly people have complaints about their own condition. They more often overestimate the severity of the consequences of the disease and focus on health.

Many patients are confronted with thoughts and fears of near death. If you do not change such a thought process to a positive one, then depressed mood and depression will be provided.

There are hysterical reactions with attention to their own person in order to arouse sympathy. Less often, a person does not accept his illness and completely ignores medical recommendations and does not comply with the regimen. Without urgent measures, a repeated heart attack will not take long.

In the absence of special assistance, changes in the psyche will intensify up to a disability.

The need to use mustard plasters after a heart attack is better agreed with the attending physician. There is a limitation in their use – it cannot be placed in the region of the heart.

The transferred pathology makes many wonder if it is possible to fly a plane after a heart attack or stenting. After the completion of the rehabilitation course, when the heart muscle begins to work within normal limits, it is allowed to fly. Unless otherwise limited. It is better to coordinate the flight with the attending physician, undergo the necessary examination and receive recommendations on alleviating possible unpleasant moments associated with pressure and altitude drops.

Flights with diagnosed, concomitant diseases are prohibited:

  • heart failure, not amenable to medical adjustment;
  • arterial hypertension or arrhythmia;
  • unstable angina pectoris.

With the decision to fly on an airplane, you need to prepare for the flight:

  1. Put the medications recommended by your doctor in your hand luggage.
  2. If anxiety occurs, take a tablet of Valerian or Corvalol.
  3. Before take-off, put a validol tablet under the tongue. It will improve blood circulation and help level out congestion in the ears when climbing.
  4. During the flight you need to ensure yourself a pleasant pastime – listen to a concert of pleasant music, read or sleep.
  5. During the flight, you need to get up and walk around the cabin to restore blood circulation.

When planning a trip to the sea, you need to consider a number of restrictions:

  • swim near the shore;
  • give up diving;
  • limit your stay in direct sunlight as much as possible, do not sunbathe;
  • eliminate the heat.

One of the common male professions is a driver. And a man who has suffered an attack will think about whether he can work as a driver after a heart attack and when can you actually drive.

Driving a car can lead to worries and worries. And this will adversely affect the condition. Therefore, doctors do not recommend such people to take responsibility and drive a vehicle, because at any moment a relapse can happen.

High temperatures are a heavy burden for the heart. Therefore, steaming in the bath before the cicatrization period ends is prohibited. Only the attending physician with constant monitoring is able to give an answer when you can go to the bath after a heart attack.

Sudden changes in temperature are forbidden – diving into the pool, ice hole or snowdrift. Instead, air baths or showers of room temperature are shown.

It should be distinguished limitation in a certain kind of load from a complete rejection of the latter.

Myocardial infarction is not a sentence, after which a person must lead a plant lifestyle. On the contrary, damage to the heart muscle should be repaired, which automatically means a full life, and not limitation.

The intensity of some manifestations of life should be changed.

Recovery – the duration, intensity of the loads, the feature of nutrition, depends on the severity of the disease.

4 classes of patients are divided:

  • 1 functional class – these are patients who underwent small focal infarction without significant complications or even without them. Here, recovery from myocardial infarction is the simplest.
  • Grade 2 – this includes patients with moderate complications, or patients after a large focal heart attack, but with minimal consequences.
  • Grade 3 – these are patients with severe complications after a small focal heart attack, in particular, with angina pectoris up to 4-6 times a day.
  • Grade 4 – patients who have had a small focal heart attack with very serious consequences – up to clinical death, as well as patients with transmural myocardial infarction. This is the most difficult group of patients, the period of the rehabilitation period is very long.
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Physical exercise

The heart muscle is the same as everyone else and responds to stress and lack thereof, just like everyone else. With insufficient loads, the muscle atrophies, becomes weaker and faster damaged, with excessive loads it is injured. Here, as nowhere else important measure.

It is necessary to load the heart as early as possible and, of course, after consultation with the attending physician.

