Heart Works

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Heart Works HeartWorks provides personalized cardiac rehabilitation & fitness in Wellington, NZ. We’re here to support your health journey.

Our expert team offers supervised exercise tailored to your cardiac needs, helping you recover with confidence.

Women’s cardiovascular health is increasingly being understood through a life-course lens.That shift matters.Sex-specifi...
13/11/2026

Women’s cardiovascular health is increasingly being understood through a life-course lens.

That shift matters.

Sex-specific differences in symptom presentation, adverse pregnancy outcomes, the menopause transition and conditions such as spontaneous coronary artery dissection all add important context to cardiovascular risk and disease in women.

There are also disparities in what happens after a cardiovascular event.

A 2026 systematic review of 46 cohorts involving more than one million patients found that women were most consistently disadvantaged at the referral and initial-access stages of cardiac rehabilitation. Importantly, some s*x differences narrowed once referral had occurred.

This is particularly relevant alongside new 2026 multisociety guidance from the American Heart Association, American Academy of Pediatrics, American College of Obstetricians and Gynecologists and Society for Maternal-Fetal Medicine, which calls for cardiovascular prevention and management to account for female-specific factors across the lifespan.

For Women’s Heart Health Day, we’ve highlighted five pieces of research that help illustrate why women’s cardiovascular health deserves a more nuanced approach.

The evidence continues to reinforce an important message: women’s heart health cannot be understood through a one-size-fits-all model.

References are included on each slide.

NEW! Heartworks Clinical Updates | November 2026We've recently developed two editions of our Heartworks Clinical Updates...
12/11/2026

NEW! Heartworks Clinical Updates | November 2026

We've recently developed two editions of our Heartworks Clinical Updates, exploring the latest 2026 Cardiac Rehabilitation Guidelines and what they mean for cardiovascular care and recovery.

📖 Clinician Edition – Designed for healthcare professionals and referrers, highlighting key recommendations and their implications for cardiac rehabilitation.

❤️ Community Edition – A more accessible version for our clients and wider community, exploring why cardiac rehabilitation is more than just exercise, the importance of individualised care, and how rehabilitation can support long-term heart health.

Our aim is to make the latest clinical evidence accessible and relevant, whether you're a healthcare professional, currently attending rehabilitation, or looking to better understand your heart health.

Both editions are available to read!

Clinician Edition:https://heartworks.nz/s/Heartworks-Clinical-Updates-November-2026.pdf

Community Edition:https://heartworks.nz/s/Heartworks-Clinical-Updates-PatientCommunity-November-2026.pdf

Blood pressure isn’t supposed to stay exactly the same when you exercise.As exercise intensity increases, systolic blood...
10/11/2026

Blood pressure isn’t supposed to stay exactly the same when you exercise.

As exercise intensity increases, systolic blood pressure — the top number — will usually rise, while diastolic blood pressure — the bottom number — often changes much less.

That response is one of the reasons we may check blood pressure at different points during a Heartworks session.

A pre-exercise reading gives us a starting point.

A reading during exercise helps us understand how your cardiovascular system is responding to the workload.

And afterwards, we can see how blood pressure is settling during recovery.

Like heart rate, we don’t look at blood pressure in isolation. We consider it alongside things like symptoms, workload, perceived effort and how someone is recovering.

It’s not about expecting the numbers to stay still.

It’s about understanding how they respond to exercise. ❤️

Sometimes the feedback that means the most is about how someone felt during their time with us. ❤️We recently received t...
05/11/2026

Sometimes the feedback that means the most is about how someone felt during their time with us. ❤️

We recently received this lovely message from a client:

“It was so good to meet yesterday. I left feeling really positive. I felt heard, understood and seen. Thank you very much for those things as well as your clinical knowledge and expertise 🙂”

At Heartworks, clinical knowledge and exercise prescription are important — but so is taking the time to listen, understand someone’s concerns, and make sure they feel comfortable asking questions.

Cardiac rehabilitation can come at a time when there is a lot to process, and every person arrives with a different story, different concerns and different goals.

We’re very grateful for feedback like this, and for the trust our clients place in us along the way. ❤️

Cardiac rehabilitation isn’t just about exercise.A big part of rehabilitation is also helping people understand what has...
05/11/2026

Cardiac rehabilitation isn’t just about exercise.

A big part of rehabilitation is also helping people understand what has happened, what their treatment means, and how to feel more confident managing their health moving forward.

That might mean talking about:

• your heart condition or procedure
• what your medications are doing
• symptoms to pay attention to
• how hard exercise should feel
• how your heart rate and blood pressure respond
• when to progress — and when to slow things down
• what you can do independently outside the clinic

Sometimes those conversations happen during an assessment. Sometimes they happen in the middle of a class, while checking a blood pressure, after an exercise session, or during one of our Education Evenings.

