During these days a patient is under treatment in ICU. Cardiogram, blood pressure and respiration are continuously observed and monitored. All kind assistance and facilities are rendered to the patient by nurses and ward attendants. He/She is given light, semisolid, easily digestible food and to relieve him of undue strain, the bedpan is given for urinating and passing stools, at least for a day or two. A patient may get tired, feel weak and become restless. In most of the ICCUs relatives of the patient are permitted to visit him / her for a few minutes only, twice during a day. Sometimes, a patient may slip into depression due to illness, fear and loneliness. The best solution to pass these days with patience is to repose full faith in doctor’s treatment and grace of God.
The patient is permitted to sit beside the bed and use western type toilet from second or third day onwards. During these days support and care are very much requireds. He is now served normal healthy food. Gradually, he is allowed to walk with some support. Several factors which determine the recovery of the patient are : severity of the heart attack, rapidity and type of treatment given, efficiency of the heart, presence of diabetes or other co morbid illnesses, etc. Most of the patients become fit enough to be shifted to the room on the third or fourth day. If the patient feels better, he is permitted to go home in the next one or two days.
Before going home, the patient is given oral and written instructions about medicines and their dose, heart healthy food, need for exercise and other dos and don’ts.
A patient who has undergone primary angioplasty, starts living a completely normal life after 7-10 days. Majority of the patients who received fibrinolytic therapy as a primary reperfusion treatment would need to undergo angiography after a few days. On the basis of this, it is decided whether he/she needs only medicines or additional angioplasty / bypass surgery.