AN ARROW THROUGH THE HEART

A commanding chronicle of a year in a woman’s recovery from an unexpected and near-fatal heart attack.

Not only was Deborah Heffernan relatively young, only 44, but she had never smoked, she ate her fruits, vegetables, and whole grains, she maintained a healthy weight, and her family had no history of heart disease. Moreover, she had a loving husband, good friends, and a successful career. But there she was in yoga class, pressure crushing her chest. “I’m having a heart attack,” she told her teacher. Within minutes, the EMS was there, transporting her to a hospital and bypass surgery, while her family and friends stood a death watch. Heffernan did not die, but her life and the lives of everyone around her changed as she slowly worked her way back to health, with a defibrillator implanted to monitor every beat of the half a heart she now lived with. Her recovery, from her first hesitant walk from hospital bed to bathroom to a vacation in the Alaskan bush a year later, is described in sections that mirror the change of seasons. It encompasses longer and longer walks in the Maine woods, yoga, massage, and psychotherapy for her and her husband. It also involves a long and sometimes painful exploration of why, given her remarkably healthy lifestyle. Long years of hidden stress, going back to her mother’s death 30 years before and culminating in a job that found her living out of suitcases was her answer. The damage will never be undone, and a heart transplant may be in her future. On the positive side, Heffernan’s medical crisis mended years of strained family relationships, and she has learned to find significance in even the most casual encounters. Her personal tale is interspersed with salient information about heart disease, including the fact that it is the number one cause of death among American women, more than all cancers combined.

Unmarred by self-pity, an arresting story that women and men suffering from heart disease will find, well, heartening.