What happens after a heart attack

Most people survive their first heart attack and return to their normal lives to enjoy many more years of productive activity. But having a heart attack does mean you need to make some changes in your life.

Your doctor will advise you of medications and lifestyle changes according to how badly your heart was damaged and what degree of heart disease you have.

It's up to you to follow your doctor's recommendations to make a full recovery.

View an animation of a heart attack(link opens in new window).

Heart Attack Recovery Questions and Answers

What treatments will I need?

Treatments for heart attack patients include medications, lifestyle changes and, in some cases, surgical procedures. Your doctor may also run some diagnostic tests to determine how much your heart was damaged and what degree of coronary artery disease you have.

How long will I need to rest after my heart attack?

Rest is important after a heart attack, but it's just as important for you to participate in recreation and social events and to begin making physical activity a part of your daily life. In many cases doctors will recommend that survivors get more physical activity than they got before their heart attack. A good night's rest is especially important for heart attack patients. And if you feel tired during the day, take a nap or a short rest. Heart patients should rest before they get too tired. Your doctor will tell you what's best for your specific situation, but most heart attack patients find they have plenty of energy for both work and leisure activities.

When can I go back to work?

Most heart attack patients go back to work within two weeks to three months depending on the severity of the heart attack. Your doctor will determine when you can go back and if your current job is suitable for a person who has had a heart attack.

Is it normal to feel so depressed?

Heart attack patients will feel a wide range of emotions, typically for about two to six months after the event. Depression is quite normal, along with fear and anger. For example, every time you feel a little pain, you may feel afraid it's going to happen again — afraid you're going to die. That's normal and will begin to pass as time goes by. You may be angry that this happened, and you're probably feeling irritated and have a "short fuse" with others. Resentment is common after a heart attack. Try to understand that your family and friends are just as worried as you are. Although depression is normal after a heart attack, if it interferes with sleeping, eating, self-esteem, or if you have thoughts of suicide, you should talk to your doctor and those close to you about your feelings. Don't be afraid to ask for help. Recovery is much faster with a trusted support team of healthcare professionals, family and friends.

How will my family feel?

Your heart attack has probably had a big emotional impact on your family. They may feel frightened, angry, resentful or even guilty. Teenagers are especially sensitive and may think that something they did caused you to have the heart attack. It's better for everyone to get his or her feelings out in the open. Don't let feelings smolder — that can be destructive. If you think counseling would help your family deal with your heart attack more quickly, ask your doctor to refer you to someone for help.

Is chest pain normal after a heart attack?

Once you've had a heart attack, you're at higher risk for another one. Not everyone who has CHD will have chest pain (angina pectoris or unstable angina), but if you do, it should be a light pain or pressure in your chest that quickly goes away. It will typically happen during or right after physical exertion, intense emotion or eating a heavy meal. If you're having ANY chest pains, tell your doctor. There are exercises and medication that can help ease or prevent the pain. If you don't know if your chest pain is angina or a heart attack, call 911.

Why is cardiac rehabilitation important?

One of the best things you can do for yourself is to get into a cardiac rehabilitation program where everything you need to get and stay healthy is in one convenient location. Rehabilitation programs are medically supervised to help you improve your health and well-being and change your lifestyle habits through exercise training, education and counseling to reduce stress. These programs often take place at a hospital with a rehabilitation team or with the help of your doctor, nurse, dietitian or other healthcare professionals. Ask your doctor whether cardiac rehab can help you improve your health.

Learn more about cardiac rehabilitation.

Why are lifestyle changes important?

Making changes in your lifestyle is one of the most important things you can do to prevent another heart attack, heart disease and stroke. The ABCs of prevention are:

  • Avoid Tobacco — As a nonsmoker, you can go so many places and enjoy so many experiences that were off limits to you as a smoker.
  • Become More Active — Regular physical activity will ease stress and depression, help control weight and help lower blood pressure and cholesterol levels.
  • Choose Good Nutrition — Good nutrition will help control your weight, lower blood pressure and cholesterol levels.

Even if you're taking prescription medication, it's still extremely important to lead a heart-healthy lifestyle. Learn more about the lifestyle changes for heart attack prevention.

What about sex after a heart attack?

