Features March 2017 Issue

How to Live Longer and Healthier With Coronary Heart Disease

People who thrive after a CHD diagnosis usually approach life with a proactive and positive attitude, rather than dwell too long on their health challenges.

Despite remarkable improvements in treatment and a growing awareness of prevention strategies, coronary heart disease (CHD) remains the leading cause of death in the U.S. However, the mortality rate for CHD is declining, and people are living longer and with a greater quality of life with this condition.

So how do some coronary heart disease patients thrive after their diagnosis, while others struggle? It usually starts with adjusting your mental outlook and taking steps to preserve your health, says Leslie Cho, MD, co-section head of Preventive Cardiology and Rehabilitation at Cleveland Clinic.

“The unifying characteristic of people who do well after major illness is that they are optimistic about their outcome,” she says. “They do their best to lower their risk of heart disease: eat right, exercise, take their medications, etc. Then they move on with their lives. They don’t linger over their illness and they don’t perseverate.”

old people exercising

© Aliced | Dreamstime.com

Exercising regularly and maintaining an optimistic outlook are two key ingredients to living longer with coronary heart disease.

CHD Basics

CHD occurs when a waxy buildup of cholesterol, fats and waste products form a plaque along the inner walls of the arteries in the heart (the coronary arteries). This process is called atherosclerosis and it occurs over time. Too much plaque can narrow arteries, restricting blood flow to the heart muscle. Plaque’s greater danger is that it can rupture, spilling its contents into an artery. Platelets in the blood rush to the site of the rupture to help contain it. But the result can be a blood clot that completely blocks blood flow to the heart. This is a heart attack.

Heart Health Starts in the Brain

A diagnosis of coronary heart disease can be emotionally devastating, especially if CHD is discovered after a heart attack. It’s quite common for someone to become anxious or depressed after a heart attack or after a procedure, such as coronary artery bypass grafting (CABG) or stenting to open a blocked artery.

If you start having feelings of hopelessness or excessive worry, or you find yourself withdrawing from friends, families and activities you once enjoyed, share your feelings with your doctor. Just talking about them can help. Your doctor may advise you to seek out a support group or find a therapist who is experienced in working with heart patients.

The key is not to let your diagnosis define you and keep you from enjoying life. You may need to change your lifestyle and curtail some activities, based on your health. But Dr. Cho notes that the most successful CHD patients are those who adopt a positive outlook.

“Attitude is so important to recovery,” she says. “Patients who become depressed after their illness have poor outcomes and actually die faster. It is important to talk or find someone to talk to if you are depressed and feel like you need help. Patients become embarrassed and discouraged after their illness and subsequently get into a bad cycle.”

Avoiding Stumbling Blocks

You can help avoid that cycle by becoming more educated about your condition. You may have ideas about what it will be like living with CHD that aren’t based in reality. Or, you may know someone with serious heart disease and assume that his or her experience is the same that you will have. But each person’s condition and medical history are unique.

Dr. Cho adds that many CHD patients are in denial about their health, so they refuse to change their lifestyle or take their medications as prescribed. In some cases, inaccurate ideas about the number of medications they will need or fears about the potential side effects of heart medications, such as statins, get in the way of effective medical therapy.

“The goal of therapy is to have no more heart attacks or strokes, and that you can live longer with a high quality of life,” Dr. Cho explains. “Everything else is workable after we accept that as our goal.”

The Doctor-Patient Partnership

Management of your CHD is usually more successful if you have a good relationship with your cardiologist and other doctors. Keep up with your appointments, ask questions, and follow your doctor’s advice consistently. After a heart attack, you’ll see your cardiologist in a month, then at three months, six months, and then annually, unless your health changes.

It’s also vital that you take your medications as prescribed. If you have problems paying for them or you have side effects, talk with your doctors.

“Please, please tell your doctors if you are not taking your medications,” Dr. Cho says. “This is so, so important. We are on your side. We have the same goals, so you have to let us in.”

Comments (2)


There's no guarantee that doing all the right things will work. Note that statistics often say that "with a Med diet you lower your risk of complications 29% (or 35% or 11%)." There is never a statistic that states that x or y treatment will lower risks 100

Posted by: harveycritic | April 19, 2018 2:35 PM    Report this comment

What if you do all of these things and still have bad outcomes. I had quad bypass two years ago. I had to go to the ER this weekend and found out that two of the four grafts are blocked, so stints were applied. My cholesterol and BP are managed to perfect numbers. I exercise daily and eat a Med diet, have a good social life and have never been depressed. There is no heart disease in my family. I have been a subscriber to HA and follow all advise I can find. There must be something still missing from our current knowledge. If there is a study of patients like me, I would gladly participate.

Posted by: calypso | March 1, 2017 2:09 PM    Report this comment

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