Why hearing the diagnosis can hurt worse than the heart attack

by Carolyn Thomas  ♥  @HeartSisters


Researchers in the U.K. have found that heart attack survivors have a disturbingly high incidence of undiagnosed Post Traumatic Stress Disorder (PTSD).  Terrifying symptoms, invasive procedures, and a life-altering diagnosis of heart disease can inflict profound psychological stress.

But interestingly – no matter the body part involved – it’s the part about hearing the diagnosis that may actually be the most traumatic for us, regardless of the severity of our required medical intervention. Continue reading “Why hearing the diagnosis can hurt worse than the heart attack”

How we adapt after a heart attack may depend on what we believe this diagnosis means

by Carolyn Thomas     @HeartSisters

There are at least 12 commonly used measurement tools available to the medical profession that look at how patients navigate “the search for meaning in chronic illness”. Clinical tools like the Psychosocial Adjustment To Illness Inventory or the Meaning of Illness Questionnaire have been used on cancer and AIDS patients, as well as others living with chronic disease. But research, including this study, found that limiting factors in the success of these 12 tools included “the infrequent use of some of the instruments clinically or in research.”

I can’t help but wonder why these readily available assessment tools are not being administered routinely to patients who have been freshly diagnosed with heart disease – a serious medical crisis that begs to be examined for its influence on our “psychosocial adjustment” to it. I only learned about these tools two years after my own heart attack.

This lack of medical attention to the profound psychological impact of a cardiac event is disturbing. As Dr. Gilles Dupuis of the Université du Québec and the Montréal Heart Institute reported in the Canadian Journal of Cardiology, post-traumatic stress disorder following heart attack is a largely under-diagnosed and unrecognized phenomenon that can actually put survivors at risk of another attack. Continue reading “How we adapt after a heart attack may depend on what we believe this diagnosis means”

A foreshortened future

heart cloud

by Carolyn Thomas   @HeartSisters

Cardiac psychologist and heart attack survivor Dr. Stephen Parker recently described a symptom of Post Traumatic Stress Disorder that rang a bell for him after his own cardiac event. The PTSD symptom is called “a sense of a foreshortened future“. In other words, after a traumatic event – in this case, a heart attack – the patient “does not expect to have a career, marriage, children, or a normal life span.”  As Dr. Steve tells his own story of this symptom:

“Three months after the heart attack, I went to Home Depot to buy something for the house. I walked inside, saw the plethora of nice things to make a nice house, and started feeling extremely depressed.

“What was the point? I knew I was going to die within a short time.   Continue reading “A foreshortened future”

Having a heart attack? Call 911 – and pack your Tetris game

by Carolyn Thomas

I confess that there was a time when I was ever so slightly addicted to playing the computer puzzle game Tetris.  Like many parents, I discovered it through my children during their early teen years.  Back then, I was known to occasionally “borrow” their little Gameboy and then stay up until 2 a.m. playing “just one more game” while trying to beat my previous best score. But U.K. researchers tell us that time-wasters like Tetris or other so-called “distractor tasks” might very well help to minimize the psychological effects of Post Traumatic Stress Disorder (PTSD).

We know that heart attack survivors have a disturbingly high incidence of undiagnosed PTSD.  Research reported in the British Journal of Health Psychology suggests, for example, that as many as 16% of cardiac survivors actually meet clinical criteria for acute PTSD, and a further 18% report moderate to severe PTSD symptoms.

So if distractor tasks such as playing an obsessively distracting computer puzzle game like Tetris can successfully help to treat PTSD in those affected by combat exposure, could playing Tetris also help heart attack survivors?   Continue reading “Having a heart attack? Call 911 – and pack your Tetris game”