Most people can continue their same pattern of sexual activity within a few weeks after they recover from a heart attack. Talk to your doctor to decide what's safe for you.

Learn more about sex and heart disease.

Key facts

  • A heart attack occurs when the blood supply to the heart is blocked and your heart muscle can’t get enough oxygen.
  • A common symptom of a heart attack is chest pain that may spread to your arms, neck, jaw or back.
  • Heart attacks are mostly caused by coronary heart disease which starves your heart of oxygen.
  • You can reduce your risk of having a heart attack by adopting healthy lifestyle habits.

To work properly, your heart needs a continuous supply of oxygen-rich blood. It normally receives this from blood vessels called coronary arteries. When a coronary artery suddenly becomes completely blocked, oxygen can’t get to your heart muscle — which causes a heart attack (or, ‘myocardial infarction’).

Heart attack is a medical emergency: without oxygen, the muscle begins to die and your heart can become permanently damaged.

Heart attacks can be fatal — every day, 21 Australians die from heart attack. One patient is admitted to hospital due to heart attack every 9 minutes.

What are the symptoms of a heart attack?

If you have any of the symptoms below, you could be having a heart attack. If symptoms are severe, get worse quickly, or last longer than 10 minutes, call triple zero (000) immediately and ask for an ambulance. If calling triple zero (000) does not work on your mobile try calling 112.

The most common symptoms of a heart attack include:

Women may experience different symptoms, such as:

  • breathlessness and generally feeling unwell
  • tightness or discomfort in the arms
  • back pain or pressure

Heart attack symptoms differ from person to person. Some people experience no warning signs before a heart attack while others feel symptoms days or weeks in advance. Nearly 1 in 3 men and nearly 4 in 10 women who have heart attacks don’t feel any chest pain at all. Chest pains may also come and go.

CHECK YOUR SYMPTOMS — Use the chest and back pain Symptom Checker and find out if you need to seek medical help.

What causes heart attacks?

The most common cause of a heart attack is coronary heart disease. This is where fatty deposits, cholesterol and other substances build up in the walls of the coronary arteries that supply oxygen to the heart. Over time, this build-up hardens into plaque that can break off at any time and cause a blood clot which blocks the artery.

In some cases, heart attacks have another cause:

  • Coronary artery spasm (variant angina) is an unusual narrowing of blood vessels that can stop blood flow to the heart.
  • Spontaneous coronary artery dissection is a sudden tear in the wall of a coronary artery, which can also affect people who have few risk factors for heart disease.

Certain lifestyle factors are shown to increase your chances of heart disease and having a heart attack.

  • Smoking damages your blood vessels and makes you 3 times more likely to die of a heart attack.
  • An unhealthy diet high in saturated fat, salt and added sugar puts you at risk of heart disease.
  • Not enough physical activity — more than 4 out of 5 Australians aren’t physically active enough.
  • High blood pressure — 1 in 3 Australians live with high blood pressure.
  • High cholesterol — too much ‘bad' LDL cholesterol in your blood is one of the main reasons for a build-up in fatty plaques that block your arteries.
  • Diabetes — people with diabetes are up to 4 times more likely to have a heart attack or stroke.
  • Unhealthy weight — people who are overweight or obese have an increased chance of having a heart attack.
  • Poor mental health — conditions such as depression can increase your risk of heart disease.

When should I see my doctor?

Call triple zero (000) immediately and ask for an ambulance, if you or someone near you experiences symptoms of a heart attack that are:

  1. severe
  2. get worse quickly, or
  3. last longer than 10 minutes

If calling triple zero (000) does not work on your mobile, try calling 112. Early treatment could save a life.

See your doctor regularly to manage your general health, test for heart disease risk factors and help you take steps to prevent a heart attack.

FIND A HEALTH SERVICE — The Service Finder can help you find doctors, pharmacies, hospitals and other health services.

How are heart attacks diagnosed?

If you think you might be having a heart attack, you need to head to a hospital straight away. There, a doctor will assess your symptoms and check your vital signs – blood pressure, pulse and temperature.

