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    Thriving After 2 Heart Attacks

    WebMD community member Paul Imhoff survived 2 heart attacks -- and learned to live life anew after each one.
    By Paul Imhoff
    WebMD Magazine - Feature
    Reviewed by Louise Chang, MD

    I had my first heart attack 26 years ago, when I was 52. I was very active then, sometimes jogging and often walking long distances. But I was also on the congressional staff in Washington, and the day leading up to the attack was even more hectic than usual. My boss was introducing major legislation, and I had crafted an important floor speech. I didn’t have time for regular meals and ate a huge cheeseburger for dinner, then smoked three or four cigarettes.

    It happened about 3 in the morning. I awoke to severe pain in both arms, and felt like two elephants were perched atop a broomstick pressing into my chest. The ambulance ride to the hospital seemed brief, but I really don’t know how long it lasted. I can only recall that I was in a quiet panic, mumbling my last prayers before I went “poof,” yet still hoping I would wake up in this world. I did -- in an intensive care unit, extremely tired, weak, and disoriented.

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    Eventually, I went home and after a yearlong effort, I was able to kick my 30-year smoking habit. All was well until 15 years later when I had a second heart attack. But this time it was different. The pain was mild. I was simply short of breath and sweating. My wife recognized this as symptomatic of a heart attack. She insisted I go to the hospital, where the doctors told me my heart had suffered major damage. Two weeks later I was released with a stack of prescriptions and advice to see my doctor often.

    Then, just last year, I found I couldn’t get through the day without a nap. I didn’t have the energy to mow the lawn, do fix-up jobs around the house, or spend time with my grandchildren. I had started a novel, but I couldn’t even write.

    My cardiologist told me my heart function was at about 35% capacity in comparison to a healthy heart. He suggested a defibrillator implant. On his advice, I visited another cardiologist who specialized in these devices. The implant he wanted to give me is called an ICD, or implantable cardioverter defibrillator, a device designed to monitor for abnormal heart rhythms.

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