Dr. Tarun Nirman

A heart attack makes you rethink and get a double take on life. Once you survive it, you tend to realize how close your brush with death has been and how important your lifestyle choices can be. Most people go on to live a productive life after a heart attack provided they can adhere to making healthy choices. Here's what you can do if you have experienced your first attack and want to change for the better:

1. Start at the hospital: A person usually stays in the hospital for 3 days after an attack to monitor their condition. This duration increases if you have complications that involve procedures like a bypass surgery. Your first significant change will come in the form of your medication routine. Your existing dosage may be adjusted and you'll possibly be prescribed newer medicines that will treat and control your symptoms. You'll not only need to know the names of all your medicines, but when you have to take them. It's best you know exactly why you are taking each one of them, if there are other more economic alternatives since this may last a lifetime and what side effects they may have.
2. Maintaining your mental health: Once bitten, twice shy applies for heart attack victims too. Not only do they live in a constant worry about another attack, every small symptom like a harmless muscle pull can trigger the fear factor. You also get into the "heart patient" dependent mode based on how much help you need to recover. Check for support groups and other heart attack survivors in your locality to see how they are coping. Read more about your recovery and try to keep a positive frame of mind.
3. Go to a cardiac rehab: Many hospitals have a rehabilitation program that you can participate in as an outpatient or you can go to a clinic that specializes in it. Such programs help speed up your recovery. It is run by people who will hand hold you in bringing positive changes in your life to protect and strengthen your heart. You'll learn activities that positively improve heart functions and reduce your chances of developing complications or dying from heart disease. You'll also get benefit from exercises that'll be taught by a certified exercise specialist.
4. Make a change in your lifestyle: Quit smoking that is an obvious one. You'll now have to lead a more active lifestyle with daily exercise. You'll also need to actively manage your diabetes and obesity. None of these changes can happen in a day. In fact, behavioral scientists suggest that you need to practice a new activity continuously for twenty one days for it to become a habit.

Eyes need as much regular exercise to keep them healthy as any other organ of the body. Eye exercises are usually designed to provide strength to eye muscles, while improving focus, allowing flexible eye movements and helping stimulate the vision centre of the brain. Eye exercises might not necessarily improve eyesight but they help in preventing eye problems and maintaining the correct eyesight level.

Here are 4 eye exercises that can help strengthen the eye muscles and improve your vision:

1. Blinking - Your eyes get strained due to long hours of sitting at the computer or television and you tend to blink less. Whenever you blink, your eyes stay in darkness for a few microseconds that help to keep the eyes fresh, while reducing eye strain.

2. Palming - This exercise involves three steps:

- Taking a few deep breaths before beginning the exercise
- Make yourself comfortable by resting your elbows on your knees and slowly closing your eyes
- Cover your eyes with the cup of your palm, place your fingers on the forehead and the heel of your hand on your cheekbone

This exercise helps in achieving inner peace and calm and also helps in resting your mind.

3. Figure of eight - This exercise helps in strengthening the eye muscles and provides flexibility. In this exercise, you need to imagine a huge eight in front of your eyes. Slowly turn the 8 on its side. With the help of your eyes slowly trace the figure of 8. Repeat it the other way after a few minutes.

4. Near and far focusing - This exercise helps in strengthening the eye muscles and improves the vision of your eyes. It involves the following steps:

- Either sit or stand in a comfortable position for 2-3 minutes
- Bring your thumb about 10 inches in front of your eyes and try to focus on it
- Now try focusing on an object that is about 10-20 feet in front of your eyes
- Try switching between focusing on the other object and your thumb on each deep breath. If you wish to discuss about any specific problem, you can consult an Ophthalmologist.