1. West Herts. PCT Cardiac Rehabilitation Service Cardiology Connect Meeting– Wednesday 17th September 2008 Chris Pace – Senior Cardiac Rehab. Nurse Marie-Jeanne Chitnis – Senior Cardiac Rehab. Physiotherapist

2. What does Cardiac Rehab do? CHD is the biggest killer in the UK NICE British Heart Foundation National Service Framework Secondary Prevention British Association of Cardiac Rehab.

3. 4 Phases of Cardiac Rehab. Phase I – Wards and CCU Phase II – Telephone Advice / support post- discharge Phase III – Exercise and Education Phase IV – Exercise Referral Scheme or other *BACR classes

4. Cardiac Rehab Phase III MDT: Nurses, Physio’s, OT Dietician, Fitness Instructors Exercise and Education 14 sessions: 2 x week For 7 weeks Watford St. Albans Hemel Hempstead

5. CARDIAC REHAB. CHD explainedBMI and Waist BP, Pulse,Dietary advice Stress and Relaxation Exercise Advice Pharmacy talk Refer to smoking cessation HADS Psychological support and Counselling BHF Leaflets

6. What do we expect from GP’s GP Review medication and treat Hypertension and Diabetes Refer patients following MI, PCI, CABG or Valve Sx Review symptomatic patients and refer back to Cardiologists Check cholesterol 6/12 Sexual counselling and treat Erectile Dysfunction Counselling for HADS > 13 Treat depression - QOF