Heart attack

Taking care of your heart
Before you leave the hospital, make sure you understand what has happened to you. Talk about your heart attack, the results
of tests and your drugs with your doctors. Ask whether you need to change your diet or exercise more.
Your doctor should answer all of your questions. You may also be given some written information that tells you what you can
do to reduce your chance of having another heart attack.
You'll probably get a number of drug treatments to take after a heart attack to reduce your risk of having another one. These
may include the following:
-
Aspirin (75 milligrams to 325 milligrams every day). If you can't take aspirin for some reason, your doctor should give you another
drug that works in a similar way to aspirin. (This is usually a drug called clopidogrel or one called dipyridamole). You may need to take these for the rest of your life. To learn more, see Aspirin.
Source:
Smith SC, Blair SN, Brass LM, et al.
AHA/ACC guidelines for preventing heart attack and death in patients with atherosclerotic cardiovascular disease: 2001 Update. A statement for healthcare professionals from the American college of cardiology.
Circulation. 2001; 104: 1577-1579.
1 - An ACE inhibitor. These drugs reduce blood pressure and have other effects on the heart. To learn more, see ACE inhibitors.
Source:
Smith SC, Blair SN, Brass LM, et al.
AHA/ACC guidelines for preventing heart attack and death in patients with atherosclerotic cardiovascular disease: 2001 Update. A statement for healthcare professionals from the American college of cardiology.
Circulation. 2001; 104: 1577-1579.
1 -
Beta-blockers. These drugs reduce blood pressure and also help to control the way the heart beats. You may need to take these for the rest
of your life. To learn more, see Beta-blockers.
Source:
Smith SC, Blair SN, Brass LM, et al.
AHA/ACC guidelines for preventing heart attack and death in patients with atherosclerotic cardiovascular disease: 2001 Update. A statement for healthcare professionals from the American college of cardiology.
Circulation. 2001; 104: 1577-1579.
1 -
Statins. Statins are drugs that are used to treat high cholesterol. But they seem to help you if you have had a heart attack even
if your cholesterol is normal. There's evidence that statins can lower your chances of having another heart attack.
Source:
Schwartz GG, Olsson AG, Ezekowitz MD, et al.
Effects of atorvastatin on early recurrent ischemic events in acute coronary syndromes: the MIRACL study: a randomized controlled trial.
Journal of the American Medical Association. 2001; 285: 1711-1718.
2Source:
Aronow HD, Topol EJ, Roe MT.
Effect of lipid-lowering therapy on early mortality after acute coronary syndromes: an observational study.
Lancet. 2001; 357: 1063-68.
3 Statins include the drugs atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Mevacor), pravastatin (Pravachol) and simvastatin (Zocor). To learn more, see Statins for people with heart disease in our section on high cholesterol. -
Other drugs to lower blood pressure. If your blood pressure is still high you may need some more drug treatments on top of those listed above.
Source:
Smith SC, Blair SN, Brass LM, et al.
AHA/ACC guidelines for preventing heart attack and death in patients with atherosclerotic cardiovascular disease: 2001 Update. A statement for healthcare professionals from the American college of cardiology.
Circulation. 2001; 104: 1577-1579.
1
coronary arteries
Coronary arteries are the vessels that supply blood to the heart muscle. If yours are blocked, you may have a pain in your chest (known as angina) or a heart attack because parts of the heart are not getting enough blood and oxygen.
Coronary arteries are the vessels that supply blood to the heart muscle. If yours are blocked, you may have a pain in your chest (known as angina) or a heart attack because parts of the heart are not getting enough blood and oxygen.
Source:
Smith SC, Blair SN, Brass LM, et al.
AHA/ACC guidelines for preventing heart attack and death in patients with atherosclerotic cardiovascular disease: 2001 Update. A statement for healthcare professionals from the American college of cardiology.
Circulation. 2001; 104: 1577-1579.
Smith SC, Blair SN, Brass LM, et al.
AHA/ACC guidelines for preventing heart attack and death in patients with atherosclerotic cardiovascular disease: 2001 Update. A statement for healthcare professionals from the American college of cardiology.
Circulation. 2001; 104: 1577-1579.
Tell your friends and family that you are going to give up smoking. Their support will be important. And be realistic. You
may not quit on your first try. But it's important to keep trying until you're successful. It could save your life.
Health care providers run workshops to help you recover from your heart attack, keep your heart healthy and help you live
life to the fullest. Before you leave the hospital, you and your doctors should discuss how you can join a program. If your
doctors don't mention it, ask about a rehabilitation program.
Cardiac rehabilitation is an important part of your recovery. It will help you:
- Get better faster
- Get fit
- Change your lifestyle to reduce your risk of having another heart attack
- Manage stress or depression (if you feel bad)
- Live longer.
- Information about exercising
- Education about making healthy lifestyle choices, including giving up smoking and eating better
- Counseling (talking therapy) to help you manage stress and depression.
