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Vasotec (Enalapril Maleate)

Generally, patients spend the first one to three days in the hospital in a coronary care unit, where they receive intensive nursing care and continuous monitoring of the electrocardiogram (ECG). Subsequent convalescence is generally on an “ordinary” cardiac ward, although close observation and ECG monitoring are often maintained.
Most patients have a fairly prompt resolution of their chest pains and other symptoms when they are admitted to a hospital and treated. In a few cases, symptoms continue and require immediate investigation. However, most patients do feel “stunned,” fatigued and out of sorts during this time. Such feelings are prompted in part by the major changes to the heart and the body caused by the event itself; the treatments, which often have minor but unpleasant side effects; and the tests, which can cause some anxiety. Do not be surprised if your doctors are unable to give you a clear picture of the future, since the intermediate and long-term outcomes cannot be clearly predicted during the first few days after a cardiac event.
During the event, the mind is protected by the shock response. As long as the shock doesn’t intrude on treatment, it may even be helpful. So, the first piece of advice is simply to follow the instructions on how to deal with an event as it is declaring itself and if you feel distant, spacy, confused, with varying degrees of strong emotions—don’t panic! It is important to recognize that this is the shock response and that usually it will fade quite quickly. In most cases, this fading will start once you are in the protective world of the coronary care unit, and your condition is stable—usually within one or two days. With reassurance will come relief; however, this doesn’t mean the remainder of the journey will be straightforward.
The role of the spouse during an event should not be underestimated. The “significant others” need to be aware not only of what the patient is going through, but also of what they themselves will experience. But, first, a job must be done. This means seeking medical attention immediately. Sometimes an assertive attitude is required to communicate what the problem is and also to determine what in fact has happened. As spouses may be somewhat shocked themselves, they should be prepared to check that they understand what it is that is being said to them. It helps to stay calm. At this time, the executive functions for the families pass to the spouses. They are the interim presidents, whether they like it or not! They need to see that they are in control of themselves and the situation, even if they feel otherwise. Don’t worry—the event itself is usually short-lived and although there will be more to deal with, it will probably be of lesser intensity.

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