Lastly, an exercise assessment will help us to identify any mobility problems that you may 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 aquatinted 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, we will aim to gain an understanding of the level of exercise you need to achieve.

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A routine 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 with progressive stretches

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Supporting Equipment - We can offer a Polar activity device (a heart rate monitor and activity tracker). This will allow our 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. You can find out more about the equipment we offer and prices below under 'covering your care'

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Following the Initial Assessment - A comprehensive report and clinic letter, which will include your personal goals and action plan, will be sent to your cardiologist, surgeon, referring clinician or GP.

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One-to-One 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.

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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.