Patients & Visitors

Cardiology Department

Rehabilitation

We currently provide Cardiac Rehabilitation to the following groups of patients:

  • Post Myocardial Infarction, with or without angioplasty
  • Post elective and emergency angioplasty
  • Post Coronary Artery Bypass Surgery
  • Post valve replacement/repair

The British Association of Cardiac Rehabilitation considers the following to be core components of cardiac rehabilitation; our care is based around these guidelines:

  • Improve levels of physical activity and exercise
  • Diet and weight management
  • Smoking cessation
  • Risk factor management
  • Psychosocial care
  • Cardio-protective drug therapy
  • Education
  • Long term management strategy

Cardiac rehabilitation is structured in four phases:

All patients who are referred will be offered advice and cardiac rehabilitation either as an inpatient or in the early recovery phase by telephone or in a follow up clinic.

Sessions are supervised by Senior Sister Clare Stone, Junior Charge Nurse Mark Griffiths, Junior Sister Sal Povey, Rachel Lunnon, Nikki Rose or Kelly Newell- Morales.

We are supported by a clerical officer, Judith Jones.

The Cardiac Rehabilitation team can be contacted on:

The office hours are: Monday to Friday, 9am - 5pm.

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Phase 1: In Hospital

For those patients who have been admitted as an emergency and suffered a heart attack or unstable angina and then proceed to angioplasty or if you have been admitted electively for an angioplasty.

We offer written advice and explanations to the patient and their families about their admitting condition. This is followed up with a risk factor assessment and discharge advice including a walking programme, angina management, sexual activity, driving restrictions and vocational advice. Phase 3 classes are offered to all patients who fall into eligible groups. This is regarded as part of the standard care which all patients should be encouraged to take part in if they are able.

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Phase 2: Recovery after Discharge

Those patients who have undergone Coronary Artery Bypass Surgery and any other patient who has received Phase 1 rehabilitation in another hospital are contacted by post to outline the date of their follow up appointment.

This progress review takes place between 4-6 weeks after discharge either in a follow up clinic or by telephone and will include current progress evaluation, risk factor assessment and advice on exercise. Patients will be offered Phase 3 rehabilitation at this time.

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Phase 3: Outpatient Rehabilitation Programme

The Outpatient Rehabilitation Programme is aimed at patients:

  • Following heart attack with or without Angioplasty.
  • Following Angioplasty or Coronary Artery Bypass Surgery.
  • Following Valve Surgery.
  • Any other group of cardiac patient who would benefit from cardiac rehabilitation based on a specific physical or psychological need, if the patient can be safely and appropriately accommodated within the current structure of the programme and has been referred by their Cardiologist.

The programme is not suitable for patients:

  • With untreated ventricular tachycardia on exercise  
  • On the urgent list for Cardiac Catheterisation
  • With uncontrolled left ventricular dysfunction
  • With unstable angina

What the programme involves

Patients are offered a moderate intensity gradually increasing exercise programme. Alongside this an education programme provides information about risk factor modification, psychological support and long term management of coronary heart disease.

The programme will be modified to meet the individual patient’s medical or physical condition if required.

  • The classes are structured over 9 weeks, you will be invited to attend either once or twice a week depending on the location of your programme.
  • RUH: Monday afternoon or Thursday mornings in the Physiotherapy gym;
    Westbury, Wiltshire: Tuesday and Thursday afternoon in Leighton Leisure Centre
    Chippenham: Wednesday morning in the Olympiad Leisure Centre
  • There is also a rehabiliation programme in Frome and Wells which you will be referred to if your GP is in the Mendip region

Preparation for the sessions

  1. Clothing appropriate for exercise.
  2. Patients need to bring water to drink.
  3. Guidelines for those patients with diabetes is included in the patient leaflet:
    Diabetes & Exercise.

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Phase 4: Long Term Maintenance

These are classes which are held in leisure centres or community settings and provide long term exercise classes for those patients who have completed a Phase 3 programme or who have been referred by their GP.

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