You May Feel Like Youre On An Emotional Roller Coaster
Recovering from open-heart surgery involves physical and emotional healing. The recovery process uses emotional and physical energy.
If you feel upset or emotional in the weeks after your operation, dont worry this is a normal reaction. Many patients report these feelings up to three months after the operation:
Mood swings that may include depression, fear, anxiety, loneliness, helplessness and anger
Crying easily for no apparent reason
Lack of energy or motivation
Getting easily frustrated
Having good days and bad days
Feeling more emotional or sentimental than normal
Even though you may feel drained physically and emotionally, its important to follow guidelines for good self-care:
Get dressed every day
Walk daily within your limits
Get plenty of rest
Youll Play A Key Role In Managing Your Pain
Post-surgical pain is unavoidable but can be managed in a variety of ways. Because of recent national legislation changes, physicians can prescribe no more than a seven-day supply of opioids to patients at the time of their hospital discharge.
Weaning yourself off opioids as soon as possible is important. You may need less than a seven-day supply, depending on your condition. Some patients do not require any opioids for pain management.
Other options for pain management include:
Oral and topical analgesics such as acetaminophen and Salonpas patches
Applying a warm cloth to the area, using caution near the incision because nerve sensitivity may be decreased, causing the skin to burn
Relaxation techniques such as meditation and guided imagery
If you are on long-term opioids, you should meet with your prescribing physician to begin to wean down to the lowest dose possible before surgery.
Contact Your Family Doctor Immediately If You Notice:
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What Conditions Are Treated With Heart Surgery
Heart surgery treats a range of conditions that affect your heart and the blood vessels connected to your heart.
An aneurysm is a bulge in your artery wall or heart muscle. One type of aneurysm is an aortic aneurysm. This occurs in your aorta, which is the large artery that carries blood out of your heart to the rest of your body. Aortic aneurysms may form in your belly . Less often, they form in your chest .
Aneurysms can also form in your heart muscle, usually in your left ventricle. This is the chamber of your heart responsible for pumping blood through your aorta.
Over time, an arrhythmia can weaken your heart and lead to serious problems.
Congenital heart disease
Some congenital heart defects need to be repaired soon after birth. Other defects may not show symptoms right away. So, congenital heart disease can affect adults who never knew they had a problem. This often happens with atrial septal defects, which may not show symptoms until middle age.
Coronary artery disease
CAD may cause no symptoms. In some cases, it causes chest pain . If untreated, CAD can lead to a heart attack.
CAD is the most common form of heart disease, affecting about 18 million adults in the U.S.
Heart valve disease
- Stiff and narrow .
Caring For Your Wound
The metal wires holding your breastbone together are permanent.
But the stitches closing your skin will gradually dissolve over the weeks following surgery as your skin heals.
While you’re recovering in hospital, you’ll be told about how to care for your wounds at home.
It’s important to keep the wounds clean and protect them from the sun while they’re healing.
You’ll have a scar where the surgeon cut down your chest, as well as where the grafted blood vessel was taken from.
These will be red at first, but will gradually fade over time.
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What To Expect After Cardiac Ablation Surgery
You will be monitored for 2-6 hours after the procedure to check bleeding and vitals, including heart rate and blood pressure.
Most people go home the same day of the procedure. Others may need to stay in the hospital for 1-2 days, depending on their overall health status.
- Pulmonary vein stenosis
- Radiation exposure
Very rarely, the surgery may lead to death, although the chances of dying from cardiac ablation surgery are extremely low.
Should I Consider Coronary Bypass Surgery
Coronary bypass surgery treats blockages or the narrowing of one or more arteries that surround the heart. This operation aims to restore blood supply to the heart muscle.
Your doctor will likely suggest coronary bypass surgery if youâre experiencing:
- Severe chest pain: This may be caused by the narrowing of coronary arteries that supply blood to your heart muscle. Even while at rest, your heart muscle is short of blood.
- Coronary blockage or narrowing reoccurrence: If you had a stent placement or an angioplasty that didn’t clear the blockage or narrowing of one or more coronary arteries, coronary bypass surgery might be the best option.
- Heart issues: Your left main coronary artery supplies most of the blood to your heart’s left ventricle, also known as your heart’s main pumping chamber. When this is severely narrowed or blocked, the left ventricle may not be functioning correctly. Coronary bypass surgery can correct this. It can also treat more than one diseased coronary artery.â
In the event you have a heart attack, coronary bypass surgery might be necessary if you fail to respond to alternative treatments.
