Research has found that improving fitness reduces the risk of a potentially dangerous heartbeat.

“Aggressive risk factor management with increased physical activity should be an integral component of the management of arrhythmia.”

Dr Roy Jogiya, Consultant Cardiologist and Electrophysiologist

Who is it for?

For those with a diagnosis of: 

  • Atrial arrhythmia – the most common types are atrial fibrillation and atrial flutter.
  • Increasing activity after being treated for either of the above greatly increases the chances of remaining in sinus rhythm, i.e., to have a normal heart beat.
  • Ablations, cardioversion (DCCV) 

For those who have implanted devices – pacemakers (PPM), internal cardiac defibrillator (ICD).

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 will refer you directly. 

Once a patient has been referred to Heartsure a member of the team will contact him/her directly.

An Initial Assessment (or IA) will be booked

Initial Assessment (IA) – This is an individual session with your clinician. 

In your first meeting we will discuss what your diagnosis and treatment actually mean for you. 

Next, we will discuss medications.  This is an opportunity to ask questions and to gain an understanding of your prescription medication. 

In your IA we will record your Baseline Observations, which will consist of: 

  •  Blood pressure
  •  Resting ECG
  •  Cholesterol levels
  •  Oxygen saturation
  •  Lung function 
  •  Temperature 
  •  Weight and Height (BMI)

Your clinician will discuss the normal parameters for these factors.   

We will then discuss your lifestyle, including your diet, exercise habits and stress levels.  Time will be spent identifying your risk factors and the reasons these can contribute to developing heart problems. 

Lastly, an exercise assessment will identify any problems you have with movement or mobility. A simple walking test will be performed to assess your heart’s reaction to exercise.  We will attach a small monitor to continuously record your heart rate. You will be introduced to 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, we will gain an understanding of the level of exercise you need to benefit and improve your health and well-being. 

Your session will consist of:

  •  A simple warm-up including stretching 
  •  A 6-8 station exercise circuit specifically designed for cardiac patients.
  •  An extended cool-down period and stretching. 

We can offer you a Polar activity device which allows the clinician to analyse your activity, track your steps, monitor your sleep and record your heart rate while exercising. 

We will then devise an action plan and some individual 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.

We will then discuss your progress since the last session. We review any on-going symptoms and identify any problems and successes. If you are using a Polar activity device (example below), the data collected can be assessed and feedback given. 

If for any reason you haven’t reached your goals, we will review and work together to get you back on track. 

As you work with your clinician on the medically supervised exercise circuit, he/she 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 previously defined period of time from the start of your programme, there will be an appointment with your clinician and a review of your goals.  Your goals and future action plans will be set. 

You will repeat the ‘Exercise Test’ and assess any improvements made with your fitness levels. A summary of goals will be discussed, with new challenges set for any which have not yet been achieved. 

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

Your and your clinician will decide how long your programme will last.

Self funding:

  • 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 further.