How long did it take before you start... - British Heart Fou...

British Heart Foundation

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How long did it take before you started rehabilitation clinic

Golfer321 profile image
7 Replies

morning and thanks for advice on my last post.

im 16 days since heart attack,

When did you all start your rehab? I can walk 15/20 minutes at a steady pace. I do this twice a day. I’ve refrained from any lifting and really have taken it easy. I do get out of breath though and feel tired very fast.

The clinic have said I can start with them in 3-4 weeks, i suppose I’m over keen

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Golfer321 profile image
Golfer321
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7 Replies

The time between heart 'event' and starting cardio rehab will vary according to the workload of the hospital cardio unit and, I assume, allowing sufficient time for the average person to recover. Six to eight weeks seems to be about the norm from what folks say on here. That was certainly the case for me. And if my experience is anything to go by you will be given an exercise programme that is tailored to your general physical condition and where you are in your recovery, which means some will be doing more than others. As you are still 3 to 4 weeks away from starting rehab my advice to you, as I said in my answer to your previous post, is if you want any specific guidance on what you should be doing in the interim speak with a health professional (e.g BHF nurse) but otherwise slowly ramp up your exercise regime, but above all listen to your body and don't overdo it. Certainly only you knows how you feel during and after any exercise, so only you knows how much sensible adjustment to make as necessary.

Golfer321 profile image
Golfer321 in reply to Lowerfield_no_more

Thanks yes I’m been doing exactly that small amounts and plenty of rest.

Lowerfield_no_more profile image
Lowerfield_no_more in reply to Golfer321

Spot on 👍

Ade912 profile image
Ade912

Morning, it’s 6 weeks since my heart attack, I started my 1st session of cardio rehab on the 5th week…. N looking forward to the further 8 wk sessions….

Rhinos67 profile image
Rhinos67

My rehab was following OHS to replace my aortic valve and ai then needed a pacemaker. I had to wait approx 4 months because my sternum had to fuse first. The sessions were in thr local leisure centres and not nurse led. The instructor was great though and exercising in a group made me feel safer

Chappychap profile image
Chappychap

I started cardio rehab six weeks after being discharged following bypass surgery.

Cardio Rehab was an absolutely critical part of my recovery, it delivered a lot of essential information that you can't find elsewhere, and it hammered home the point that our heart disease (atherosclerosis) is incurable. But none the less we can dramatically improve our odds with a combination of medication and life style changes, so seriously double down on both of those.

Good luck!

Chinkoflight profile image
Chinkoflight

I've never been offered any form of follow up, possibly because I was fairly fit and active up to my events. But I did start an exercise programme after my stroke and I have learnt a lot from that. The fundamental rule for a health improvement programme is to exercise at a conversational pace. If you get to breathlessness then you are probably overdoing it. Recovery time following exercise is also really important. A graduated programme with some variety.

So your current regime may be too much too soon.

It takes a lot longer to gain fitness than it does to lose fitness. You're aim is to find a regime that you enjoy.

If walking is your ambition, do start by walking on the flat. Can you walk where there is a bench on the route in that 10 minute out route. If not are you okay standing?

So rather than walk for 20 minutes maybe walk at a slow warm up pace for 5 minutes and then rest for 2 minutes. Then walk a little more briskly but still not to breathlessness for 5 minutes and rest again for 2. And then walk for 6 minutes at a slow pace and finish.

Do this for a week with rest days in between. On the rest days perhaps do some gentle upper body arm based exercises in a chair .

Very gradually increase the intensity/length of the walking in the next week, by adding a longer warm down walk, eg 6 becomes 8 minutes.

By taking this approach and maybe using a smart watch to record steps or distance you will see the gradual but measurable improvement. Or you will find that you passed a tree before you reached the rest time.

Your target at the end of say 10 weeks may be to walk for 30 minutes once a day at a gentle pace every other day without stopping and having any difficulty breathing.

I'm not a sports coach or any sort of coach. There is an NHS app that supports recovery walking. So this is not advice but hopefully helpful in the absence of support.

You are looking for long term gains and success. Targets should be achieved by bite sized improvement steps.

Incremental improvement is brilliant for the mental health and managing your own programme that works for you is really empowering.

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