Some, however, find that even with a strict diet, their LDL levels are too high. For them, the introduction of cholesterol-lowering medications is an important breakthrough. Not only that, but a recent study published in the Journal of the American College of Cardiology reports that nonsmokers living with a smoker are four times more likely to have a heart attack than those living in a smoke-free environment. Patients with diabetes have a two to five times greater risk of heart disease. Blood sugar levels should be monitored frequently and maintained within normal ranges.
Depression following a heart attack is a significant risk factor for subsequent death.
Cardiac rehabilitation programs help patients identify and deal with their depression. Stress management is also an important consideration. Patients who experience anger and hostility are at special risk, and should receive individual counseling to deal with these problems. A time to make changes for a long and vigorous life. A time to get off the couch and discover the sheer joy of living.