Cardiac Rehabilitation

About Cardiac Rehabilitation

Cardiac rehabilitation is a programme of exercise and information sessions to help you get back on your feet again. The service supports people and their families to return to a full and active lifestyle as soon as possible after a cardiac event, surgery or a diagnosis of cardiovascular disease. In helping them to understand and self-manage their condition it promotes positive lifestyle change, which takes into account their social, physical and mental wellbeing.

 

Cardiac rehabilitation is multi-disciplinary, this means that different professionals work together to support your care. These professionals include cardiac nurses, physiotherapists, doctors, ward nurses, pharmacists, dieticians and a local cardiac support group. Within Tameside and Glossop integrated Care NHS hospital you may be seen by all of the above professionals throughout your cardiac rehab journey.

 

The cardiac rehabilitation may start when you are an in-patient at Tameside Hospital or when you are at home if you attended Wythenshawe (UHSM) or Manchester Royal (MRI). A nurse from the cardiac rehab team will either visit you on the ward or contact you at home. You will then get referred to the physio team for a full assessment and the opportunity to join our physio programme which entails a group exercise class over 8 weeks. During your physio programme you will be closely monitored by both physios and cardiac nurses. After the cardiac rehab physio there is then the opportunity to join Active Tameside a further 12 week cardiac rehab programme.

 

Alongside the physio programme the cardiac nurses may see you in the outpatient clinic for regular check-ups.

We also offer an excellent educational programme weekly for all patients and relatives.

If you have any queries about then cardiac rehabilitation programme or have any concerns please do not hesitate to contact us.

Cardiac rehabilitation office: 0161 922 6625

Cardiac Rehabilitation physio department – 0161 922 6617

Acute Cardiology Unit – 0161 922 4656

NHS out of hours service – 1111

 

Facts about Coronary Disease (CHD)

  • CHD is the UKs single biggest killer
  • Over 7 million people in the UK are living with CHD
  • On average someone in the UK has a heart attack every 3 minutes
  • CHD is caused by furring up of the arteries that provide blood and oxygen to the heart muscle.
  • The furring up process builds up over time until the stage where it can limit blood supply to the heart causing chest pain.
  • Everyone’s symptoms of CHD are different
  • Common symptoms may include – central chest pain, described as tight, heavy and dull, pain that radiates to your neck, jaw and arm or back, shortness of breath, feeling sick and feeling hot, sweaty and clammy.

 

Tests, investigations and treatments available

  • Medical Management – Sometimes the doctors may decide that they will treat the heart attack with just medications instead of any invasive procedures.
  • Angiogram – This is a specialised test that is performed at either the Manchester Royal or Wythenshawe hospital, it involves local anaesthetic to insert a tube into your artery in your wrist or groin up to your heart. An X-ray dye is injected through the tube to identify any narrowing or blockages in the heart arteries. You are fully awake for this procedure. An Angiogram will determine which treatment is required.
  • Angioplasty – This follows on from the angiogram and can be performed at the same time. It involves a balloon being positioned between the narrowing and then inflated to reopen the artery. A stent which is a tiny metal spring can also be inserted to stip the artery closing up once the balloon is deflated. There is no limit to how many stents can be inserted.With any procedure there is always a risk, the risk associated with Angiogram/ plasty is relatively risk free, and there is about 1 in 1000 risk of serious complication. Before the procedure you will be asked to complete a consent form, which will list these risks, the main risk is bleeding or bruising to the puncture site where the tube is inserted. If you have any concerns or further questions about angiograms or angioplasty’s please contact the cardiac rehab team.
  • Coronary artery bypass grafts – After having your angiogram it may be decided that you need surgery instead of a stent due to the severity of the furring up. A coronary artery bypass graft is where the surgeons will take veins from your legs and use them to bypass blocked arteries in your heart. Usually you are in hospital for five days after this surgery. Please see the link for the New Beginnings Booklet for more information about Coronary bypass grafts.
  • Cardiac MR Scan – This is non-invasive magnetic resonance imaging scan that creates detailed images of your internal organs looking at the structure of the organ. Unlike an X-ray this scan does not use radiation.
  • Myocardial perfusion scan – This scan uses small amounts of radioactive substances to capture images of the blow flow to the heart muscle.
  • Echocardiogram – This is a non-invasive ultrasound scan of the heart that can be done at all hospitals and some GP surgeries. Everyone should have an Echocardiogram done post heart attack, stent or bypass to allow the doctors to review any damage to the heart muscle and valves.
  • Dobutamine stress echo – A stress echocardiogram is a test done to assess how well the heart works under stress. The “stress” can be triggered by either exercise on a treadmill or injecting a medication called dobutamine that will increase your natural heart rate to put stress on the heart for a short period of time under doctor supervision.