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Heart attack - activity
You had a heart attack and were in the hospital. You may have had angioplasty and a stent placed in an artery to open a blocked artery in your heart.
While you were in the hospital, you should have learned:
Your doctor may recommend a cardiac rehabilitation program to you. This program will help you learn what foods to eat and exercises to do to stay healthy. Eating well and exercising will help you start feeling healthy again.
Before you start to exercise, your doctor may have you do an exercise test. You should get exercise recommendations and an exercise plan. This may happen before you leave the hospital or soon afterward. Do not change your exercise plan before talking with your health care provider. The amount and intensity of your activity will depend on how active you were before the heart attack and how severe your heart attack was.
Take it easy at first:
Slowly increase how long you exercise at any one time. If you are up to it, repeat the activity 2 or 3 times during the day. You may want to try this very easy exercise schedule (but ask your doctor first):
After 6 weeks, you may be able to start swimming, but stay out of very cold or very hot water. You can also begin playing golf. Start easily with just hitting balls. Add to your golfing slowly, playing just a few holes at a time. Avoid golfing in very hot or cold weather.
You can do some things around the house to stay active, but always ask your provider first. Avoid a lot of activity on days that are very hot or cold. Some people will be able to do more after a heart attack. Others may have to start more slowly. Increase your activity level gradually by following these steps.
You may be able to cook light meals by the end of your first week. You can wash dishes or set the table if you feel up to it.
By the end of the second week you may start doing very light housework, such as making your bed. Go slowly.
After 4 weeks, you may be able to:
By 6 weeks, your doctor may allow you to do more activities, such as heavier housework and exercise, but be careful.
Call your health care provider if you feel:
Also call if you have angina and it:
These changes may mean your heart disease is getting worse.
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Smith SC Jr, Benjamin EJ, Bonow RO, Braun LT, Creager MA, Franklin BA, et al. AHA/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update: a guideline from the American Heart Association and American College of Cardiology Foundation endorsed by the World Heart Federation and the Preventive Cardiovascular Nurses Association. J Am Coll Cardiol. 2011;58:2432-46.
Thompson PD. Exercise-based, comprehensive cardiac rehabilitation. In: Mann DL, Zipes DP, Libby P, et al, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 47.