  • In the period after the attack, physical activity is prohibited. The patient can sit on the bed twice a day for no longer than 10 minutes and always under the supervision of medical staff. For patients of grades 1, 2, this period is 3-4 days, for 4 – at least a week. If the patient has a repeated heart attack or the condition is complicated by other diseases, the rehabilitation period is extended for another 2 days.
  • At the second stage, it is allowed to walk along the corridor, sit 3 times a day for 25 minutes. Avoid activities that require slopes – with a heart attack this is the heaviest load. Later it is allowed to do gymnastics while sitting – after examination and permission of the doctor, of course.
  • The third stage involves walking along the corridor – up to 200 m, full self-service, sitting position without time limits. This stage allows you to restore muscle faster.
  • At the fourth stage, walks are allowed – they are very convenient because the patient himself regulates their duration and intensity. At first, the distance is 600 m, then 1,5 km, and after a couple of days 2-3 km.
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This stage begins after the ECG data confirm the onset of scarring of the heart tissue. For different functional classes, this moment occurs at different times: for class 1 – on 18–20 days, for 2 – 16–7, for 3 – on 20–21. Recovery of patients of grade 4 depends on too many factors, it is impossible to indicate the recovery period here.

You should focus on walking not on a feeling of tiredness, but on more objective signs:

  • increased pressure serves as a signal to reduce the load;
  • increase in heart rate to 200. And, by the way, if after a walk the heart rate begins to fit into 100-120 beats, this indicates recovery;
  • shortness of breath – is not an indicator for asthma;
  • excessive sweating.

After successfully completing 4 steps, the patient may be discharged. At home, he is obliged to fulfill all the instructions of a cardiologist, including gradually increasing physical activity to the usual or developing physical activity if it was not characteristic of the patient.

2 “No!” – Depression

Support and help of relatives and friends

It is no secret that any disease, and especially myocardial infarction, leaves a certain imprint on the psychological status of the patient. People with a heart attack may deny this disease. The other extreme is an exaggeration of the severity of the disease. Both the first and second cases are dangerous in that they can lead to depression, which increases mortality after myocardial infarction.

Lack of the correct psychological mood worsens the results of the post-infarction period in patients. Therefore, it is worth evaluating the situation correctly, and carefully treat your state of health. Here, as never before, the support and help of family and friends are important.

3 Physical rehabilitation

Exercise during recovery

This section is one of the most basic sections of rehabilitation after myocardial infarction. It is statistically proven that only motor activity can reduce mortality by 25% during the first year after a heart attack. In the post-infarction period, 4 functional classes or 4 severity classes are distinguished. In accordance with the severity class, a certain amount of physical activity is recommended.

    Grade 1 patients do not need to limit physical activity, as daily activity does not cause excessive fatigue, pain and other symptoms of starvation of the heart muscle. With 1st >

3rd grade of severity. The lifted weight is less than 3 kg.

Prevention of a Second Heart Attack

Such diseases always leave a mark on the subsequent life of a person. How to live after a myocardial infarction in order to prevent its recurrence?

The lack of repetition is directly dependent on lifestyle, psychological climate. All changes and limitations serve the sole purpose of maintaining health and preventing new attacks. After all, relapse can be more extensive and serious. Basic rehabilitation measures after an illness include:

  • feasible physical activity;
  • prescribing and taking medication;
  • lifestyle changes;
  • creating a comfortable environment;
  • return to hard work;
  • restoration of self-care ability.

It is a set of measures, as well as regular medical examination, the passage of necessary medical examinations that reduce the risk of re-infarction.

Myocardial infarction: prevention

In addition to all the above, remember that you are able to change:

  1. Stop smoking and drinking alcohol. It is known that within 2 years after quitting smoking, the risk of heart death is reduced by 36%!
  2. Monitor your blood pressure. Take those medications recommended by your doctor. Get a blood pressure monitor. Measure your blood pressure after a 5-minute rest. Pressure figures should not exceed 130 in the upper indicator.
  3. Get r >

Remember: in this case, a lot depends on you. And your life after a heart attack will not be inferior in quality to the years preceding the disease. Be healthy!

