High blood pressure (or hypertension) is consistently recorded readings of above 140/90.  If left untreated, high blood pressure can put you at risk of heart attack and stroke. 

1 in 3 adults are at risk of high blood pressure. 

“If you have a diagnosis of high blood pressure, aggressive modifications in lifestyle have been proven to have a direct affect on lowering your blood pressure.”

Tom Hastings, Clinical Nurse Specialist in Cardiology 

Who is it for?

For those who have had specific tests including a 24-hour blood pressure monitor, home blood pressure monitor, echocardiogram, ECG – or for those who have been monitored while in hospital.

For those diagnosed with high blood pressure or pre-high blood pressure (hypertension / pre-hypertension)

For those on medications for blood pressure.

How does it work?

You can refer yourself by simply contacting us.  We can 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 or her directly.

An Initial Assessment (IA) will be booked

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

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

Next, if you have started medications we will discuss how they affect the body.  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 observations. 

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 and your general fitness level.  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 to help reduce your blood pressure.  

Your session will consist of: 

  • A simple warm-up which will including stretching exercises
  • A 6-8 station exercise circuit specifically designed for hypertensive patients
  • An extended cool-down and progressive stretches

We can offer you a Polar activity device, which allows the clinicians to analysis your activity, track your steps, monitor your sleep and record your heart rate during exercise. 

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 will 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 have not 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 or 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 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 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

You 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

Insurance:

Some insurance companies cover our programmes. Please contact a member of the team to discuss further.