Tips for Heart Health After Bypass Surgery
Recovering from coronary artery bypass surgery can seem daunting, but with the right guidance, healing can be smoother and faster. Dr. Devananda NS, Head and Consultant - Cardiothoracic Vascular Surgery at Manipal Hospital Old Airport Road, shares valuable tips and lifestyle changes that can help prevent complications and ensure long-term recovery success.
A common misconception is that the first few weeks post-surgery should be spent in complete bedrest. In reality, gentle physical activity actually aids in faster healing. It is essential for patients to avoid overexerting themselves and refrain from crowded places for a couple of weeks post-surgery, as immunity may be temporarily lowered, increasing susceptibility to infections.
Notably, 60-70% of patients undergoing a bypass are either diabetic or hypertensive, making it crucial to manage these conditions effectively. Starting with light walking, gradually increasing the distance to a couple of kilometers daily, can significantly enhance recovery. By 4-6 weeks, individuals can slowly resume normal activities, but should avoid driving or lifting weights over 4-6 kg to prevent discomfort.
While physical activity is important, adopting permanent lifestyle changes is vital for controlling heart disease. Patients are encouraged to quit smoking and keep their blood pressure and sugar levels in check through a healthy diet, regular exercise, medication, stress management, and maintaining a healthy weight. Moreover, getting sufficient sleep contributes significantly to recovery.
Aerobic activities like brisk walking, cycling, and swimming are especially beneficial post-surgery, as they help build endurance. The heart has built-in buffers called collateral vessels that open up when blood demand increases. Engaging in aerobic activities can promote natural collateralisation, improving blood flow to the heart and assessing the bypass success. For instance, chest pain during aerobic activities that were previously absent could indicate a graft block, highlighting the importance of regular follow-ups for early detection and intervention.