Our Services A-Z

Cardiac Service

The cardiac service provides specialist care, education and support for adult patients who are registered with a Leeds GP who have the following heart conditions:

  • Diagnosis of a heart attack (myocardial infarction)
  • patients who have had heart bypass surgery or valve replacement
  • patients who have had  percutaneous coronary intervention (PCI), sometimes known as an angioplasty
  • patients with a diagnosis of heart failure

Our service covers two main areas of care:  Management of heart failure and Cardiac Rehabilitation. 

We are a committed team of Cardiac Nurse Specialists, Physiotherapists, and Healthcare Support Workers aiming to provide an excellent Cardiac Service across the city of Leeds. We work in partnership with the Primary Care GP services, and the Leeds Teaching Hospitals Trust. 

The service is provided at home (if the patient is housebound) or in a clinic setting. The number of contacts offered is based on individual need of the patient.


Management of Heart Failure

What is heart failure?


Heart failure is a condition in which the heart fails to pump blood around the body normally.

Heart failure does NOT mean that the heart has or is about to stop working. In most cases this is a chronic condition, meaning that it will not get better.

The hearts ability to pump can be affected in a few ways. In some people the heart muscle becomes weak; in some it becomes stiff andcardiac in others the heart muscle become 'baggy'. All of these affect how well the heart can work.

Heart failure often causes the body to retain excess fluid.

Our goal is to provide you and your family with support, reassurance and understanding of your heart condition, alongside the best treatments available.

You will be offered:

  • An initial home visit/ clinic appointment – to include a comprehensive physical, psychological and social assessment, medication review and formulation of an individualised care plan.
  • Education regarding your condition and how to self-manage (e.g. daily weights, dietary advice, fluid management, risk factor modifications).

You may find the traffic light self-management tool helpful to guide you with the monitoring of your everyday symptoms.

  • Advice regarding physical activity/fatigue management.
  • Personalised care plan – goal setting.
  • Emergency care plan (if at risk of admission).
  • ECG recording/interpretation (if required).
  • Assessment of renal function/other blood tests as/when appropriate.
  • Titration of medication (up and down) dependant on condition/renal function until stable
  • Manipulation of water tablets (diuretics)
  • advice on other specialised interventions such as transplant, pacemakers and ICDs, if appropriate.
  • Palliative care advice and symptom control management, if required. We work closely with local Hospices in Leeds.
  • Support and advice for carers/family members.
  • Signposting to other services (e.g. smoking cessation, mental health worker, dietitian, social services, District Nurses, and Community Matrons).

If your condition deteriorates and you  require intravenous diuretics (in place of water tablets) to help remove excess fluid, this may be delivered at home by the heart failure team as an alternative to hospital admission

The heart failure service is able to provide tailored activity programmes to patients with heart failure and some patients may be suitable to attend a cardiac exercise programme.


Cardiac Rehabilitation following a heart attack or heart surgery

The cardiac rehabilitation programme aims to help patients readjust to their lives once they have been discharged from hospital after a heart attack or heart surgery.

The cardiac rehabilitation team offer support with education and lifestyle advice through a series of home or clinic visits, depending on the need of the patient. The service also offers a class based education and exercise programme at local leisure centres around the city; the programme can run for up to six weeks dependent on the patient’s requirements. If a patient is unable to attend the class based exercise programme then they will be offered a  1-1 assessment by the Cardiac Physiotherapist to design an individual plan.

Cardiac Rehabilitation following Percutaneous Coronary Intervention (PCI)

Patients who undergo an elective PCI  (where a stent is fitted into the coronary artery) will also be followed up by the cardiac rehabilitation team and will be offered an appointment to discuss lifestyle issues in the community clinic and a place on the exercise programme.  


Referral

Most referrals are organised via your GP or directly from the hospital following an admission. If you have any questions then please contact the Community Cardiac Service on 0113 8434200.

If you have used this service in the past, and would like to provide us with feedback as part of the NHS “Friends and Family Test” (FFT) please select one of the links below:

To access and complete the FFT click here >

To access and complete the FFT Easy read version click here >

If you are a parent carer you can access and complete the FFT by click here >

The information you provide will be used to inform how better we can deliver the service.