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Middle adulthood is a critical stage in life characterized by significant transformations in physical, psychological, and social aspects. During this period, individuals often face a decline in certain physical and mental capacities while also having opportunities to achieve greater levels of maturity. Challenges such as health issues, changing social roles, and increasing family responsibilities are commonly encountered. The complexity of fulfilling physical, emotional, and social needs increases, significantly impacting overall well-being. Addressing these needs involves various efforts, including maintaining good health, managing stress, and fostering meaningful social connections. Support from the surrounding environment plays a crucial role in helping individuals meet these needs. Therefore, a deep understanding of the challenges faced during middle adulthood is essential for improving their quality of life. The ability to manage physical and psychological changes while sustaining positive social relationships is key to achieving a balanced and fulfilling life during this phase.

Middle adulthood ranges from 40 years to 60 years. The needs of heart disease sufferers in middle adulthood are needs that prioritize physical health such as exercise, diet and regular medication. This research aims to find out how important the needs of individuals suffering from heart disease are. The research method used is a qualitative method with a literature and interview approach. Data was obtained from analysis of related literature as well as in-depth interviews with informants who suffered from heart disease at the age of 58 years. The research results show that the needs of middle adults who suffer from heart disease prioritize health restoration recommended by doctors by means of bypass surgery. This is shown by the improvement in physical health experienced by the informants, by maintaining their diet, taking prescribed medication, exercising regularly, and monitoring their health at recommended clinics. This result has been felt by the informant that changes in his physical condition are currently starting to improve and he is still in the recovery stage.