How to live after a heart attack?

After a heart attack, a person is able to live a happy and fulfilling life, but you will have to make efforts for this and find a balance between work and rest.

All measures are preventive in nature against possible complications.

Physically difficult and stressful work is contraindicated, because it entails an increase in heart rate and a load on the scar. Such people need to relax in case of any discomfort.

In order to prevent a second attack, it is necessary to coordinate with the attending physician the permissible load and diet. Nutrition should be changed and supplemented with foods that bring blood pressure and weight back to normal.

Simple walks in the fresh air are useful and have an invaluable effect on the body during the rehabilitation process:

  • help make up for the lack of motor activity;
  • saturate the blood with oxygen;
  • clear thoughts;
  • change your depressed mood to a positive mood.

Regular examinations, examinations and tests will help to keep under control the state of health and take timely measures in case of deviations. Stabilization of pressure, cholesterol and blood sugar indicate the correctness of the selected rehabilitation measures.

The more carefully the patient will relate to rehabilitation, the faster he will be able to return to a full life.

Can I do sports after myocardial infarction?

It is possible and necessary. But careful dosing and individual selection of the sport is required.

All types of aerobic sports are suitable, in which it is necessary to make movements with the limbs, observing the rhythm. Walking and swimming are most preferred. If you feel stable, you are allowed to ride a bicycle.

Doctors forbid running. With it, a hormonal surge occurs, including adrenaline, and it has a negative effect.

Strength training, exercises in the gym, lifting weights and weights are contraindicated. Such exercises can lead to increased blood pressure.

The purpose of physical activity is to improve the general condition of the patient. To achieve it, you need to follow some rules:

  • monitor heart rate, it should not exceed 120 beats per minute;
  • do not exercise in the cold or in direct sunlight;
  • Do not increase sharply the load;
  • exclude exercises in the “upside down” position;
  • with dizziness, stop training;
  • start training no earlier than two hours after eating.

Changes in life

A heart attack conditionally splits a person’s existence at different periods. After it, drastic changes in life are required to continue to be a member of society and feel normal.

A person needs to bring into life after a heart attack the following metamorphoses:

  • go to work only in a place where comfortable and calm conditions;
  • take drugs that regulate blood pressure and statins throughout life;
  • to perform physical exercises with mandatory pulse control;
  • limit emotional background and excessive physical activity;
  • exclude alcohol and smoking;
  • review the diet and discard some foods.

Such changes require the manifestation of strength of character, support for close and material costs. The duration and quality of life will depend on the efforts made by the patient.

The main stages of rehabilitation

Myocardial infarction is a disease that can be avoided. This ailment develops for a long time and fatal completion can be prevented much earlier than when the cardiovascular system reaches an extreme degree of deterioration.

In fact, rehabilitation of patients with myocardial infarction continues for the rest of their lives.

It includes the following main steps:

  • with certain recommendations, operations are prescribed: balloon angioplasty, coronary stenting, etc. Intervention is necessary in order to prevent a recurrence of a heart attack or to eliminate the especially grave consequences of it;
  • restoration or achievement of the highest possible standard of living;
  • taking prescribed medications – it is a matter of maintenance therapy, therefore, it is impossible to refuse medications because there are no pains or attacks;
  • prevention of heart disease – also lasts the rest of your life;
  • lifestyle changes – that is, abandonment of unhealthy habits, changes in diet, rest and work, physical rehabilitation for myocardial infarction, and so on;
  • return to labor detail. At the same time, a return to the previous form of labor is not always possible, but it is quite possible to achieve success in your field.

During the stationary phase, they improve blood supply to the heart muscle, warn of the likelihood of complications, and determine the prognosis.