What Is The Fastest Way To Recover From Bypass Surgery
The fastest way to recover is to be patient with yourself. Take time to return to a normal routine dont try to rush it. Know that your cardiac care team cares about your recovery and is available to help you through this process.
Perhaps one of the most important steps to recovery is your outpatient cardiac rehabilitation program. This usually starts a few weeks after surgery. It includes guidance on exercise, nutrition, and lifestyle all the keys to heart health after CABG. The program is supervised by therapists who are specially trained to care for people with heart conditions.
In general, cardiac rehab programs last at least six weeks. But the length can vary depending on your needs. Its common to think its unnecessary or even too time-consuming. But we cant stress enough how important it is. Please speak with your care team if you have financial or other concerns.
Showering And Incision Care
You may shower if your surgeon has approved this prior to discharge. Your incisions may itch or feel sore, tight or numb for a few weeks. Some bruising around the incisions is also normal.
- Use warm water.
- You may wash your incisions gently with soap and water, but do not scrub them.
- Pat your incisions dry.
- Do not take baths or use powders or lotions near the incisions.
You may have white pieces of tape on your chest. These are called “steri strips”. They will gradually fall off. If they have not fallen off in 7 days, gently wash your chest with soap and water and gently peel them off. You may have some bleeding if the strips pulled off any scabs.
If you find it more comfortable, a thin layer of gauze may be placed over the incision. Women may wish to place cotton or soft material between the bra and chest wall.
- Your skin is sealed within 24-48 hours after surgery.
- You may itch or feel sore, tight or numb for a few weeks. Some bruising around the incision is also normal.
- Avoid sun exposure for the first year
- Chest tube drainage Within the first week after surgery, fluid may leak out from your chest tube sites. You may cover the sites with sterile bandages. Call your surgeon’s office if have to change the bandages more than once/day.
Signs of Possible Infection
- Increased swelling/tenderness along incision line
- Persistent high fever
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Open Heart Surgery Recovery Time For Elderly Patients
So what is the recovery time like following open-heart surgery? Well, that varies based on the individual. Often, you can expect to spend 7-10 days in the hospital following surgery, with at least one day in the ICU immediately following the operation. This stay may be longer if you experience complications.
In terms of healing times, it can take anywhere from 6-8 weeks or longer for your sternum to heal completely based on individual risk factors and post-surgery complications, as well as your rehabilitation experience following surgery.
Is Full Recovery Possible
Is it possible or reasonable to make a full recovery? What exactly is a full recovery? The idea of a full recovery is typically understood as functioning as well as prior to surgery, or better. That expectation may not be reasonable, a better definition might be reaching your best possible level of function after surgery. Some surgeries are not performed for a cure, but to improve pain, remove infection, or slow a disease process.
For example, imagine a patient who has a severe infection in their foot that is both painful and life-threatening. The problem is not being controlled by antibiotics or wound care, and the infection is threatening to move to the rest of the body. Surgically removing the foot could very well save the patients life, and put an end to the infection however, walking will be a very different thing after surgery, potentially requiring a prosthetic foot. For this patient, a return to good health without an infection, and a well-healed incision may be considered an outstanding outcome and a complete recovery.
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From Hospital Discharge To Six Weeks
As you begin getting back into your routine, remember to start with small tasks and take plenty of breaks. Dont overdo it.
After you leave the hospital, unless your surgeon says otherwise, you may return to activities such as:
- Light cleaning.
- Climbing stairs.
Some things are still off limits, though.Dont lift, pull or push anything that weighs more than 10 pounds. Its too soon to drive, too, but its OK to ride in a car.
Recovery After Mitral Valve Replacement
Some people need a valve replacement rather than repair. Even if you require a replacement valve, your heart function should be much improved after you recover from surgery, unless other health factors are involved. Recovery from valve replacement is similar to that of valve repair: several days in the ICU, followed by a gradual increase in activity as directed by your doctor when you return home. You may receive a valve made from biological tissue or a mechanical valve. A tissue valve can last as long as 15 years, and a mechanical valve as long as 25 years. Either way, you should be able to resume most of your normal activities after about 6 to 8 weeks.
If you have a mechanical valve, you will need to take blood thinners on an ongoing basis to avoid developing blood clots in your heart. You may hear a clicking sound, which is normal. Its important that you follow your doctors guidance on monitoring your heart function following the procedure.
