After effects heart attack
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After Effects of a Heart Attack
Readjustment After a Heart Attack: Key Factors
Readjustment after a heart attack involves multiple dimensions, including affective, instrumental, and cognitive aspects. A comprehensive study has identified various demands that can impede readjustment and highlighted the importance of self-controlled resources in coping with these demands. The role of the spouse is crucial in enhancing these resources and furthering readjustment. The study emphasizes the need to understand the differential effects of various demands, resources, and spouse support on the readjustment process1.
Heart Rate Variability and Beta-Blocker Therapy
Heart rate variability (HRV) is a significant predictor of mortality after a heart attack. A study on the effects of propranolol, a beta-blocker, found that it improves the recovery of parasympathetic tone, which correlates with better outcomes. Propranolol therapy was shown to increase high-frequency (HF) power, an index of vagal tone, and decrease the low-frequency (LF) to HF ratio, indicating a reduction in morning sympathetic predominance. These changes are associated with a decreased risk of sudden death and overall mortality after a heart attack2.
Patient and Partner Experiences Post-Heart Attack
The experiences of patients and their partners one month after a heart attack reveal several patterns. Key categories include expectations about advice and information, feelings about the future, reactions of the partner, minimizing the significance of the heart attack, the desire to return to normalcy, and the impact on the couple's relationship. These insights highlight the importance of providing adequate support and information to both patients and their partners during the early stages of recovery3.
Psychological and Emotional Impact
The psychological and emotional impact of a heart attack can be profound. Anxiety and agitation are common, particularly in the context of significant life stressors or unresolved psychological issues. The case study of a patient who experienced a heart attack after prolonged anxiety and a hallucinatory episode underscores the complex interplay between psychological stress and cardiac events. This suggests that addressing underlying psychological issues may be crucial in the management and prevention of heart attacks4.
Conclusion
The aftereffects of a heart attack are multifaceted, involving physical, psychological, and social dimensions. Effective readjustment requires a comprehensive approach that includes medical treatment, psychological support, and the involvement of close family members. Beta-blocker therapy, particularly with propranolol, has been shown to improve heart rate variability and outcomes. Understanding the experiences of patients and their partners can guide healthcare providers in offering better support during recovery. Addressing psychological factors is also essential in managing the overall impact of a heart attack.
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Most relevant research papers on this topic
The structure of readjustment after heart attack.
Readjustment after a heart attack is influenced by demands, self-controlled resources, and spouse support, with spouse support playing a crucial role in enhancing resources and furthering readjustment.
Observational Study
Highly CitedEffects of propranolol on recovery of heart rate variability following acute myocardial infarction and relation to outcome in the Beta-Blocker Heart Attack Trial.
Propranolol therapy improves recovery of parasympathetic tone after acute myocardial infarction, correlates with better outcomes, and reduces morning sympathetic predominance.
RCTHighly CitedThe experiences of patients and their partners 1 month after a heart attack.
Patients and their partners experience six major categories of emotions and experiences one month after a heart attack, which may inform nursing practice on improving support during early convalescence.
Observational StudyHighly CitedAnxiety preceding a heart attack — Effect of person
Anxiety and agitation in heart attack patients may disappear when they are taken to the hospital, suggesting a disturbed heart-brain balance in neuropsychic catechplamine chemistry.
Case ReportDepression After Heart Attack
Depression after a heart attack increases one's risk of having another heart attack or dying, and screening for depressive symptoms is recommended to identify those who may require further assessment and treatment.
Rigorous JournalACE Inhibitors after Heart Attacks: Varying Effects?
Ramipril has lower death rates within the first year after heart attack compared to other ACE inhibitors, suggesting that not all ACE inhibitors have similar effects on death rates.
Sex After a Heart Attack.
Resuming sexual activity after a heart attack is no more physically demanding than other daily activities, and psychological factors play a greater role in sex drive and function than physical factors.
The Influence of Kidney Disease on Outcomes of Patients with Heart Attack
As kidney disease severity increases, patients have worse survival after heart attacks and are less likely to receive effective heart attack treatments.
Observational StudyPredicting Recovery of Heart Muscle Strength after a Heart Attack
High creatine kinase levels in the blood and heart enlargement during the 90-day observation period are predictors of less complete recovery of heart muscle strength after a heart attack.
Causal attribution, perceived control, and recovery from a heart attack.
Attributions of causal influence to personal behavior and stress remain stable over time, but do not predict illness severity at 1 year.
Observational StudyHighly Cited