Stage name Keeping of
Bed rest
  • use of a bedside chair;
  • exercise therapy complex No. 1, consisting of breathing exercises, minimal physical activity of the legs, arms in the supine position. Duration of training – 10-15 minutes;
  • adoption of a sitting position (1-2 days), standing position (2-3 days);
  • initial conversation with the doctor. A person learns the danger of coronary heart disease complicated by a heart attack. Also, the doctor must emphasize that the outcome largely depends on the patient.
Ward mode
  • involves walking, activity exclusively inside the chamber;
  • exercise therapy complex No. 2, consisting of the easiest exercises. As the patient’s condition improves, their duration increases;
  • answers to patient’s exciting questions;
  • preparing the patient for future restrictions, justifying the need for each of them;
  • involvement of relatives in the rehabilitation process, explanation of the features of the recovery period.
Corridor Mode
  • the patient is allowed to leave the ward, use a shared shower, toilet;
  • the duration of the walk is increased gradually. The first, second walk should be short – no more than 50-60 meters. As the patient’s condition improves, the distance is increased to 200 m, and the number of passes from 2-3 to 5-6 times;
  • 2-3 days before discharge, climbing stairs is allowed. Between the rises, a break of 5-10 minutes is made;
  • severe patients begin to master the stairs from the descent: they rise one floor on the elevator, and then go down (no more than 1 floor);
  • complex exercise therapy №3.
Statement
  • discussion of a plan for further treatment;
  • recommendations for the near future;
  • appointment of the date of the first visit to the cardiologist.

Recovery from a heart attack can last quite a long time. It depends on the severity of the disease, concomitant pathologies, age, individual characteristics of the body.

The patient goes through several stages of rehabilitation for a heart attack: stationary, post-stationary and supportive, which can last the whole subsequent life.

The rehabilitation period begins in the first days after the crisis. At this time, most procedures are performed by medical personnel. The patient receives the necessary medication, he is daily monitored for his health condition. The victim receives proper nutrition, a psychologist or a psychotherapist is involved in it. Depending on the state of health, this stage can last 1-3 weeks.

The following stages of rehabilitation for patients after a heart attack begin after discharge from the hospital. The post-stationary period in most cases takes place at home.

Physical exercise

Rehabilitation after myocardial infarction at home must necessarily include feasible physical activity. It contributes to the stable functioning of the heart and circulatory system and supports the whole body in tone.

Physical rehabilitation for myocardial infarction begins in the hospital. For 2-3 days after the crisis, the patient is allowed to sit in bed, then he can get up, move short distances, walk up the stairs. All exercises should be supervised by medical personnel who are required to measure blood pressure and heart rate before and after physical education.

If the condition remains normal, the load can be gradually increased. At home, it is better to do light gymnastics without lifting weights. Gradually, as your body strengthens and your fitness increases, you can start a light, leisurely jogging in the fresh air for short distances.

Long walks, and then cycling, yoga and swimming, are of great benefit at the rehabilitation stage. However, you must constantly monitor your well-being and, if the condition worsens, stop exercising and consult a doctor.

It is important to remember that physical activity helps to strengthen the body, but excessive stress can lead to a relapse of the disease.

After analyzing the patient’s condition, the cardiologist makes a number of appointments to maintain physical activity:

  • a complex of physiotherapy exercises;
  • anaerobic exercise;
  • Hiking in the fresh air.

Physical therapy classes are conducted under the supervision of a physical therapy doctor. He will correct the scheme in time, the allowable load, based on the patient’s condition. An increase in the load is also carried out by the doctor under the control of pressure, pulse and general well-being.

The physical activity recommended by the attending physician is permissible. This is physiotherapy exercises based on special exercises. They are carried out under the supervision of a physical therapy doctor. It measures your heart rate and adjusts your workload. An individual intensity is established for each patient.

The following activities are available to people after a heart attack:

The main thing is the absence of jerks and uniform movement.

It is enough for people of advanced age to take quiet walks in the fresh air accompanied.

