Cardiac Rehabilitation is an essential part of the treatment for heart disease.
“By performing coronary intervention, be it medications, stents or coronary bypass, we treat the symptoms of coronary heart disease; without cardiac rehabilitation only part of the job is done.”Dr. Arvind Vasudeva, Consultant Cardiologist
Who is it for?
For those with any of the following diagnoses:
- Heart disease
- Heart attack (myocardial infarction)
- Acute Coronary Syndrome (ACS)
Or for those who have undergone any of the following procedures:
- Percutaneous coronary intervention – (angioplasty, stent / stents, PCI)
- Coronary artery bypass grafts (CABG)
- Valve surgery (replacement / repair)
When can I start cardiac rehabilitation?
You can begin cardiac rehabilitation one week after elective or planned angioplasty and insertion of stents. After a heart attack (myocardial infarction), you should wait 2 to 4 weeks before you begin.
Patients who have had cardiac surgery should wait 4 to 6 weeks before beginning cardiac rehabilitation.
How does it work?
You can refer yourself by simply contacting us. We can then gather the relevant information. Alternatively, you can ask your GP to refer you. Frequently, your cardiologist or the nurse specialist where you are treated will refer you directly.
Once a patient has been referred to Heartsure a member of the team will contact him or her directly. You will be asked to provide some basic information and your path to recovery will be discussed. Some important questions will be asked such as:
- Are you symptom free?
- What are your current actively levels?
- Are you complying with your doctor’s instructions and taking your medication?
An initial assessment will then be booked.
The Initial Assessment (or IA) – This is an individual session with your clinician.
In your first meeting we will discuss what your diagnosis actually means for you. Have you had a heart attack or do you suffer from angina or valve disease? We will look at what kind of treatment you have had.
Next, we will discuss medication. This is an opportunity to ask questions and to gain an understanding of your prescription medication.
In your IA we will make and record a series of Baseline Observations about you, including your:
- Blood pressure
- Resting ECG
- Cholesterol levels
- Oxygen saturation
- Lung function
- Weight and Height (BMI)
Your clinician will discuss the normal parameters for these observations.
We will then discuss your lifestyle, including your diet, exercise habits and stress levels. Time will be spent identifying risk factors and discussing how they can lead to heart problems.
Lastly, an exercise assessment will help us to identify any mobility problems you have. A simple walking test will be performed to assess your heart’s response to exercise. We will attach a small monitor to record your heart rate and you will become acquainted with a medically supervised exercise circuit. Here you will learn the correct way to exercise for your heart. Using heart rate monitors and other exercise assessment tools will help us to gain an understanding of the level of exercise you need to achieve.
Your session will consist of:
- A simple warm-up which will include stretching exercises
- A 6-8 station exercise circuit specifically designed for cardiac patients
- An extended cool-down period and progressive stretches
We can offer you a Polar activity device (a heart rate monitor and activity tracker). This will allow the clinicians to analyse your activity, track your steps, monitor your sleep and record your heart rate during exercise.
We will then devise an action plan and some personal short- and long-term goals.
A comprehensive report, which will include your personal goals and an action plan, will be sent to your cardiologist / surgeon / referring person and GP.
One-to-one medically supervised exercise sessions – weekly / regular sessions – with your clinician. At the start of each weekly or regular session you will have a health check-up which will include your Baseline Observations.
There will then be an opportunity to discuss your progress since the last session. We will review any on-going symptoms and identify any problems and successes. If you are using a Polar activity device (see example below), the data collected can be analysed and feedback given.
If for any reason your goals have not been achieved, we will review the reasons and work together to get you back on track. Whilst continuing to work with your clinician on the medically supervised exercise circuit, the clinician can adjust and adapt the circuit to suit your needs.
At the end of each session we will summarise your achievements and set a plan for the time until your next session.
Discharge / review meeting – After a defined period of time from the start of your programme, there will be an appointment with your clinician and a review of your goals. New goals and future action plans will be set.
You will then repeat the ‘Exercise Test’ and assess any improvements made in your fitness levels. A summary of goals will be discussed, with new challenges set for any which haven’t yet been reached.
An updated progress report will be sent to your cardiologist / surgeon / referring person and GP.
How long will my programme last and how much will it cost?
“Successful health behaviour change programmes that involve exercise training, physical activity, risk factor management and psychosocial wellbeing require time to achieve the desired goals.”The National Audit, Cardiac Rehabilitation 2017
Cases are assessed on an individual basis. Your clinician will suggest the number of sessions you need. Please note: NHS programmes are, on average, 8 weeks.
- Initial Assessments and reports (120 minutes) – £220
- One-to-one medically supervised exercise sessions (75 minutes) – £90
- Discharge / review meeting (75 minutes) – £150
Some insurance companies cover our programmes. Please contact a member of the team to discuss this further.