The heart attack is over – so why doesn’t life feel normal?

Life after a heart attack does not automatically return to normal. Even when the artery is reopened and the procedure is successful, patients often face a long journey to regain their confidence in their bodies. Consultant cardiologist Dr Yew Kuan Leong explained that recovery starts before the patient leaves the hospital and involves medication, diet, exercise, and cardiac rehabilitation.

However, physical progress does not necessarily equal regained confidence. Some survivors become fearful or irritable, and may constantly worry about another attack. Dr Shathiskumar Govindaraju emphasized that a heart attack can be an emotional shock, causing patients to become acutely aware of bodily sensations or to constantly worry about future events.

Patients may become fearful of chest discomfort, headaches, or numbness, fearing each symptom signals another heart attack. However, not every sensation is heart-related. New or worsening chest pain, breathlessness, or fainting should always be medically assessed, but patients should not self-diagnose. Some caution is useful, encouraging patients to take medication consistently, attend follow-ups, and pay closer attention to their health.

But the problem arises when fear prevents them from living their life. Family support plays a crucial role in helping patients regain confidence, but they should not brush aside fears or encourage avoidance of medical advice. Patients should gradually resume everyday activities, and if anxiety, low mood, or disturbed sleep persists for several weeks or interferes with normal life, they should seek professional help.

It is important to remember that a successful recovery extends beyond opening a blocked artery, as coronary artery disease can continue to progress. Maintaining a healthy lifestyle, including medication, physical activity, a healthy diet, not smoking, and regular follow-ups, remains vital for a long-term recovery.