Recovery after a heart attack can vary from person to person, however with proper lifestyle changes and proper medical care, many individuals can live healthily. After a heart attack, a stent is placed to restore the flow of blood to the heart muscle. This process happens right away allowing immediate restoration of blood flow. A stent also prevents recurrent blockages.
The stent keeps the artery open, reducing the risk of the artery re-blocking with plaque. This is one of the most important effects in recovery after a heart attack because patients who have had a heart attack are more at risk of developing recurrent blockages. The stent will help reduce the risk of another blockage in that coronary artery and help the recovery process.
What is a Heart Attack?
Heart attacks, or myocardial infarction, are caused when a part of the heart muscle does not get enough blood to function. This is caused by a blockage in the coronary artery that is usually caused by fatty deposits, cholesterol, and/or other substances in the arteries. The lack of blood flow to the heart muscle means that the heart isn’t receiving enough oxygen and nutrients causing damage to the tissue in the heart muscle or even death of the heart muscle cells.
Symptoms of a heart attack can vary but often include:
- Chest pain or discomfort: The most common symptom and is often described as tightness, pressure, squeezing, or burning sensation in the chest.
- Pain in other areas of the body usually in the left arm, neck, jaw, back, or stomach.
- Shortness of breath: difficulty breathing or feeling like you can’t catch your breath.
- Nausea and Vomiting
- Cold Sweat
- Lightheadedness or fainting
What causes a heart attack?
Heart attacks are primarily caused by coronary artery disease (CAD). This disease is a very slow process in which the blood supply to the heart muscle becomes narrowed or even blocked. Atherosclerosis is the main cause of CAD, which is the buildup of fatty deposits, cholesterol, calcium, and other substances on the inner walls of the coronary arteries. There are also several risk factors that increase the likelihood of developing CAD and experiencing a heart attack including:
- High Blood pressure
- High Cholesterol
- Family History of heart disease
- Unhealthy Diet
- Excessive alcohol consumption
- Sedentary Lifestyle
What is the recovery like after a heart attack?
Post-heart attack care can vary depending on the patient but typically involves a combination of medical treatment, medicine, lifestyle changes, and cardiac rehabilitation. Depending on how severe the heart attack is, a patient may need to be in the hospital to receive medical treatment to stabilize the patient’s condition and manage symptoms. One of the biggest and hardest parts of recovery after a heart attack is making lifestyle changes. Having emotional support is essential after a heart attack to ensure that the patient not only maintains good physical health but also good mental health.
For the heart attack healing process, most patients will need to stay in the hospital for less than a week, however upon returning home the patient should be advised by a doctor to rest. Depending on the patient it may take a few weeks or up to 3 months before a patient I able to return to doing their normal activities. Having an angioplasty following a heart attack is a serious procedure and will need recovery time.
Recovery after stent placement
If a doctor or a patient catches the blocked artery before a heart attack, the doctor can place a stent to avoid the heart attack. The stent placement will take place through a procedure known as Percutaneous Coronary Intervention (PCI). The stent’s function is to keep the coronary open, with continuous blood flow. This can decrease the chances of having a heart attack. The recovery of stent placement is far less intense if caught before a heart attack.
After the stent placement, the patient will be monitored for a few hours and cardiologists will need to monitor the patient’s vitals and check for bleeding around the insertion site. Depending on the severity of the procedure, a patient can expect to be in the hospital for one to two days after the procedure and will need time off from work or daily activities. The patient will also need to make diet and lifestyle changes to prevent another blockage. Follow-up appointments are essential to ensure that the stent is working as intended with no complications.
Lifestyle changes after a stent
After having a stent placement, lifestyle changes are the hardest part of the recovery process after a heart attack. It is necessary to have emotional support to ensure the patient’s health will be a priority. The most common questions about lifestyle changes are:
Can a patient smoke after a stent?
No, patients are highly discouraged from smoking after having a stent placed. Smoking is a significant risk factor for heart disease and the development of coronary artery disease. Continuing smoking after a stent placement increases complications and has a negative impact on blood pressure and heart rate.
What is a heart-healthy diet after a stent?
The Mediterranean diet is considered one of the best diets for a patient to be on after stent placement. This diet is rich in fruits and vegetables, whole grains, lean proteins, healthy fats, and limited sugar and sodium, which all promote cardiovascular health and help reduce the risk of heart disease. Other foods include fatty fish, nuts and seeds, olive oil, avocado, berries, and green tea.
Can a patient exercise with a stent?
Yes, regular exercise is highly encouraged to help prevent heart disease. This means exercising 3-5 days a week for at least 30 minutes. Exercising can include cardiovascular exercise, strength training, and flexibility/ stretching exercises.
Can a patient drink alcohol with a stent?
