Emotional issues after cardiac surgery

Dr Parul TankMD DNB DPM MRCPsych

Consultant Psychiatrist, Asian Heart Hospital

Head of Department, Rajawadi Hospital, Mumbai

Out of the cardiac experience, life can become richer, more meaningful, and even joyous.

Heart disease does not have to be only an ending. It can be a new

beginning.

Rhoda LevinHeartmates

Heart Heart is linked with emotionsIt also a main source of lifeCardiac patients feel more distressed than others

Physical symptoms similar to psychological symptoms

Immediate post op symptomsLess sleep

Irritability

Mild disorientation

Mild memory lapses

Fear and anxiety

Depression It is a normal reaction and self limiting

It is due to overload of emotional and physical stresses

Reduces quality of lifeSeen in 12 to 52% patients post opIncreases risk of readmission and even mortality

Common symptomsLow mood

Tearfulness

Lack of interest, ideas of hopelessness and helplessness

Anger, irritable

Decrease sleep and appetite

Body symptoms

Feeling of suicide

Anxiety Feeling of fear and uncertainity

“Ghabrahat”Mild to severe15 to 45 % of post op patients

Anxiety Common symptoms

includeUneasinessIrritablePhysical symptoms

like chest pain, headaches, diarrhoea, dryness of mouth, tremors, palpitations

Reasons Past history of emotional problemsHistory of alcoholism, drugsPoor family or social supportAnxious personalityCertain medicationsFear of the unknown /death

Practical tips

Recognise the emotions

Seek more information about the surgery and any other

questions

Lifestyle changesGive time to heal – be patient

Stop alcohol, nicotine

Follow a healthy diet

Enjoy social activities

Do physical activities

Accept negative feelings – do self talk

Relaxation techniques

Seek help if needed

The familyIt can be a stressful time for familyMeet patient even if disorientedGive reasuranceSeek help if you are anxious or depressed

Treat patient with care but not overconcern

Take time outAvoid guilt feelings

Take a Chill Pill

Thank you!