If you're overweight, you should try to lose a few pounds. If you want to find out whether you are overweight, you can work
out your Body Mass Index (BMI). The body mass index is a formula that compares your height with your weight. You should aim for a BMI of between 18.5 and
24.9.
1 You can ask your doctor about the best way to lose weight.
Source:
Smith SC, Blair SN, Brass LM, et al.
AHA/ACC guidelines for preventing heart attack and death in patients with atherosclerotic cardiovascular disease: 2001 Update. A statement for healthcare professionals from the American college of cardiology.
Circulation. 2001; 104: 1577-1579.
Smith SC, Blair SN, Brass LM, et al.
AHA/ACC guidelines for preventing heart attack and death in patients with atherosclerotic cardiovascular disease: 2001 Update. A statement for healthcare professionals from the American college of cardiology.
Circulation. 2001; 104: 1577-1579.
With help from your health care providers, you can develop an exercise plan that suits your needs, abilities and interests.
You'll probably be supervised for six weeks or so.
Exercise improves stamina, strength and makes you feel good. Over time, exercise makes your heart work better. It can also
help you lose weight. For most people, a supervised exercise program after a heart attack is safe. Many people can continue
to exercise safely on their own after a few weeks.
Doctors say you should try to exercise for at least 30 to 60 minutes every day, or at least three or four times a week.
1 Walking, jogging and cycling are all good ways to get your heart working better. Doing things around the house and garden
are also good.
Source:
Smith SC, Blair SN, Brass LM, et al.
AHA/ACC guidelines for preventing heart attack and death in patients with atherosclerotic cardiovascular disease: 2001 Update. A statement for healthcare professionals from the American college of cardiology.
Circulation. 2001; 104: 1577-1579.
Smith SC, Blair SN, Brass LM, et al.
AHA/ACC guidelines for preventing heart attack and death in patients with atherosclerotic cardiovascular disease: 2001 Update. A statement for healthcare professionals from the American college of cardiology.
Circulation. 2001; 104: 1577-1579.
If you have diabetes, it's important to keep your blood sugar as near to normal as you can.
1 Your doctor will advise you how to do this. Exercising regularly, controlling your weight and keeping your blood pressure
and cholesterol down can all help.
Source:
Smith SC, Blair SN, Brass LM, et al.
AHA/ACC guidelines for preventing heart attack and death in patients with atherosclerotic cardiovascular disease: 2001 Update. A statement for healthcare professionals from the American college of cardiology.
Circulation. 2001; 104: 1577-1579.
Smith SC, Blair SN, Brass LM, et al.
AHA/ACC guidelines for preventing heart attack and death in patients with atherosclerotic cardiovascular disease: 2001 Update. A statement for healthcare professionals from the American college of cardiology.
Circulation. 2001; 104: 1577-1579.
Learning about your heart attack and the treatment you need is an important part of getting better and lowering your risk
of future trouble. Your health care providers will help you learn:
- What makes it more likely that you'll get heart disease, including having high blood pressure and high cholesterol. To learn more, see Risk factors for having a heart attack. You can also read more about High blood pressure and High cholesterol.
- How the drugs you're taking to control your blood pressure or lower your cholesterol work. Keeping your blood pressure and cholesterol under control gives you the best chance of staying healthy
- What a healthy diet is. Eating more fruit and vegetables and less fat can help you lower your cholesterol, reduce the amount of body fat you have and make you feel better. These are all important after a heart attack. Getting good advice about what to eat may make it easier for you to make lasting changes to your diet.
Sources for the information on this page:
- Smith SC, Blair SN, Brass LM, et al.AHA/ACC guidelines for preventing heart attack and death in patients with atherosclerotic cardiovascular disease: 2001 Update. A statement for healthcare professionals from the American college of cardiology.Circulation. 2001; 104: 1577-1579.
- Schwartz GG, Olsson AG, Ezekowitz MD, et al.Effects of atorvastatin on early recurrent ischemic events in acute coronary syndromes: the MIRACL study: a randomized controlled trial.Journal of the American Medical Association. 2001; 285: 1711-1718.
- Aronow HD, Topol EJ, Roe MT. Effect of lipid-lowering therapy on early mortality after acute coronary syndromes: an observational study.Lancet. 2001; 357: 1063-68.
This information was last updated on Apr 09, 2009
This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment.
© BMJ Publishing Group Limited 2009. All rights reserved.
© BMJ Publishing Group Limited 2009. All rights reserved.
The information on ConsumerReportsHealth.org should not be viewed as a substitute for a consultation with a medical or health professional.
The information is meant to enhance communication with your doctor, not replace it. Consumers Union can not be liable for any loss, injury, or other damages related to your use of this information.
Your use of this information is subject to our User Agreement available at www.ConsumerReportsHealth.org.
Your use of this information is subject to our User Agreement available at www.ConsumerReportsHealth.org.
Source: ConsumerReportsHealth.org Copyright © 2005-2008 Consumers Union of U.S., Inc.













