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Transcript of Dr Parul Tank MD DNB DPM MRCPsych Consultant Psychiatrist, Asian Heart Hospital Head of Department,...
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!