Since rehabilitation after a heart attack continues for many years, from the first days after the relief of the crisis it is necessary to learn how to eat properly. This is a key point in the prevention of exacerbations and relapses of pathology.

In a hospital, such patients are supposed to take food 6 times a day in small portions. Dishes are prepared by cooking or baking and wiped.

At home, you can eat 4-5 times a day at the set time, so as not to interfere with digestion and not create an excessive load on the heart. For the same purpose, the patient is recommended to lose weight if he is overweight.

Nutritionists advise to abandon excessively fatty, spicy, too salty foods. The amount of salt should not exceed 5 g per day.

In the diet, you can include dishes of lean beef or veal, poultry in boiled, stewed or baked form. Frying foods is undesirable.

The menu should have more fish and seafood rich in heart-friendly ingredients.

Be sure to use sour-milk products of low fat content.

On the table daily should be vegetables and fruits rich in fiber, dietary fiber, vitamins and minerals.

A large amount of flour and baking should be abandoned, giving preference to yesterday’s or black bread and homemade crackers.

Under the ban fast food, canned food, smoked meats, convenience foods.

It is necessary to refuse sweets, sweets, chocolate, sweet carbonated drinks.

It is recommended to drink at least 2 liters of pure water per day, if there are no restrictions on other diseases. Strong tea and coffee are not recommended.

It is believed that the total daily caloric intake of the diet for patients after a heart attack should not exceed 2300 kcal.

Most people are rehabilitated faster thanks to proper healthy eating and daily routine.

A rehabilitation plan for myocardial infarction necessarily includes a change in diet. And this applies to the period of stay in hospitals, and recovery at home.

  • In the first 2 days, the patient has no appetite. 6–8 times a day he is given low-brewed tea, a rosehip broth, diluted currant or orange juice. It is forbidden to drink cold.
  • Over the next week, the diet includes broths and concentrated juices. The total calorie content should reach 1100-1200 kcal.
  • A week later, the menu includes soups on vegetable broth – this is mandatory, semolina and buckwheat porridge, mashed cottage cheese and boiled fish. Freshly squeezed fruit and vegetable juices are welcome.
  • After 2-3 weeks, if no complications are observed, the caloric content of the daily diet rises to 1600 kcal. The menu contains mashed potatoes, boiled cauliflower, kefir, milk sauces, butter as part of dishes.
  • After a month, calorie intake is 2000 kcal per day. The menu includes boiled meat and fish, a variety of vegetables and fruits, cereals, stale wheat bread. Butter is allowed, but not more than 10 g. Fatty and spicy foods should be avoided. It is strictly forbidden chilled food and drinks – below 15 C.

Do not continue to move away from the principles of healthy eating. Fatty fried meat, smoked meats and spicy dishes provoke spasms, which is bad for the condition of the heart. In addition, they act as a source of “bad” cholesterol.

Career

This cardiac pathology involves limiting the loads of any nature. For four months, rehabilitation therapy is carried out, at the end of which the issue of assigning a disability group is resolved.

The assignment of a working group of disability means that a person can carry out labor activities, but under conditions consistent with the principles of rehabilitation of this category of patients.

If the job description provides for physical activity or emotional stress, then a transfer to light work will be required, because such working conditions nullify previously conducted rehabilitation therapy, and worsen the state of health.

Labor factors that are a contraindication for a heart attack:

  • pressure differences and heights (installers, stewards, pilots);
  • emotional overstrain (teacher, seller, security guard);
  • harmful production;
  • increased concentration of attention (driver, operating surgeon);
  • night shifts;
  • high danger and risk (firefighters);
  • exercise stress;
  • distant pedestrian crossings (postman, guide).

After a heart attack, it is unacceptable to send a person to work away from medical care (logging, field work). At any moment, relapse is possible, which proceeds in a more dangerous and severe form than for the first time.

Weight control and diet

The main goal of the prescribed diet is to normalize weight, adjust blood cholesterol levels.

