Upstate New York DA's discomfort wasn't jet lag – it was a heart attack

By Suzanne Marta, American Heart Association News

Heart attack survivor David Soares with his wife, Stacey. (Photo courtesy of Stacey Soares)
Heart attack survivor David Soares with his wife, Stacey. (Photo courtesy of Stacey Soares)

David Soares finished a set of weightlifting during an early morning workout at a friend's home gym in Albany, New York, when he found himself unable to catch his breath. He sat down but it didn't help, so he stretched out on the ground.

The day before, he'd taken a red-eye flight home from his honeymoon. So he figured he just needed a nap. His host, Michael Castellana, wasn't ready to dismiss the discomfort so easily.

"He wasn't really engaging, and if you know David, you know he never stops talking," Castellana said.

Noticing that Soares kept putting his hand on his chest, Castellana got his blood pressure cuff and insisted on testing him.

"It said 227/127, so I said some choice words, gave him a glass of water and an aspirin and told him we were taking him to the hospital," Castellana said.

Soares resisted, but Castellana – who's been treated for high blood pressure for two decades and has a family history of heart disease – wouldn't take no for an answer.

David Soares (left) with his friend Michael Castanella, who recognized David needed to go to the hospital after testing his blood pressure. (Photo courtesy of Stacey Soares)
David Soares (left) with his friend Michael Castellana, who recognized David needed to go to the hospital. (Photo courtesy of Stacey Soares)

At the hospital, testing showed Soares, then 47 and in seemingly great shape, had experienced a heart attack. Doctors also determined he needed a quintuple bypass.

"It was a stunning wake-up call that required a complete and total change in philosophy and lifestyle," Soares said.

It also wasn't a complete surprise.

Soares' father underwent a quadruple bypass following a heart attack, then died from a second heart attack at 68. Years before this frightening episode, Soares had been diagnosed with high blood pressure and high cholesterol. He'd been prescribed medication but wasn't diligent about taking it. His four older siblings have also been treated for high blood pressure and cholesterol.

As the district attorney for New York's capital city, Soares maintained such a busy schedule that he didn't always keep up with health checkups.

While he admits to having prioritized work over health, he did work out up to five times a week. But juggling a demanding job and three teenagers, his family dinners often came from a drive-through. They ordered pizza at least once a week. It was his 12 weeks in cardiac rehabilitation that taught him how to have a heart-healthy diet. He counted calories before his heart attack but never paid attention to things like sodium, he said.

Doctors told Soares that getting regular physical activity helped him recover more quickly, but he couldn't out-exercise his family history.

"If you're genetically predisposed, there's no negotiating," he said. "In my case, I was brought back to the table to renegotiate and unfortunately that table was the surgery table."

David Soares had a quintuple bypass in 2016. (Photo courtesy of Stacey Soares)
David Soares had quintuple bypass surgery in 2016. (Photo courtesy of Stacey Soares)

In addition to the three months he spent physically recovering, Soares also grappled with depression. He became anxious in crowds, fearing that people might bump into his chest.

"You go from being a sort of captain of industry to being in a room where walking from point A to point B is laborious," he said.

When he returned to work, he made changes to lower his stress. He reorganized his team to better delegate responsibilities and committed to coming home on time each day and unplugging from work.

Now 51, Soares continues to work out with Castellana and a group of friends, and he remains vigilant with his diet. He's also more careful about the information he consumes.

"My doctor would talk to me about it at every appointment, but there is this fitness and nutrition culture out there telling you 1,000 times a day to hit the gym or eat this, and I was paying attention to that more than my own cardiologist," he said. "If I had listened to him, I may not have experienced this."

Stories From the Heart chronicles the inspiring journeys of heart disease and stroke survivors, caregivers and advocates.

If you have questions or comments about this story, please email editor@heart.org.


American Heart Association News Stories

American Heart Association News covers heart disease, stroke and related health issues. Not all views expressed in American Heart Association News stories reflect the official position of the American Heart Association.

Copyright is owned or held by the American Heart Association, Inc., and all rights are reserved. Permission is granted, at no cost and without need for further request, for individuals, media outlets, and non-commercial education and awareness efforts to link to, quote, excerpt or reprint from these stories in any medium as long as no text is altered and proper attribution is made to American Heart Association News.

Other uses, including educational products or services sold for profit, must comply with the American Heart Association’s Copyright Permission Guidelines. See full terms of use. These stories may not be used to promote or endorse a commercial product or service.

HEALTH CARE DISCLAIMER: This site and its services do not constitute the practice of medical advice, diagnosis or treatment. Always talk to your health care provider for diagnosis and treatment, including your specific medical needs. If you have or suspect that you have a medical problem or condition, please contact a qualified health care professional immediately. If you are in the United States and experiencing a medical emergency, call 911 or call for emergency medical help immediately.