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RECOVERY FROM HEART DISEASE: WHAT DO I STILL NEED TO DO?
By this stage you should be more comfortable with the new routine of your changed habits, which will include an increased commitment to regular activities and exercise, and careful attention to your diet. You will also be accustomed to taking your medication regularly and faithfully. Most rehabilitation programs reduce the need for attendance over time, but occasionally contact with your program can be very useful and rewarding. You can even set an example to those just starting out on their journey.
You have come a long way since the original event, and much has changed since you were first hospitalized with heart disease. Although the journey through the aftermath, recuperation and rehabilitation has been a long and difficult one, we hope that you now understand how you came to be where you are and are now much better. Unlike other journeys, this one never really ends. Staying well is similar to, but in some respects different from, getting well. You will have by now learned more about your heart, and we hope you have adopted healthier heart habits than you had previously. For those of you who had no risk factors for heart disease prior to your event, we hope that you have nevertheless proceeded with rehabilitation and are now aware of those habits you need to maintain to minimize your risk of recurrence.
The most difficult part of any change is wanting to change. Actually making the changes necessary to protect your heart can be difficult, but staying “changed” is not quite as difficult. If you have engaged in a formal exercise rehabilitation program, you will likely now be in the maintenance phase, which is less intensive but still requires ongoing and regular participation in some form of exercise. As the drama of the original illness fades into memory, it is tempting to “coast” and slip back into former ways of living and thinking. Remember that it takes many decades for hardening of the arteries to develop, and that a few months of rigorous adherence to heart-healthy habits cannot reverse a process that may have begun in your twenties or thirties.
The good news is that reducing your risk factors and receiving the best possible medical care after a heart attack is a benefit that continues to grow over the years, and that however advanced your heart disease may be, it is never too late to intervene in a positive way to reduce the chances of another heart attack or other heart problems. In technical terms, death rates after a heart attack in patients receiving treatments known to be beneficial, such as cholesterol-lowering drugs, beta-blocker therapy, and/or exercise rehabilitation, continue to be different from those for patients not so treated; this indicates ongoing and continued benefit from the treatment over time. The flip side, of course, is that the treatment must be continued indefinitely for it to continue to work effectively. Resuming smoking, for example, or stopping your heart medications, or gradually slipping back into a high-fat, fast-food diet, will carry you back where you started in short order.
Cardio & BloodResearch studies have isolated certain beliefs that encourage patients to stick to their therapy. These include a belief that the condition for which treatment is prescribed is a potentially serious one; a belief that the treatment being offered or made available is effective; a belief that they are able to follow the treatment; and a belief that, when they follow the treatment carefully, their quality of life will be better. For most patients, these factors clearly apply.
Most importantly, we hope that this book has helped change your understanding of the way your “biological destiny” and your mind interact. Changing long-standing habits is difficult, and motivating oneself to get started and maintain a personal program is a challenge. Merely knowing that carrot sticks are healthier than chocolate-chip cookies won’t decrease the appeal of the cookies! Working on the right frame of mind, however, has double benefits. First, a consistent and thorough commitment to protecting your heart has obvious benefits in reducing the risk of potentially fatal future events. In addition, learning and practicing an attitude of committed, realistic optimism will likely have benefits over and above helping you adopt habits of healthy-heart living. Optimism instead of pessimism, acceptance rather than denial, reaching out instead of letting go, are habits of mind that, in and of themselves, appear to help heart patients feel better and perhaps live longer.
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