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- $Unique_ID{BRK01234}
- $Pretitle{}
- $Title{Severe Depression After a Heart Attack}
- $Subject{post-heart heart attack depression sex mental emotional conditions
- victim victim's anxiety medication medications sexual function problems
- cardiac attacks circulatory system systems depressed condition anxieties
- functions problem myocardial infarction infarctions}
- $Volume{E-3,G-3}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Severe Depression After a Heart Attack
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- QUESTION: Since a recent heart attack my husband, who was an energetic man
- who loved life and always shared a story, has become quiet and reserved. I
- know there must be something wrong, but don't want to do anything to upset
- him. Can you offer me any advice?
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-
- ANSWER: Your husband may be one of the 10 to 15 percent of patients who
- experience moderate to severe depression after a heart attack, or even one of
- the 3 to 5 percent who have chronic and severe anxiety independent of
- depression. Some anxiety is certainly normal for someone who has had a heart
- attack, because the heart attack is one of life's crises that isn't taken
- lightly by most of us. However, chronic hostility, exhaustion and inability
- to resume normal activity despite encouragement from the physician are signs
- that the patient needs some help in overcoming his post-heart attack problems.
- A problem that is not often discussed, but which may be creating some of
- the problem, is the heart attack victim's anxiety about sex and its effect on
- his marriage. Medications given to heart patients may affect sexual function,
- but probably the most frequent cause of sexual problems is the fear on the
- part of the patient or the partner that sexual activity will cause another
- heart attack. A treadmill test gives physicians an indication of which
- activities are safe, and this includes whether sex is safe. Sexual activity
- with a marriage partner rarely exceeds even 80 percent of the post-heart
- attack patient's cardiac capacity; this means that sex is certainly a safe
- activity for most heart attack patients and their spouses. Don't be afraid to
- talk to your doctor about the safety of sexual activity. Ask him to discuss
- it with you and your husband, so you will both feel reassured.
- If there is a cardiac rehabilitation program available through your local
- hospital, see about getting your husband involved in it. Often getting to
- know other people who have had heart attacks is helpful, because you learn
- that you are not alone in your problems, and that others are making healthy
- progress. Cardiac rehabilitation programs offer exercise and nutrition
- counseling, as well as peer support to the heart patient and family. You
- might wish to consult your physician about programs that are available in your
- area.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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