Heart Works

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.

Moving Beyond Short-Term Fixes — Toward Sustained Cardiovascular HealthIn cardiovascular care, it’s easy to focus on eve...
08/04/2026

Moving Beyond Short-Term Fixes — Toward Sustained Cardiovascular Health

In cardiovascular care, it’s easy to focus on events, interventions, and short-term outcomes. But long-term heart health is not built through short-term fixes. It is shaped by what happens consistently over time — how people move, how they manage risk factors, how they understand their condition, and how they engage with their health beyond the clinical setting.

Improvements in fitness, blood pressure, and metabolic health are important early markers of progress. However, their true value lies in how well they are maintained.
Sustained cardiovascular health requires more than initial change. It requires continuation. This is where the focus shifts from intervention to behaviour. From structured programmes to independent self-management. From short-term progress to long-term consistency.

The goal is not simply to improve outcomes in the immediate phase following a cardiac event, but to support individuals in maintaining those outcomes over months and years.
Because in cardiovascular health, it is not what is done once that has the greatest impact - it is what is done consistently.

A simple piece of feedback — but one that reflects something deeper than just attending classes.This client spoke about ...
08/04/2026

A simple piece of feedback — but one that reflects something deeper than just attending classes.

This client spoke about feeling motivated, supported, and genuinely enjoying the experience — not just the exercise, but the environment and the tone created throughout their time with us.

It’s a reminder that when people feel comfortable, supported, and confident, they’re far more likely to continue their journey — even if life takes them away for a period of time.

Coronary Artery Disease Is a Long-Term Condition — Not a One-Time EventIt is common to hear, “I’ve been given the all cl...
07/04/2026

Coronary Artery Disease Is a Long-Term Condition — Not a One-Time Event

It is common to hear, “I’ve been given the all clear” or “I thought it was just a one-off.” While reassurance after a cardiac event is important, it can also create a misconception about the nature of coronary artery disease (CAD).

CAD is a chronic condition. Interventions such as stents or bypass surgery can restore blood flow and improve symptoms, but they do not remove the underlying disease process. Ongoing management remains essential to reduce future risk.

Cardiac rehabilitation is often positioned as a short-term phase of care. In practice, it is the starting point for long-term cardiovascular health. The initial 6–12 weeks establish key physiological and behavioural foundations, including improvements in fitness, blood pressure, and metabolic health.
These changes are not endpoints. They underpin sustained risk reduction through consistent exercise, informed self-management, and ongoing engagement with care.

For individuals living with CAD, the focus extends beyond recovery. It is centred on long-term management, reduced risk, and maintaining function and confidence over time. Cardiac rehabilitation does not end at 6 or 12 weeks — it begins there.

Staying Consistent Over EasterThe Easter period offers a chance to step away from routine, spend time with family and fr...
02/04/2026

Staying Consistent Over Easter

The Easter period offers a chance to step away from routine, spend time with family and friends, and enjoy a slower pace.

Where possible, maintaining some level of activity can help support both physical and mental wellbeing. Even a simple walk outdoors can be enough to maintain momentum.
Easter is also a time to enjoy food. Traditions like hot cross buns or chocolate can absolutely be part of the weekend — without needing to overthink it. One or two treats will not undo the progress you’ve made.

The focus is not on perfection, but on consistency over time.

Wishing you a safe, relaxing, and enjoyable Easter.

Please note the clinic will be closed on Good Friday and Easter Monday.

Understanding Blood Pressure — Why “Normal” Isn’t Always What We ThinkAt HeartWorks, when we measure blood pressure, we ...
02/04/2026

Understanding Blood Pressure — Why “Normal” Isn’t Always What We Think

At HeartWorks, when we measure blood pressure, we often hear comments like, “That’s a good blood pressure,” or “Mine’s usually around that.” These responses are common — but they highlight an important point: there is often confusion around what “normal” actually looks like.