Yes, depending on the patient, in moderation. Many medications that a patient must take after a stent placement may have negative effects on alcohol as well as have a negative effect on blood pressure. However, it is important to have this discussion with the patient’s cardiologist.
Can a patient have sex with a stent?
A patient may resume normal sexual activity however each patient can be different. The patient needs to listen to their body and have a position comfortable for them. It is important for the patient to have this conversation with their cardiologist and be provided with personalized guidance.
How can a patient cope with having a stent?
A patient should seek information and educate themselves about their condition. Understanding the process and the purpose of a stent can reduce anxiety and uncertainty about the procedure. A patient should rely on their family, friends, and loved ones for emotional support comfort, and reassurance. There are also numerous support groups for cardiac support patients or cardiac rehabilitation sessions. Connecting with others who have experienced similar health challenges can be comforting and informative.
What medicines will the patient have to take?
There will be specific medications a patient will need to take to prevent blood clots, lower cholesterol, and control blood pressure after a stent placement. The cardiologist will be able to provide the patient with prescription medication in order to help with the post-operatory period.
What are stent failure symptoms?
The most common symptom is chest pain, however, there are a wide variety of symptoms that can mean stent failure. It is important for patients to learn about symptoms of stent failure so the patient can watch out for their own symptoms and changes in their health for early detection of an issue.
How long will a patient have to monitor their stent?
Monitoring a stent after placement is a lifetime commitment because its important for the patient to listen to their body and look out for symptoms. A patient can be expected to have checkups with their cardiologist for at least a year after the procedure to make sure there are no complications with their stent placement. To learn more about how long to monitor a stent after placement have a look at the following article HERE.
In some patients, complete recovery is possible after a heart attack. Patients should be able to return to their normal activities and lifestyle with minimal long-term effects. However, making a complete recovery does not mean that your heart will return to normal. Having one heart attack puts you at more risk of having more. The National Library of Medicine agrees as they found that 1 in 5 people over the age of 45 have a second heart attack in five years. Recovery after a heart attack is essential to the patient to reduce the risks of another heart attack and lifestyle changes are one of the biggest parts to help the prevention.
Recovery after heart attacks and stents is essential to the well-being of the patient. Stents play a vital role in the treatment and management of heart attacks and coronary artery disease. The stents can open blocked arteries, restoring blood flow to the heart muscle, but precautions should be taken to prevent further damage. Medications, lifestyle changes, and ongoing medical monitoring are equally essential in achieving a successful recovery and reducing the risk of future complications.
Soehnlein O;Wantha S;Simsekyilmaz S;Döring Y;Megens RT;Mause SF;Drechsler M;Smeets R;Weinandy S;Schreiber F;Gries T;Jockenhoevel S;Möller M;Vijayan S;van Zandvoort MA;Agerberth B;Pham CT;Gallo RL;Hackeng TM;Liehn EA;Zernecke A;Klee D;Weber C; “Neutrophil-Derived Cathelicidin Protects from Neointimal Hyperplasia.” Science Translational Medicine, U.S. National Library of Medicine, pubmed.ncbi.nlm.nih.gov/21974936/. Accessed 11 Oct. 2023.
Aliouche, Hidaya. “How Do Your Body and Mind Change When You Start Running?” News, 9 Aug. 2022, www.news-medical.net/health/How-Do-Your-Body-and-Mind-Change-When-You-Start-Running.aspx.
Belluz, Julia. “It’s Time to Rethink How Much Booze May Be Too Much.” Vox, 24 Apr. 2018, www.vox.com/2018/4/24/17242720/alcohol-health-risks-facts.
“How to Help Kids Cope When the News Is Scary.” Iowa Stater, iowastater.iastate.edu/fall-2022/article/how-help-kids-cope-when-news-scary. Accessed 11 Oct. 2023.
“Mediterranean Diet.” Nutritional Therapy for IBD – Home, www.ntforibd.org/what-is-nutritional-therapy/mediterranean-diet/. Accessed 11 Oct. 2023.
seb_ra. “Woman Looking Her Watch Stand Up.” iStock, www.istockphoto.com/es/foto/mujer-buscando-su-soporte-de-reloj-hasta-gm939197804-256804331. Accessed 11 Oct. 2023.
Smoking Ban in Barcelona, www.barcelona.de/en/barcelona-smoking.html. Accessed 11 Oct. 2023.
Team, Heart and Vascular. “3 Medications Heart Patients Should Avoid.” Cleveland Clinic, Cleveland Clinic, 11 Mar. 2022, health.clevelandclinic.org/heart-patients-3-common-medications-you-may-need-to-avoid/.
“Two People Hugging.” SevenPonds Blog, 27 Feb. 2016, blog.sevenponds.com/a-right-of-passage/carve-your-name-on-hearts-not-tombstones-a-legacy-is-etched-into-the-minds-of-others-and-the-stories-they-share-about-you/attachment/two-people-hugging.