Living with a heart condition often involves challenges that extend beyond physical health. From managing symptoms to coping with emotional and social adjustments, individuals frequently face a complex journey that requires holistic support. Drawing on insights from Ms Jan Koh, our Principal Medical Social Worker from the Medical Social Services, here are some practical advice on enhancing well-being while living with a heart condition.

The ‘Heart’ Impact


It is crucial to understand that a heart condition doesn't just affect the body; it impacts the mind and social life as well. Referencing the Bio-Psycho-Social-Spiritual (BPSS) framework can help understand the impact of a heart condition on each patient.

​Biological

This includes managing physical symptoms like breathlessness and chest pains, which can significantly impact day-today activities. 

​Psychological

Many individuals may experience stress, fear of sudden death, or a loss of control over their lives. Some may adopt a perspective that focuses on meaningful relationships and personal goals.


​Social

Relationships and social roles can be affected, leading to changes in interactions with loved ones and adjustments in social roles. 


​Spiritual

Beyond religious beliefs, this can involve finding meaning and purpose in life, especially after a diagnosis. Some may start addressing existential questions and the path towards acceptance.



Poor mental health, including depression, can worsen heart disease risks. Conversely, maintaining good mental health supports overall well-being and heart condition management. Indeed, a recent study published in the Journal of the American Heart Association1 found that young adults with depression or frequent poor mental health days had significantly higher rates of cardiovascular disease, heart attacks, and strokes. This highlights the importance of prioritising mental health to improve overall heart health outcomes.

What Does 'Living Well' Mean?


Living well with a heart condition varies from person to person. Referencing the BPSS framework to define what living well means for each individual, Jan explained "Everyone copes differently in stressful situations. For some, it's maintaining physical independence and managing daily activities. For others, it can be nurturing meaningful relationships and finding clarity in life's purpose.” Ultimately, it requires tailored strategies to meet individual needs.

​PRACTICAL TIPS FOR THOSE MANAGING A HEART CONDITION
​Staying Active and Independent
Manage your daily routine by controlling symptoms. This includes taking medications as prescribed, exercising regularly, and eating a balanced diet.
​Building a Support Network
Surround yourself with supportive friends and family who have different ways of coping. This can greatly improve your emotional well-being. Building strong relationships and participating in social activities can also help keep a positive outlook.
​Finding Joy and Coping
Explore hobbies, personal goals, or volunteering. Knowing how you naturally cope—whether you're good at solving problems or finding meaning—can help you manage stress effectively. And don't hesitate to seek professional help if you need it.


Living well with a heart condition is about more than just managing symptoms—it's about thriving in every aspect of life. By prioritising self-care, building a supportive network, and pursuing meaningful activities, patients can navigate their journey with resilience and optimism. It is a personal path of adaptation and growth, where each day presents opportunities to embrace life fully. With these strategies in place, life with a heart condition can be approached confidently, focusing on what truly matters.

REFERENCES
1) https://www.ahajournals.org/doi/10.1161/JAHA.122.028332


This article is from Murmurs Issue 47. Click here to read other articles or issues.