It’s not uncommon for someone to feel reassured by a reading of 150 or even 160 mmHg systolic, especially if that is what they are used to seeing. But familiarity does not mean normal.

Guidance from the Heart Foundation of New Zealand identifies an optimal blood pressure as around 120/80 mmHg or below. Readings consistently above 140 mmHg fall within elevated or high ranges and, over time, increase strain on the heart and blood vessels.

Because high blood pressure often has no symptoms, it can be easy to overlook. At HeartWorks, we focus on patterns over time, not just individual readings, to better understand what is happening and what it means for long-term health.

This is not about alarm — it is about awareness.

If you’re regularly seeing readings in the 140–160 mmHg range, it’s worth considering whether this reflects a pattern, and what that might mean for your heart health.

Carbohydrates & Heart Health: It’s about quality, not avoidanceCarbohydrates are often misunderstood in the context of h...
31/03/2026

Carbohydrates & Heart Health: It’s about quality, not avoidance

Carbohydrates are often misunderstood in the context of heart health. Rather than needing to be reduced or avoided, the type and quality of carbohydrate intake is what matters most.

Whole, minimally processed carbohydrate sources — such as whole grains, legumes, fruit, and vegetables — provide fibre, support glycaemic control, and are associated with improved cardiovascular outcomes.

In contrast, diets high in refined carbohydrates and added sugars are linked with poorer lipid profiles and increased cardiovascular risk.

Large cohort studies and meta-analyses (including findings published in The Lancet Public Health) have shown that both very low and very high carbohydrate intakes may be associated with increased mortality, reinforcing the importance of balance rather than extremes.

From a clinical perspective, a balanced dietary pattern that includes high-quality carbohydrates supports energy levels, exercise tolerance, and long-term adherence — all key components of effective cardiac rehabilitation.

The focus is not restriction, but informed selection and consistency over time.

Seidelmann SB, et al. (2018) Dietary carbohydrate intake and mortality: a prospective cohort study and meta-analysis. The Lancet Public Health

Cardio isn’t one thing. Cardiovascular exercise is often associated with running, high-intensity training, or pushing to...
30/03/2026

Cardio isn’t one thing. Cardiovascular exercise is often associated with running, high-intensity training, or pushing to exhaustion. In reality, it is much broader than that.

At its core, cardio refers to any activity that challenges the heart and lungs. This can include walking, cycling, swimming, or steady, low-impact movement. It does not need to be high intensity to be effective — it needs to be consistent and appropriate for the individual.

The key message is simple: it all contributes. Walking contributes. Cycling contributes. Swimming contributes.
What matters most is selecting a form of movement that can be sustained, progressed, and performed with confidence.

Improving cardiovascular health is not about one specific modality — it is about regular, consistent movement applied in a way that aligns with an individual’s capacity and goals.

What it actually means to stay independent as we age (Part 3)While age-related declines in strength and fitness are well...
26/03/2026

What it actually means to stay independent as we age (Part 3)

While age-related declines in strength and fitness are well documented, they are not fixed.
There is consistent evidence that appropriately prescribed exercise can attenuate, and in many cases reverse, these changes. Importantly, this requires more than general activity.

Aerobic training plays a central role in improving cardiovascular capacity, resistance training is critical for preserving muscle mass and strength, and balance-based training supports coordination and reduces fall risk.

For individuals in cardiac rehabilitation, this approach is essential. Recovery is not defined solely by medical stability, but by the ability to return to independent, meaningful living with confidence.

At Heartworks, exercise is applied with this intent — as a structured, clinically guided intervention to rebuild capacity, support recovery, and maintain independence over time.

Reference:
Schmanske N, Ngo JM, Kalra K, Nanna MG, Damluji AA. (2025) Healthy ageing in older adults with cardiovascular disease.

