New Australian and New Zealand position paper published for exercise and physical activity in cardiac rehabilitaton

Leading experts from Australia, New Zealand and Europe in the fields of exercise, physical activity and cardiac rehabilitation have come together to create the first position paper of its kind for the Cardiac Society of Australia and New Zealand (CSANZ). This significant paper entitled A clinical guide for assessment and prescription of exercise and physical activity in cardiac rehabilitation. A CSANZ position statement’, was published today in the Heart, Lung and Circulation journal. The paper is intended as a contemporary resource for cardiac rehabilitation providers in Australia and New Zealand, offering them valuable guidance in designing safe and effective exercise and physical activity programs for cardiac patients.

 

Dr Christian Verdicchio said that he was excited to see this paper eventually come out and be available for Australian and New Zealand clinicians for the very first time as “Europe and the US have traditionally been the leaders in providing clinical guidelines in this area, with nothing available and widely used for us here in Australia and New Zealand to date. Now finally we have some guidance for clinicians especially around aerobic exercise assessments and target training intensities that can be incorporated safely into training programs, which may have not been considered in the past for cardiac patients”.

 

“I would also like to acknowledge the amazing group of expert authors from all over the world, who got together to create something very special and important for Australia and New Zealand, especially my fellow lead co-authors Assoc Prof Nicole Freene and Dr Matthew Hollings, along with our senior author Prof Julie Redfern for her support and guidance during this process,” he said. The NHMRC-funded SOLVE-CHD program has also been instrumental in bringing the group together and progressing this work.

 

Fellow lead co-author Assoc Prof Nicole Freene who led the physical activity section of the paper added “It is great to see that the assessment and prescription of physical activity and sedentary behaviour is included in these practical guidelines. All health professionals are well placed to provide general physical activity advice and this position statement should give them further confidence in providing this within and outside of cardiac rehabilitation programs, as well as knowing when to refer to an exercise specialist such as a physiotherapist or exercise physiologist,” she said.

     

Dr Matthew Hollings also a lead co-author was thrilled by the opportunity to publish this important document targeted directly towards cardiac rehabilitation clinicians. He emphasised that “resistance training recommendations have often been overlooked in similar documents in the past. My hope is that clinicians can feel empowered by this important resource and that resistance training will finally find its place in the standard training programs for cardiac patients”.

 

The new position paper has been endorsed by the Australian Physiotherapy Association, Exercise and Sports Science Australia and the Australian Cardiovascular Health and Rehabilitation Association and will be presented by Dr Christian Verdicchio at this week’s CSANZ Annual Scientific Meeting in Adelaide during the Multidisciplinary Rapid Fire Clinical Guidelines Update on the Saturday morning.

 

Further online seminars are planned to take place with the lead authors shortly in conjunction with the endorsing bodies, to further disseminate this information to cardiac rehabilitation clinicians across the country.

 

To access and download the paper please click here.

New heart peer support group opens in Clermont

Heart Support Australia (HSA) will open a Peer Support Group in Clermont to offer post-heart
event support for cardiac patients in the region, starting on Saturday 29 July.

The HSA Peer Support Groups are unique communal support programs offering ongoing
guidance to those who have recently undergone a heart event as well as those who have
experienced heart conditions and rehabilitation.

HSA CEO Dr Christian Verdicchio said that the long-term health outcomes of Queenslanders
living in rural towns are “poorer” because residents have “less accessibility to health care”.

“We are proud to open a Peer Support Group in Clermont and align the Heart Support mission
with the local government’s Rural and Remote Health and Wellbeing Strategy to achieve equity
for rural and remote communities,” Christian said.

“Our support groups are designed to ensure our patients are staying on the path to a healthier
life by making it known to them that they are not alone because they are interacting with their
leader and group members who have gone through similar circumstances,” he said.

For Clermont, the closest cardiac care unit is almost 300km away at the Mackay Base Hospital,
meaning patients who return home from treatment and their families in the region often do not
have access to ongoing support.

Leading the Clermont Peer Support Group will be Claudia Stephson who, despite her active
lifestyle, suffered a major cardiac event that involved two hospital transfers due to her
remoteness.

“I drove myself hastily to the local hospital after waking up with pain between my shoulder
blades and running down the back of my arms that progressed into tightness in my chest,
nausea and cold sweats,” Claudia said.

From her local hospital Claudia was transferred to the Mackay Base Hospital where her doctor
found seven blockages in her heart ranging from 20 to 100 per cent that were not treatable with
a stent.

“After stabilising treatment and rest, I was flown to Townsville Mater Hospital for a triple bypass
surgery,” she said.

The peer support program initiative derives from a new era of managing heart disease that
empowers heart patients with education, improved self-esteem, and larger support networks
that result in fewer hospital stays and less trips to the GP.

“Sides effects after cardiac events such as anger, depression, trouble sleeping and nightmares
are quite normal and our clinicians do such a fabulous job fixing bodies but they rarely have
time to ask how patients, spouses and families are coping with the new reality,” Claudia said.

“I hope that my fellow survivors and I can change that,” she concluded.

The first Clermont Peer Support Group will be held on Saturday 29 July and then the last
Saturday of every month at the Clermont Railway Station.

To attend the next Clermont session, please get in touch with Claudia on 0437 156 585 or email
claudia.stephson@gmail.com.

New heart peer support group opens in Queanbeyan

Heart Support Australia (HSA) will open their seventh New South Wales Peer Support Group in
Queanbeyan on Thursday 20 July, offering post-heart event support for cardiac patients in the
region.


The HSA Peer Support Groups are unique communal support programs offering ongoing
guidance to those who have recently undergone a heart event as well as those who have
experienced heart conditions and rehabilitation.


HSA CEO, Dr Christian Verdicchio said due to demand the organisation is expanding their Peer
Support Groups across Australia with 30 locations planned to open by March 2024 as “heart
disease continues to dominate the majority of long-term health conditions of all Australians,” he
explained.


“A lot of the time there is no ongoing support for heart patients after their diagnosis or after a
heart scare and that can be stressful on not only the individual who suffered the heart event, but
for their family and caregivers as well,” he said.


“Unfortunately, far too often when people are diagnosed with or undergo treatment for a heart
condition, they don’t have ongoing support and that can be incredibly isolating.


“Our support groups are designed to ensure our patients are staying on the path to a healthier
life by making it known to them that they are not alone because they are interacting with their
leader and group members who have gone through similar circumstances,” Christian said.


According to the 2021 Census, 2,053 Australians in the Queanbeyan-Palerang region live with
heart disease, including heart attacks and anigma.


Leading the Queanbeyan Peer Support Group will be John Askew who suffered a myocardial
infarction (heart attack) in late 2016.


“Within three hours of the MI, I was having a stent inserted via keyhole surgery,” John said.
“I spent the next three nights in hospital… and returned to work five days later.


“Although I am fortunate to have not had any problems since, I will need to take medication to
monitor my symptoms for the rest of life,” he said.


The peer support program initiative derives from a new era of managing heart disease that
empowers heart patients with education, improved self-esteem, and larger support networks
that result in fewer hospital stays and less trips to the GP.


“It’s not always easy adjusting to a new lifestyle and that is why I stepped forward to lead the
Queanbeyan group and to help others who are struggling to adjust to their new way of life
following their cardiac event,” John concluded.


The first Queanbeyan Peer Support Group will be held on Thursday 20 July and then the third
Thursday of every month at the Jerrabomberra Community Centre.


To attend the next Queanbeyan session, please get in touch with John on 0400 049 729 or
email john.askew@live.com.au