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Living well after a heart attack

Welcome to this Heart Foundation booklet

If you have this booklet then, like many other New Zealanders, heart disease has

touched your life. Whether it is you or a loved one who is looking to find out more

about heart attacks, you are likely to have many questions. We hope the information

in this booklet will give you some of the answers, but remember you can talk to your

doctor or nurse about any questions or concerns you have as well.

My recovery checklist

After reading through this booklet, you should be able to check off the

following statements:

I can recognise the signs and symptoms of a heart attack

I have a heart attack action plan

I have checked out the Heart Foundation’s HeartHelp website

I have emailed [email protected] to sign up to the

Heart Foundation’s HeartHelp e-newsletter

I have a plan for my life-long heart health

© 2015 Heart Foundation of New Zealand. All rights reserved. If you would like permission to reproduce in full or in part or have any queries, please contact [email protected]

Contents

About your heart

You are not alone ............................................................................................... 4

Common causes of a heart attack ................................................................. 5

Recognising a heart attack .............................................................................. 6

I had a heart attack, now what?

Finding out more about your heart ................................................................ 8

Getting to grips with your medication ............................................................ 9

Talk to your doctor or nurse about cardiac rehabilitation ........................ 10

When I go home ................................................................................................. 11

Getting behind the wheel ................................................................................ 13

Sex after a heart attack ..................................................................................... 13

Returning to work ............................................................................................... 14

Looking after yourself ....................................................................................... 15

Angina after a heart attack .............................................................................. 16

Anxiety and depression .................................................................................... 17

Keeping your relationships strong ................................................................. 19

Tackling negative thoughts .............................................................................. 20

Lowering my risk and staying well

Will it happen again? ......................................................................................... 22

Stop smoking ....................................................................................................... 23

Take medications ............................................................................................... 23

Make heart healthy eating and drinking choices ....................................... 24

Move more ........................................................................................................... 25

Lose weight .......................................................................................................... 26

My personal plan for my heart health ............................................................ 27

Heart attack action plan ................................................................................... 31

4 5

About your heart

You are not aloneEach month more than 1000 New Zealanders leave hospital after having a heart

attack. A heart attack is often the result of heart disease, which is a life-long

condition. After having a heart attack, you are at high risk of having another one –

but the good news is there are choices you can make to improve your life-long heart

health. Learning to live well after a heart attack is not always easy, but it is important

to remember you are not alone. Your family / whānau, health professionals and the

Heart Foundation are here to support you.

Common causes of a heart attackHeart disease is the most common cause of a heart attack. Heart disease often

begins with plaque building up inside the arteries. If one of these plaques cracks,

a blood clot will form which can block the artery. If the blood clot blocks one of the

coronary arteries that feeds blood to the heart, this can cause a heart attack.

Some people get angina, which is a warning sign of narrowed arteries. Others have a

heart attack without having angina.

Roni Lolesi had a heart attack at the age of

57. He sought urgent medical attention and,

following treatment, did an intensive rehabilitation

programme.

Roni and his family now champion heart healthy

eating to the local community.

Graham Lowe, a former top professional league

coach, was surprised by his first heart attack. Since

then, he has experienced numerous heart events

and had countless stents inserted, but that hasn’t

stopped him from living life to the full. Graham and

his wife Karen now have 11-year-old twin boys.

It took some time for Sarah Lockett’s heart attack

to be diagnosed. As a woman, she had some of the

less well-known symptoms of a heart attack. Sarah

went on to have two stents inserted to open up the

blocked arteries that caused her heart attack.

Sarah has now given up smoking and pays better

attention to what she eats.Other causes of a heart attack include spontaneous tightening (spasm) of a coronary

artery, or tearing in a coronary artery.

About your heart

Heart diseasePlaque builds up in an artery

AnginaIt is harder for blood to get through the artery

Heart attackPlaque cracks and a blood clot blocks the artery

6 7

About your heart

Recognising a heart attackA heart attack happens when your heart can’t get enough blood. This makes it hard

for your heart to pump properly, which often causes chest discomfort – a common

symptom of a heart attack.

If you or someone else experience chest discomfort (with or without nausea,

sweating or shortness of breath), call 111 immediately.

Check out our interactive heart attack symptoms tool at firststeps.hearthelp.org.nz

Important: After having a heart attack, you are at high risk of having

another one. Many people do not recognise their next heart attack, as

it may feel different to the first one. Every heart attack is different.

Sarah had a heart attack while hosting friends for

dinner at her Cambridge home.

“None of them suspected the pain was a heart

attack because my pain was always across my

back and not my chest,” she says.

Roni was working out during a morning boxing session

when he suddenly experienced his heart attack.

“I had this feeling like a balloon blowing out in my

chest, then excruciating pain that was like a knife

jabbing me in the chest. This brought on cold sweats

all over my body, I felt clammy and I knew I was in

deep trouble,” he recalls.

TIGHTNESS

PRESSURE

DISCOMFORT/PAIN

HEAVINESS

ARE YOU EXPERIENCING…

Heart Attack Warning Signs

You may alsoexperience:

In ANY of these areas:

NAUSEA

FATIGUE

SWEATING

DIZZINESS

SHORTNESSOF BREATHJAW

NECK

SHOULDER

CHEST

BACK (PAIN IN MID BACK)

ARM

15min 03 02 01 STOP YES

Stop and rest now. Tell someone how you feel.