The following products are excluded:

  • pork;
  • fatty meats;
  • milk;
  • beans;
  • fish and meat broths;
  • white flour products;
  • smoked products;
  • marinades.

It is necessary to shift the balance of products in the diet towards vegetables, low-fat varieties of meat, fish, vegetable fats. Processing products should be steamed, when baking or boiling.

Recommendations for nutrition after a heart attack:

  • decrease in calorie content of dishes;
  • the exclusion of culinary products – cakes, sweets, cakes;
  • minimizing animal fats;
  • rejection of spices, sauces;
  • refusal of salt or minimizing it;
  • meals up to five times a day in small portions;
  • shift of the carbohydrate component of the diet towards protein and fiber.

Drinks such as kvass and coffee should be eliminated. They serve as a source of excess fluid in the body and increase pressure.

Lean meat, nuts, flax seeds, olive oil, vegetables, fruits, fish oil, leaf salads, garlic are included in the diet.

After a heart attack, a person needs to regularly monitor the level of pressure.

Measurements are taken in a calm state. First on both hands. In the future – on the hand where the pressure is higher.

Blood pressure of such patients should not exceed 130/80 mm Hg.

Rehabilitation of patients after myocardial infarction necessarily includes regular examinations by the attending physician. The frequency of visits is determined by a specialist depending on the condition of the patient and the speed of rehabilitation.

People with myocardial infarction need to periodically do an electrocardiogram, an ultrasound of the heart to monitor their health.

Most often, patients with a heart attack are forced to take various medications to stabilize their health. At the next visit, the doctor will monitor how effective they are. If necessary, the expert can change the dosage, replace the drug with a more effective one or completely cancel his intake, focusing on the results of the examination and the patient’s well-being.

Be sure to make an appointment with a medical institution after infectious diseases to reduce the risk of complications.

Psychological help

Psychological assistance is required for almost all patients who have had a heart attack. Common violations are:

  • fear of loneliness;
  • problems with sleep;
  • emotional instability;
  • fear of cardiac arrest;
  • the formation of an inferiority complex;
  • irritability.

Such abnormalities lead to the formation of neurosis and chronic hypochondria. Such conditions have a negative effect on the physical health of the body, lead to a failure of pressure, poor rest, which is fraught with complications for the heart.

The help of a psychologist is recommended so as not to aggravate the general state of health.

Rehabilitation after myocardial infarction in most cases does not do without taking into account psychological factors. Emotions and nervous overloads affect the state of the heart more than physical activity, and during the recovery period should be excluded or minimized.

This is not about ordinary emotional outbursts, but about pressure that was caused by prolonged stress. The help of psychologists in this matter is invaluable.

Within 3-4 months, the patient is often tormented by fear and excessive fears for his life. It is necessary to prevent panic attacks, explaining in detail to the patient the mechanism of the formation of symptoms and their course.

No less often, patients experience depression. It is caused by a sense of inferiority, fears for their future, for their ability to work, and so on. Despite the completely objective significance of these factors, it is necessary to separate in the patient’s mind the fears that are unfounded and real.

A person recovering after a myocardial infarction needs self-confidence and loved ones. Often a consultation the help of a psychologist is needed not only for the patient himself, but also for his relatives.

Equally harmful are both a complete denial of what happened, and excessive custody, limiting physical and mental activity.

During rehabilitation at home, the relationship between loved ones and recovering, as a rule, is complicated: heart patients are characterized by suspiciousness, continuous anxiety, constant expectation of help from others, as well as envy and bitterness.

In this state of affairs, the help of a specialist is invaluable, since patients rarely listen to the opinions of their relatives and friends. In addition, the latter constitute the closest object of envy and irritation.

Often after a heart attack, patients are in constant fear that the attack may recur. Against this background, increased anxiety and suspiciousness, mood swings often occur, tearfulness or, on the contrary, aggressiveness may appear. Patients lose their appetite, sleep is upset. The combination of factors can lead to the development of neurosis and depression.