The aim isn’t for someone to simply complete a rehabilitation programme and leave.

We want people to leave with a better understanding of their heart, their exercise response and how to manage their health with greater confidence.

Because knowing why you are doing something can be just as important as knowing what to do. ❤️

Can you exercise with atrial fibrillation?For many people, the answer is yes.Regular exercise can be an important part o...
02/11/2026

Can you exercise with atrial fibrillation?

For many people, the answer is yes.

Regular exercise can be an important part of managing cardiovascular health with AF, and research suggests it can help improve exercise capacity, symptoms and quality of life.

What can be different is how we interpret the exercise response.

Because AF produces an irregular rhythm, heart rate may fluctuate more than expected and may not always provide the clearest picture of exercise intensity on its own.

That is why things like how hard the exercise feels, workload, breathing, symptoms and recovery can all provide useful additional information.

Some people with AF have very few symptoms. Others may notice palpitations, breathlessness, fatigue or reduced exercise tolerance — and the experience can vary from day to day.

At Heartworks, the aim is not simply to chase a particular heart-rate number. It is to understand the overall response and help find an exercise level that is appropriate for the individual.

If you are new to exercise or returning after a change in your AF, start gradually and discuss your exercise plan with your healthcare team.

AF may change the rhythm — but it doesn’t necessarily mean movement has to stop. ❤️

Starting cardiac rehabilitation can feel like a big step — particularly if you are not quite sure what to expect.Some pe...
29/10/2026

Starting cardiac rehabilitation can feel like a big step — particularly if you are not quite sure what to expect.

Some people arrive worried that they won’t be fit enough. Others are nervous about exercising after a cardiac event, unsure how hard they should be working, or simply unfamiliar with the clinic and the people around them. And for some, it is a mixture of all of those things.

That is why your first Heartworks assessment starts with getting to know you.

We will show you around the clinic first, explain how the Heartworks programme works, and talk through things like how we use heart-rate zones and other measures to help guide exercise. From there, we sit down and talk.

We want to understand your cardiac history, current medications, any symptoms you are experiencing, what exercise has looked like for you previously, and what you would like to achieve through rehabilitation.

For one person, the goal might be walking further without feeling breathless. For someone else, it might be getting back to the golf course, returning to the gym, travelling confidently, rebuilding strength, or simply feeling less nervous about exercising again.

We will also take some baseline measurements, including resting heart rate and blood pressure, and complete an appropriate exercise or functional assessment. This gives us useful information about where you are starting from and helps us begin shaping an exercise programme around you.

And importantly, there is time to ask questions.

There is no expectation that you arrive already knowing what you should be doing — that is what the assessment is there for.

Your first appointment is really about helping us understand where you are now, where you want to get to, and how we can help you get there with confidence.❤️

Pacemaker or ICD — what’s actually the difference?They can look quite similar, but they are designed to do different thi...
27/10/2026

Pacemaker or ICD — what’s actually the difference?

They can look quite similar, but they are designed to do different things.

A pacemaker primarily supports the heart when it is beating too slowly or needs help maintaining an appropriate rhythm. It monitors the heartbeat and can deliver small electrical impulses when pacing is required.

An ICD — Implantable Cardioverter Defibrillator — is designed to detect and treat dangerous abnormal heart rhythms. Depending on the rhythm and device, it may use pacing or deliver a shock to restore a safer rhythm. Many ICDs also include pacemaker functions.

Understanding that difference can also matter when returning to exercise. Device type, settings, heart-rate response, symptoms and the underlying cardiac condition can all help inform how exercise is monitored and progressed.

At Heartworks, the aim isn’t to be afraid of the device — it’s to understand it and build confidence exercising with it.

There’s a lot that happens behind the scenes of a Heartworks exercise programme.When you see our team chatting together,...
25/10/2026

There’s a lot that happens behind the scenes of a Heartworks exercise programme.

When you see our team chatting together, we might be discussing how someone responded to their last session, whether their workload is still appropriate, a change in symptoms or recovery, or whether it is time to progress something — or leave it exactly where it is.

Those decisions aren’t based simply on how many weeks someone has been attending.

We consider things like exercise tolerance, symptoms, recovery, heart-rate and blood-pressure response, perceived effort, consistency, confidence and what we’re seeing during the sessions.

Sometimes the right decision is to progress. Sometimes it is to modify. And sometimes it is to hold the programme where it is for a little longer.

That ongoing discussion and clinical reasoning is part of what individualised rehabilitation looks like at Heartworks.

Progression isn’t about changing the programme for the sake of it. It’s about making the right change, at the right time, for the person in front of us. ❤️

Address

202 Thorndon Quay
Wellington
6011

Opening Hours

Monday 9:30am - 5pm
Tuesday 9:30am - 7pm
Wednesday 9:30am - 7pm
Thursday 9:30am - 7pm

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