There are several tests that help indicate if you’ve had a heart attack, and whether damage was caused, such as:

  • electrocardiogram (ECG) — electrical leads are placed on your chest, arms and legs to record the electrical signals travelling through your heart muscle
  • blood tests
  • chest x-ray
  • angiography (or, coronary catheterisation) — a special fluid is inserted into a blood vessel through a small tube (catheter) to show whether your coronary arteries are narrowed or blocked
  • exercise stress test
  • CT scan or MRI scan

How are heart attacks treated?

The first step in treating a suspected heart attack is to restore blood flow to the heart quickly. Heart muscle cells depend on oxygen and the longer the heart is without oxygen, the more permanent and widespread the damage.

Medications

Treating a heart attack often involves dissolving any blood clots blocking blood flow with medicines called thrombolytics.

Other medications may be prescribed to help reduce the risk of another heart attack. These include:

  • medicines that reduce the blood’s clotting action such as aspirin, anticoagulants (blood-thinning medicines) and anti-platelet agents
  • medicines to lower blood pressure (for example, ACE inhibitors and angiotensin II receptor blockers)
  • beta blockers to slow your heart rate

Surgery

Surgical procedures can help to restore blood flow to the heart, including:

  • Coronary angioplasty — a procedure in which a coronary artery is opened up from the inside using a special balloon inserted through your groin or wrist. The artery may then be kept open with a special metal tube (stent) left inside your artery.
  • Bypass surgery (coronary artery bypass graft surgery, or CABG) — involves redirecting blood to bypass (go around) the blockage in the coronary artery and improve blood flow to your heart.

ASK YOUR DOCTOR — Preparing for an appointment? Use the Question Builder for general tips on what to ask your GP or specialist.

How can I prevent a heart attack?

Making positive lifestyle changes is the best way to lower your risk of a heart attack.

There are a number of ways you can improve your heart health:

There are also other risk factors that you can’t control, like your age, gender, ethnicity and family history.

Speak with your doctor if you’re concerned about your risk factors, and for tips on how you can reduce your risk.

ARE YOU AT RISK? — Are you at risk of type 2 diabetes, heart disease or kidney disease? Use the Risk Checker to find out.

NEED TO LOSE WEIGHT? — Use the BMI Calculator to find out if your weight and waist size are in a healthy range.

Are there complications of a heart attack?

Complications following a heart attack can include:

  • Arrhythmia — your heart may develop an irregular heartbeat following a heart attack due to damaged heart muscles disrupting electrical signals.
  • Heart failure — your heart may have ongoing difficulty pumping enough blood, due to its muscles being too weak or stiff.
  • Cardiogenic shock — where your whole body goes into shock from extensive heart muscle damage.
  • Heart rupture — this is a rare but serious complication in which the heart’s muscles, walls or valves split apart.

These can be dangerous if untreated, but your healthcare team will help to manage them if they occur.

Is a cardiac arrest the same thing as a heart attack?

A cardiac arrest and a heart attack are both medical emergencies. However, they are not the same thing, and sometimes a heart attack can progress into a cardiac arrest.

During a cardiac arrest, the electrical system that controls your heart rate and rhythm stops working, and the heart stops beating.

When someone has a cardiac arrest, they experience different symptoms and receive different treatments to someone who has a heart attack.

Someone having a cardiac arrest will collapse and have no pulse. They may not breathe properly, or maybe not at all, and they will lose consciousness.

If someone has a cardiac arrest, they need help immediately. Call 000 (triple zero) for an ambulance. While waiting for the ambulance to arrive, begin chest compressions (cardiopulmonary resuscitation or CPR), or use a device called a defibrillator, if available. Once the person gets to hospital, a medical team will treat them.

Does COVID-19 cause heart attacks?

Research so far suggests that COVID-19 mostly affects the lungs, but it can also affect the heart and worsen existing conditions.

See the Heart Foundation’s FAQs page for more information about COVID-19 and heart disease.

Life after a heart attack

Recovering from a heart attack can be both emotionally and physically challenging. Hearing stories from others who have experienced a heart attack can help.

The Heart Foundation have shared several people’s “heart stories” on their website.

Resources and support

For more information and support, try these resources:

Other languages

Do you prefer to read languages other than English? The Heart Foundation has fact sheets on heart health translated into more than 25 languages.

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