In order to prevent the occurrence of such a condition, the patient must undergo a course of classes with a psychologist. The specialist will teach the patient effective methods of self-regulation, psychological relaxation, tell you how to return to normal after a serious illness.

The psychologist must work with the patient’s relatives in order to teach them the correct attitude to the sick family member and relieve tension in the relationship.

The main stages of rehabilitation

Rehabilitation measures include the following areas where attention should be paid:

  • diet;
  • exclusion of bad habits;
  • pressure control;
  • dosed physical activity;
  • psychological rehabilitation;
  • return to intimate life.

All of them are important in human life. They begin to be carried out already in the hospital, trying to quickly restore the skills lost due to the disease. The rehabilitation program is individual in nature and its duration and content is formed on the basis of the capabilities and abilities of the patient.

Principles, objectives of rehabilitation

Recovery from myocardial infarction is necessarily accompanied by the use of medications that regulate the state of health.

It is important to remember that it is forbidden to self-medicate with this severe pathology, all the medicines should be prescribed by the attending physician.

The list of drugs that are used in the post-infarction period most often includes:

  • anticoagulants (blood thinners), for example, Aspirin;
  • hypotensive (lowering blood pressure);
  • diuretic drugs;
  • antiarrhythmic;
  • drugs for the prevention of atherosclerosis;
  • antioxidants;
  • multivitamin complexes.

These or other drugs are prescribed according to individual indications and in an individual dosage.

The modern system of rehabilitation measures involves the following principles:

  • early onset (first 24-48 hours);
  • compliance with phasing;
  • individual approach;
  • continuity;
  • accessibility of recommendations;
  • involvement of various specialists in the process: cardiologist, nutritionist, psychologist, exercise therapy doctor, social workers;
  • patient education.
  • prevention of complications, relapses;
  • improving the quality of life;
  • increase in life expectancy.

The whole process is divided into 2 main stages:

  • inpatient – involves conducting recovery procedures directly in the hospital;
  • post-stationary – does not require a permanent hospital stay.

Danger of relapse

To recover faster after a heart attack, the patient needs to change his lifestyle and eliminate the factors that caused the disease.

It is important to give up bad habits, especially smoking. Most doctors do not prohibit alcohol, but it is advised to drink it infrequently and in limited quantities.

In order for the recovery period to proceed more efficiently, it is recommended to avoid strong nervous tension, to get rid of negative feelings and negative emotions.

The risk of relapse is reduced if you lead a healthy lifestyle, eat right, exercise and are regularly examined by your doctor.

Detonic – a unique medicine that helps fight hypertension at all stages of its development.

Detonic for pressure normalization

The complex effect of plant components of the drug Detonic on the walls of blood vessels and the autonomic nervous system contribute to a rapid decrease in blood pressure. In addition, this drug prevents the development of atherosclerosis, thanks to the unique components that are involved in the synthesis of lecithin, an amino acid that regulates cholesterol metabolism and prevents the formation of atherosclerotic plaques.

Detonic not addictive and withdrawal syndrome, since all components of the product are natural.

Detailed information about Detonic is located on the manufacturer’s page www.detonicnd.com.

Tatyana Jakowenko

Editor-in-chief of the Detonic online magazine, cardiologist Yakovenko-Plahotnaya Tatyana. Author of more than 950 scientific articles, including in foreign medical journals. He has been working as a cardiologist in a clinical hospital for over 12 years. He owns modern methods of diagnosis and treatment of cardiovascular diseases and implements them in his professional activities. For example, it uses methods of resuscitation of the heart, decoding of ECG, functional tests, cyclic ergometry and knows echocardiography very well.

For 10 years, she has been an active participant in numerous medical symposia and workshops for doctors - families, therapists and cardiologists. He has many publications on a healthy lifestyle, diagnosis and treatment of heart and vascular diseases.

He regularly monitors new publications of European and American cardiology journals, writes scientific articles, prepares reports at scientific conferences and participates in European cardiology congresses.

Detonic