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A Cold Sweat and a Second Chance

Jeff Imperial featured patient

蹤獲扦 videographer Jeff Imperial thought it was just a passing spell until a gut instinct and quick action led doctors to uncover life-threatening blockages and give him a second chance at life.

October 17, 2024, started like any Thursday for videographer Jeff Imperial. He arrived at 蹤獲扦 Jacksonville and walked from the parking garage to his building, carrying only a briefcase and lunch. But when he reached the Media Center and opened his office door, a cold sweat stopped him in his tracks.

It was strange, Jeff recalled. I wasnt doing anything strenuous just walking from the garage. I thought, oh my, whats going on? It felt unusual, but it passed after a few minutes, so I continued my day.

A Gut Instinct and a Second Warning

Jeff went about his routine eight-hour shift, keeping an eye out for any more symptoms. He spent most of his time at his desk editing campus videos and discussing projects with co-workers, without any further issues. At the end of the workday, Jeff gathered his things and headed home, with the mornings episode lingering in the back of his mind. Arriving at his car, he was once again overwhelmed by a cold sweat. Although he did not have additional symptoms, like shortness of breath or chest pain, he knew it was an issue that shouldnt be ignored. Rather than call his wife, whom he knew would worry, Jeff called a trusted colleague to explain what was happening.

My friend had recently had a heart attack, Jeff said. I wasnt sure what was happening was that serious, but I knew ignoring it could be. After I explained the first episode and how it came back, my colleague said, You need to see a doctor immediately. Do not drive home. Go straight to the ER.

A Life-Changing Diagnosis

After he arrived at the 蹤獲扦 Jacksonville Emergency Room medical staff placed Jeff in an exam room, quickly assessed his condition and prepared him for cardiac catheterization. The cardiac catheterization laboratory performs tests to measure blood pressure within the heart and the amount of oxygen in the blood. It is used to diagnose coronary artery disease, or CAD, and heart attacks, and to assess the hearts pumping ability.

Results from these tests revealed severe blockages in three of Jeffs major arteries.

Jeff was in disbelief. He had never experienced any symptoms of a heart attack before. Although he had a family history of heart disease, he had been very conscientious about taking care of himself throughout the years. He exercised regularly, stayed very active and maintained a healthy diet, but his diagnosis was clear. The only option to restore healthy blood flow and reduce his risk of a heart attack was open-heart surgery. Jeff would need a triple bypass procedure.

The news left him and his family stunned, but the 蹤獲扦 Jacksonville heart and vascular team moved quickly to prepare him for surgery the next morning. Thomas Zeyl, MD, a cardiothoracic surgeon specializing in coronary artery bypass graft procedures, consulted with Imperial and prepared for the procedure.

Bypass surgery treats CAD by creating new routes for blood to reach the heart, bypassing blocked arteries. A healthy blood vessel from a patients leg, arm or chest, called a graft, is attached beyond the blockage, diverting oxygen-rich blood to the heart muscle.

Coronary artery disease is one of the most common conditions we see, Zeyl explained. It affects roughly 20.1 million adults in the U.S. and is the leading cause of death nationwide. Some risk factors are lifestyle-related smoking, diabetes and high cholesterol. But other risk factors, like genetics, are out of your control. In Jeffs case, family history played a large role.

As Jeff and the heart team readied for bypass surgery, he couldnt help but reflect on how uncanny it was to become a cardiac patient in the hospital where hes worked for 15 years.

It was surreal, Imperial said. Ive filmed inside the cath lab and operating room before, so lying there as the patient and watching my own heart beating on the screen was something else.

Recovery and Rehabilitation

When he woke up after surgery, Jeff had cables and sutures keeping his chest closed but a second chance at life. The heart team encouraged him to begin walking, even if only a few steps at a time. Although movement can be difficult, it helps to prevent complications associated with immobility, such as blood clots and pneumonia, and to speed up the recovery of strength and cardiovascular function.

Physically, I felt pretty rough, he said. But emotionally? Calm. I knew it was handled, and they said walking was key to recovery. By Day 5, I was walking laps around the floor.

After discharge, Jeff began his outpatient care with 蹤獲扦 Cardiac Rehabilitation Jacksonville, attending three times a week for seven weeks. The team gradually increased his exercise load as he built strength and confidence.

Living with Gratitude and Awareness

More than a year later, Jeff has bounced back from bypass surgery and is experiencing a smooth recovery. His cardiologist, Calvin Choi, MD, recently extended his visits from monthly to semiannual, a positive sign that his recovery remains on track. He continues to exercise and has stuck to an even healthier diet.

Ive cut back on cheese that one hurts, he said with a laugh. But Im eating even more vegetables and staying active. I want to live a long life. Im more patient now. I dont sweat the small stuff. I appreciate my family and my time more than ever. I know how lucky I am.

A Message from the Doctor

Dr. Zeyl says Jeff did everything right to reduce his risk: He stayed active, ate a healthy diet and listened to his body.

But some risk factors are simply beyond our control, he emphasized. You cant change your genetics. Thats why knowing your family history is just as important as eating well and exercising. Coronary artery disease is still a leading cause of death, but its also one of the most preventable and treatable if caught early. Listen to your body, dont ignore warning signs and, if you have a family history, get regular checkups.

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