All patients diagnosed with coronary heart disease or valve disease are welcome to attend the education sessions. However, it may not be appropriate for patients with psychiatric disorders who may be disruptive.
Patients can be referred by their Consultant, by their GP or by the Heart Failure Specialist Nurses. It is appropriate for most patients to join one of the exercise programmes four to six weeks after a heart attack or surgery.
• Unstable angina
• Uncontrolled heart failure
• Acute febrile illness/viral infection
• Resting tachycardia (heart rate greater than 100bpm)
• Resting systolic blood pressure greater than 180mmHg/diastolic blood
pressure greater than 100mmHg
• Severe aortic stenosis
Stress Management Programme
Patients can be referred by their GP or Consultant, or they can self-refer.
• Existing psychiatric problems
• Drug/alcohol problems
• Inability to understand English
If stress is due to bereavement consider referring to bereavement counselling.