Coping with emotions after a heart attack

People often find they need to recover emotionally from their heart attack as well as physically. Learning there is something wrong with your heart can be distressing, and people’s reactions differ. Here they talk about their feelings during the months following their heart attack and how they coped with their emotions.

A few people said their heart attack had not affected them too much emotionally; they could adopt a positive attitude quite soon afterwards. Others commented that it took a bit longer, but in time they had been able to accept what had happened to them, and they made a conscious effort to put it behind them and to move forward (see ‘Attitude to life after a heart attack’). A few were still struggling to cope with their emotions several years after their heart attack.

After a short period of feeling sorry for himself he decided to get on with his life.

Age at interview 61

Gender Male

Age at diagnosis 49

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It took a bit of time to accept what had happened to her, but then she made a conscious effort to…

Age at interview 63

Gender Female

Age at diagnosis 63

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Mervyn felt anxious and emotionally low after he left hospital but the support of his wife helped…

Age at interview 76

Gender Male

Age at diagnosis 73

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Many people described feeling a range of emotions including’

  • fear of having another heart attack
  • anxiety
  • loss of confidence
  • anger
  • frustration
  • irritability and short temperedness
  • depression

A few people found it frightening to leave the security of the hospital, the first day that they came home. One man felt lonely at first, even though the house was full of relatives. A woman living alone had worried about going to sleep the first night she was on her own in the house.

She believed that she was so anxious before she started rehabilitation that this actually caused…

Age at interview 57

Gender Female

Age at diagnosis 53

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So much was going on in his mind that he felt cut off from the people around him.

Age at interview 67

Gender Male

Age at diagnosis 65

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She worried about going to sleep the first night she was on her own at home.

Age at interview 54

Gender Female

Age at diagnosis 53

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After leaving hospital Mervyn felt vulnerable and very anxious particularly when on his own.

Age at interview 76

Gender Male

Age at diagnosis 73

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Some said they worried about having another heart attack at first, but they had tried to adopt a positive attitude, to not dwell on it, and in time they found they worried less.

A few people had had panic attacks, caused by anxiety. One man said that these had continued for several years and he still gets them occasionally.

For the first few months she had panic attacks when she thought she was having another heart attack.

Age at interview 54

Gender Female

Age at diagnosis 53

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Some people had lost their confidence after their heart attack. In many cases, this was only for a short while until they attended a cardiac rehabilitation programme (see ‘Cardiac rehabilitation and support’). Others said that it had taken many months or in a few cases, years to build up their confidence. One man felt his confidence had not returned to how it was before his heart attack, ten years later.

He felt severely depressed, frightened and had lost his confidence after his heart attack.

Age at interview 63

Gender Male

Age at diagnosis 53

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Some people who had felt a bit down or low for the first few weeks after their heart attack managed to overcome these feelings. A few experienced depression, which they had found difficult to overcome (see Interview 33). One man was severely depressed with suicidal thoughts during the first few months after his heart attack. Reiki and counselling had helped some of those we spoke to (see ‘Complementary therapies and approaches after a heart attack’) If depression continues beyond six weeks, people should talk to their GP or cardiac rehabilitation nurse, as it can hinder recovery from a heart attack.

He feels lucky to have managed to overcome any depression he felt.

Age at interview 62

Gender Male

Age at diagnosis 56

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He was severely depressed for many months after his heart attack.

Age at interview 63

Gender Male

Age at diagnosis 53

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A few people said they had not felt depressed but had felt quite tearful and emotional at times.

Some people felt angry or frustrated, especially those who had, had a heart attack at a young age. One woman explains that she tried to be positive, but often she felt angry and depressed at having a heart attack when she was only thirty-seven. One man, who couldn’t do the things he could before, felt angry and frustrated during the first year after his heart attack.

She felt angry and depressed at having a heart attack when she was only thirty-seven.

Age at interview 37

Gender Female

Age at diagnosis 36

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He felt frustrated and angry at not being able to do the things he could before his heart attack.

Age at interview 58

Gender Male

Age at diagnosis 57

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A few people who said they had felt depressed, angry or frustrated were forced to retire early, which had contributed to these feelings (see ‘Returning to work after a heart attack’).

Some noticed they had become more short-tempered or irritable. One man said he was very short-tempered at home for three months after his heart attack, and he felt guilty about taking it out on his wife. Another described the ‘black moods’ he had after his triple bypass surgery.

Thinks that fear and anger at what had happened to him led him to take it out on his wife.

Age at interview 46

Gender Male

Age at diagnosis 42

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He had black moods after his triple bypass surgery.

Age at interview 63

Gender Male

Age at diagnosis 40

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One man still felt more irritable or short-tempered than he had done before his heart attack, and he wondered whether this might be caused by his medication.

He has become short-tempered, which he thinks might be a side effect of the ace inhibitor and…

Age at interview 77

Gender Male

Age at diagnosis 70

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Three men commented that their first heart attack hadn’t had too much of an impact on them but hat their second heart attack had been harder to cope with.

His second heart attack was harder to cope with because he had done everything he could to…

Age at interview 62

Gender Male

Age at diagnosis 56

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Recovering after a heart attack

After having a heart attack, people had to come to terms with the emotional impact of what had happened to them (see 'Coping with emotions...

Cardiac rehabilitation & support

Cardiac rehabilitation programme (also called Cardiac Rehab) usually includes the following basic areas: supervised exercise sessions, education and relaxation and emotional support. The goals of...