A healthy heart is essential for a healthy life, acting as the engine of our circulatory system. This vital organ pumps blood throughout our body, delivering the oxygen and nutrients we need while removing waste. It also helps maintain healthy blood pressure and keeps our body functioning smoothly. Unfortunately, many people face heart and blood vessel issues, known as cardiovascular diseases (CVDs), which can be treated through various surgeries depending on the specific condition.
Cardiac surgery, also known as heart surgery, involves procedures on the heart or its associated blood vessels. These surgeries become necessary for individuals dealing with heart disease, heart attacks, strokes, blood clots, or those at high risk of developing these conditions. The type of surgery can range from minor procedures like implanting a pacemaker to major open-heart surgeries like bypass grafts. The types of operations vary greatly. Millions of people undergo cardiac surgery each year. However, many patients have misconceptions surrounding these critical procedures which often leads to unnecessary worry and hesitation in patients. It's important to understand the facts and clear up these misconceptions to make informed decisions about our heart health and treatment options.
Myth 1: Cardiac surgery can cause a stroke or affect brain function.
Fact: While there is a potential risk of neurological complications following cardiac surgery, advancements in surgical techniques, intraoperative monitoring, and postoperative care have significantly reduced this risk. Surgeons take meticulous precautions to minimize the possibility of stroke or cognitive impairment. The benefits of addressing severe cardiac conditions often outweigh this potential risk.
Myth 2: Cardiac surgery is only for elderly people.
Fact: Cardiac surgery is performed on individuals of all ages, including infants, children, and young adults. While the incidence of certain cardiac conditions may increase with age, surgical intervention is determined by the specific diagnosis and the patient's overall health status, not solely by age.
Myth 3: You can’t lead a normal life after heart surgery.
Fact: For most patients, cardiac surgery aims to improve their quality of life and enable them to return to their normal activities. Following a period of rehabilitation and adherence to medical advice, most individuals experience significant symptom relief and can resume their usual routines, often with increased energy levels and improved functional capacity.
Myth 4: Cardiac surgery is the last resort.
Fact: While cardiac surgery is often considered for significant heart conditions, it is not always the absolute last option. The decision to proceed with surgery depends on various factors, including the specific diagnosis, the severity of the condition, the patient's overall health, and the potential benefits versus risks compared to other treatment modalities, such as medical management or interventional procedures.
Myth 5: Cardiac surgery is mostly fatal.
Fact: Modern cardiac surgery has become increasingly safe, with survival rates improving significantly over the years due to advancements in surgical techniques, anesthesia, and postoperative care. The risk of mortality varies depending on the complexity of the procedure, the patient's pre-existing conditions, and other individual factors. However, for many serious cardiac conditions, surgery offers a substantial chance of survival and improved long-term outcomes.
Myth 6: Angioplasty is safer than bypass surgery.
Fact: The perceived safety of angioplasty versus bypass surgery depends on the specific cardiac condition, the extent and location of coronary artery disease, and other patient-related factors. While angioplasty is less invasive, bypass surgery may be the more appropriate and effective treatment for certain complex cases of coronary artery disease. The optimal approach is determined by a comprehensive evaluation and discussion with a cardiologist and cardiac surgeon.
Conclusion
Cardiac surgeries are known to be a complex procedure and are associated with their own set of risks and challenges. However, it is critical to manage cardiovascular conditions through surgeries. Misconceptions surrounding these procedures can pose a significant threat to cardiac health by deterring individuals from seeking timely and necessary treatment. Understanding the realities of cardiac surgery is crucial for enabling individuals to make confident and informed choices about their heart care. By dispelling these myths, patients can approach treatment options with greater clarity and confidence, ultimately leading to improved outcomes and an enhanced quality of life.
Authored by Dr. Harish Vaja, Cardiothoracic & Vascular Surgeon, HCG Hospitals, Rajkot