What it actually means to stay independent as we age (Part 2)Ageing is associated with a number of predictable physiolog...
25/03/2026

What it actually means to stay independent as we age (Part 2)

Ageing is associated with a number of predictable physiological changes. These include reductions in muscle mass and strength, declines in cardiorespiratory fitness, and gradual changes in balance and coordination.

Cardiorespiratory fitness, commonly expressed as VO₂ max, is one of the strongest predictors of both health outcomes and longevity. In parallel, reductions in muscle strength are closely linked to diminished functional capacity, as well as increased risk of falls, hospitalisation, and loss of independence.

Following a cardiac event, periods of reduced activity can accelerate these changes. This can contribute to deconditioning, as well as reduced confidence in movement and physical capability.
These are not simply age-related observations—they are clinically meaningful changes that directly influence recovery trajectories, long-term health, and quality of life.

This raises the next question: are these changes inevitable? We’ll address that in Part 3.

Reference:
American College of Sports Medicine. (2009). Exercise and Physical Activity for Older Adults (Position Stand).
Furrer, R., & Handschin, C. (2025). Biomarkers of aging: from molecules and surrogates to physiology and function.

What it actually means to stay independent as we age (Part 1)“Just keep moving” is commonly offered as general advice fo...
24/03/2026

What it actually means to stay independent as we age (Part 1)

“Just keep moving” is commonly offered as general advice for ageing well, but on its own, it lacks the clinical specificity required to meaningfully support long-term health outcomes.

The World Health Organization defines healthy ageing as maintaining the functional ability that enables wellbeing. In practical terms, this refers to preserving the capacity to perform everyday tasks, recover from illness, and maintain independence over time.

For individuals living with, or recovering from, cardiovascular disease, this becomes particularly relevant. Independence is not defined solely by clinical stability, but by the ability to sustain the physical capacity, endurance, and confidence required to function in daily life.

This naturally leads to an important question: what actually changes with age, and why does it matter? We’ll explore that in Part 2.

Reference:
World Health Organization. (2020). Decade of Healthy Ageing 2020–2030.

“We can’t fix the world, but we can focus on ourselves and improve our health.”A simple but powerful reflection from one...
19/03/2026

“We can’t fix the world, but we can focus on ourselves and improve our health.”

A simple but powerful reflection from one of our clients — and one that feels especially relevant right now.

When things feel uncertain or out of our control, it can be easy to feel overwhelmed. But this is a reminder that there are still things within our reach.

Small, consistent actions — showing up, moving your body, building routine — can help us take positive steps forward and improve our health over time.

Why strength training matters more than we think 💪As we age, loss of physical function is often accepted as inevitable. ...
18/03/2026

Why strength training matters more than we think 💪
As we age, loss of physical function is often accepted as inevitable. But research suggests that how we use our physical capacity may matter more than the capacity itself.

A recent four-year study of adults highlighted an important message about functional ageing.
Functional decline is not determined solely by how strong or capable someone is today. It is strongly influenced by how much they continue to challenge that capacity. In other words, what your body can do matters — but what you actually ask it to do matters just as much.

The study reinforces the principle of “use it or lose it.” When strength and physical capacity are under-challenged, decline accelerates. When individuals regularly engage in activity that approaches their current limits — safely and appropriately — physical function is better preserved over time.

Strength training plays an important role in this process. It helps maintain muscle mass, preserve neuromuscular coordination, and sustain the power required for everyday tasks such as standing from a chair, climbing stairs, or recovering balance.

The broader implication is clear. Exercise for older adults should not always be gentle or easy. It should be challenging within individual capacity. The goal is not maximal effort, but meaningful effort.

Strength is not about extremes — it’s about maintaining independence, mobility, and confidence for the long term.

Reference
Löppönen A et al. (2025). Use it or lose it: a four-year follow-up assessing whether physical activity near one's capacity reduces the risk of functional decline among older adults. European Review of Aging and Physical Activity, 22(1), 19. https://doi.org/10.1186/s11556-025-00385-8

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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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