Dr. MJ Bazos MD,
Heart Attack: Getting
Back Into Your Life After a Heart Attack
How soon can I get back into my
Most people can return to work and the
activities they enjoy within a few months of having a heart attack. Others may
have to limit their activity if the heart muscle is very weak. The amount of
activity you can do will be based on the condition of your heart. Your doctor
will work with you to develop a recovery plan.
You will need to start slowly. For the first few
days after your heart attack, you may need to rest and let your heart heal. As
your heart heals, you'll be ready to start moving around again. A few days after
your heart attack, your doctor may want you to move around more. You may do
stretching exercises and get up and walk. You'll then slowly become more active
based on advice from your doctor.
Once you've gotten through the early period
after a heart attack, your doctor may talk to you about how to be active within
your limits. Your doctor will probably want you to do an exercise test, also
called a stress test. During this test, your doctor will ask you to exercise
(usually walking on a treadmill) while he or she monitors your heart. Based on
the results, your doctor will develop an exercise plan for you.
Your doctor may also recommend that you get
involved in a rehabilitation program. Rehabilitation programs are supervised by
exercise specialists. Many hospitals sponsor these to get people started with a
safe level of exercise after a heart attack. After a while, you'll probably be
able to exercise on your own. But you have any of the symptoms listed in the
box below, call your doctor. You may be working too hard.
Why is exercise so
Exercise strengthens your heart muscle. It can
also help you feel more energetic, help you feel more in control of your health
and help you lose weight and keep it off. Exercise may also lower your blood
pressure and reduce your cholesterol level.
Call your doctor right away if you have any of
the following symptoms during exercise:
- Shortness of breath for more than about 10
- Chest pain or pain in your arms, neck, jaw or
- Dizzy spells
- Pale or splotchy skin
- Very fast heart beat or an irregular heart beat
- Cold sweats
- Nausea and vomiting
- Weakness, swelling or pain in your legs
What kind of exercise is
The best types of exercise are those that
involve your whole body, such as walking, cycling, jogging, rowing,
cross-country skiing or swimming. Your doctor or rehabilitation therapists may
also prescribe activities to increase your strength and flexibility.
Risk factors for another heart
Taking charge of the things that put you at risk
for another heart attack (see the list below) can help you feel better and
reduce your risk of future problems.
- Not exercising
- Being overweight
- High cholesterol level
- High blood sugar level if you have diabetes
- High blood pressure
- Too much stress in your life
How often should I
This depends on your exercise plan. You'll
probably start slowly and gradually add to how much you do. Your doctor may want
you to exercise 3 or 4 times a week for about 10 to 30 minutes at a time. Be
sure to warm up before exercising by stretching for minutes or more.
What is a "MET"?
You may hear your doctor talk about METs when he
or she discusses your activity level. METs stands for "metabolic equivalents."
Different activities are given different MET levels depending on how much energy
they take to do (see below). The higher the MET level, the more energy the
activity takes. Your doctor may asks you not to do things that take more than 3
or 3.5 METs right after your heart attack.
Sitting in a
What can I do to speed my recovery
and stay healthy?
Your doctor will probably recommend that you
make some changes in your diet, such as cutting back on fat and cholesterol and
watching how much salt you eat. If you smoke, you will have to quit. Your doctor
may also suggest that you learn better ways to deal with stress, such as
relaxation training and deep breathing.
When can I go back to
Most people go back to work within 1 to 3 months
after having a heart attack. The amount of time you are off from work depends on
the condition of your heart and how strenuous your work is. You may have to make
some changes in how you do your job or you may have to change jobs at least for
a short time if your job is too hard on your heart.
You can probably start having sex again in 3 to
4 weeks after your heart attack. As with other types of activity, you may need
to start out slowly and work your way back into your normal patterns.
Don't be afraid of sex because of your heart
attack. Try different positions if one position seems to make you uncomfortable.
Let your partner be on top to reduce the amount of energy you use during sex.
Talk with your doctor if you or your partner have any concerns.