If you had symptoms before your mitral valve surgery, such as fatigue or shortness of breath, you may feel better very quickly after the operation. Even if it takes a little while to feel better, mitral valve surgery is a common procedure with a high success rate and, in many cases, can get you back to your regular routine.
Here’s What To Expect Once You’re Home From The Hospital
Every day, thousands of people in the United States undergo open-heart surgery. This major operation leaves them with a long chest incision and a lengthy recovery. The time it takes to fully heal will depend on the person’s age and overall health and the complexity of the operation.
The most common is coronary artery bypass grafting, which uses a blood vessel taken from another part of the body to bypass a blocked heart artery. Open-heart surgery is also done to repair or replace a faulty heart valve or to repair damaged or abnormal areas of the heart.
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Who Is In Theater For Open Heart Surgery
A team of doctors and other health professionals work together in the operating theater during open heart surgery.
The team is likely to include:
- the lead surgeon who will direct others surgeons who will assist during the operation
- the anesthesiologist, who is in charge of giving and anesthesia and monitoring vital signs
- the pump team, also known as perfusionists, operate the heart-lung machine and other technical equipment that supports open heart surgery
- nurses and technicians, who assist the surgical team and prepare the operating theater for surgery
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Recovery From Open Heart Surgery In The Elderly
Did you know that approximately 85.6 million Americans in the United States suffer from cardiovascular disease? And of those 85.6 million Americans, more than half fall into the 60+ age band, with the percentage of cardiovascular disease cases increasing to 85% of individuals aged 80+, according to a 2016 update from the American Heart Association. If you or a senior loved one suffer from cardiovascular disease, you may eventually need to undergo some form of open-heart surgery at the recommendation of your doctor. Naturally, this is a scary thought that raises many questions: how long does it take to fully recover from open heart surgery? Is it safe for an 80-year-old to get open heart surgery? What is the most common complication after open heart surgery? In this post, well answer each of these questions to help put your mind at ease!
Three Months And Beyond
After three months, youll be able to engage in more rigorous and heavier exercise and activity. As always, be very mindful of how youre feeling and try not to overdo it.
At this point, youll be able to participate in a full range of workouts and sports, you can take on more strenuous home and garden projects .
In general, before starting up a new activity or taking up one that you used to do, ask your healthcare provider if its safe. Dont hesitate to seek out medical advice and/or help if anything seems off.
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What To Expect Before Cardiac Ablation Surgery
Your doctor will advise you to undergo the following tests before planning cardiac ablation surgery:
- Cardiac computed tomography or magnetic resonance imaging
You will be admitted at least a day before the cardiac ablation surgery and asked to avoid drinking and eating 9-12 hours before the procedure.
You will be informed about which medications you can take with a few sips of water and which ones you need to avoid.
On the day of the surgery, you will be given a sedative that makes you relax and stay either partially or fully asleep. This will make the procedure less painful. The amount of sedative administered depends on the type of arrhythmia you have.
Your Eating Habits May Change
You may notice that youve lost your appetite or you just feel too tired to eat. This is common, so be patient. Your appetite will soon be back to normal.
We suggest you try eating frequent, small meals throughout the day. You need proper nutrition to enable your body to heal and get stronger.
We recommend a diet low in fat, cholesterol and sodium and high in protein. Good sources of protein include fish, eggs, dairy, beans and nuts. Limit the amount of salt in your diet to 2,000 milligrams a day. Foods known to be high in salt include restaurant food, soups, pizza, bacon and other processed meats.
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How Long Does It Take To Recover From Open
You will most likely require observation in the hospital for about a week after an operation. Depending on your age and overall health, you may require a longer recovery time. It usually takes 6 to 8 weeks for the breastbone to heal, but it could take 2 to 3 months for you to feel normal again.
Youll learn more about yourself as you recover from your hospital stay and as you return home. The incision will be covered in a large bandage, and you will be able to breathe using a breathing mask. The length of the incision is what causes the pain associated with traditional open-chest surgery. When the line is placed into your artery, it may cause nerve interference and numbness in your chest, leg, arm, or hand. After surgery, you will be encouraged to sit up and walk for the first time. As soon as possible, patients with MIVS are encouraged to return to normal activities. When patients have minimal incision valve surgery, they usually require only three weeks to recover.