If you take angina medication and the symptoms have not been relieved within 15 minutes or if the symptoms are severe or getting worse.

Call 111 and ask for an ambulance.

If instructed andaspirin is available, chew one.

8 9


In the early stages after a heart attack, you are likely to need to find out more about

the health of your heart. Early treatment can help to reduce damage to your heart

muscle. This may involve:

Looking at the electrical activity of your heart (electrocardiograph, ECG)

Blood tests

Looking at the x-ray pictures of the arteries (angiography) and potentially

opening up the arteries with a special balloon and stent (angioplasty)

Making a new way for blood to flow around a blocked artery (coronary

artery bypass graft surgery)

Using soundwaves to look at the structure, function and size of your heart

(echocardiogram)

Taking medication to dissolve a blood clot (thrombolysis)

When making decisions about your heart health, it is important to

talk to your doctor, nurse and other health professionals to get all the

information you need. You may like to ask questions such as:

• “What do I need to know about my heart? How can I find this out?”

• “What are the risks and benefits of the tests and treatments?”

• “What other tests or treatments could I consider?”

• “What changes can I make to my lifestyle to care for my heart?”

• “What happens if I decide to do nothing?”

Getting to grips with your medicationAfter having a heart attack, you are likely to be prescribed medication to help your

heart recover and to lower your risk of having another heart attack. Most of these

medications need to be taken for the long term to prevent another heart attack.

Continuing to take your medication can help to:

• Control symptoms (nitrates, beta blockers)

• Lower your risk of blood clotting (antiplatelet agents like aspirin)

• Lower your blood pressure to a better level for you (beta blockers, ACE

inhibitors, calcium channel blockers, thiazide diuretics)

• Lower your cholesterol (statins)

Your doctor may recommend that you take regular medication, and you may also

be taking several different types of medication. Every person is different, so it might

take a while for your doctors to work out the type and dose of medication that’s right

for you.

Finding out more about your heart

To learn more about your medication, visit: firststeps.hearthelp.org.nz


Don’t stop taking your medication without talking to

your doctor or nurse. Stopping some medications

suddenly can make your condition worse.

Feeling uncomfortable?If you have questions or concerns about your medication or unwanted

side effects of the medication, please talk to your doctor, nurse or

pharmacist. There may be other choices of medication available so that

you can be given something that suits you better.

10 11


Ask your doctor or nurse for information about cardiac rehabilitation, or contact the Heart Foundation

When I go homeThe first few days and even weeks at home after having a heart attack can be

difficult. You may wonder what it is safe to do, whether you should be going out and

about, when you can expect to get back to work and when you can start exercising.

There are no hard and fast rules to answer these questions – each person will feel

differently and it depends on what life was like for you before your heart attack.

A good rule of thumb is to gradually build up what you do and how active you are.

Start off slowly, pace yourself, see how you feel and make a plan to get back to normal.

Generally, in the first few weeks after you get home you can expect to do small bouts

of physical activity for a total of five to fifteen minutes a day. This may be a slow walk

to the letterbox, several times a day.

The exercise should feel ‘light’, and you should stop for a break if you are tired. Don’t

feel you are ‘cheating’ by doing five three-minute walks; this is just as effective as

doing it all at once. After a couple of weeks, as you get stronger, your energy levels

will increase and you can return to normal daily activities.

Work with your doctor or nurse to make a plan so that you slowly increase the

duration and intensity of your physical activity. How much physical activity you can

expect to do depends on things like

your condition, and how fit you were

before the heart attack. You should be

able to gently increase your activity over

the next six to ten weeks until you get

back to normal.

HeartHelp online

We all like to learn in different ways, so to reinforce what you are learning at

your cardiac rehabilitation classes, we’ve gathered some videos and stories on

our HeartHelp First Steps website.

We’ve gone out to ask other heart attack survivors and their families

to share what worked for them during their journey to recovery.

We’ve also asked health professionals about some of the important

advice you need– like what to do to prevent another heart attack.

Check it out at firststeps.hearthelp.org.nz Together with your doctor, talk about the types of exercise you like to do and work out an exercise plan that is right for you

Talk to your doctor or nurse about cardiac rehabilitationCardiac rehabilitation can involve education, exercise, emotional support and

information on medications and medical treatments. Participating in cardiac

rehabilitation will help you understand what has happened to you and aid your

recovery. Evidence suggests that doing cardiac rehabilitation can help you get fitter,

return to work and other activities sooner, and lower your chances of having chest

pain and anxiety.

There are usually three phases of cardiac rehabilitation:

The first phase often happens in hospital

The second phase starts after you leave hospital

The third phase happens in your community

12 13


Getting behind the wheelIt will be at least two weeks before you can drive again after a

heart attack. Different rules may apply depending on the treatment

you have had, if you hold a vocational licence and if you drive

passenger vehicles, trucks, forklifts, courier vans or fly aeroplanes.

You may need to have an assessment by a specialist before returning to driving.

It also pays to check with your insurance company to ensure that you are fully

covered.

Sex after a heart attackMany people worry that sex will put too much stress on their heart

and cause damage or another heart attack. However, most people

can safely return to sexual activity after they have been diagnosed

with heart disease or are recovering from a heart attack.

Sex is no different from any other kind of exercise; it is good for your heart. The

amount of energy needed for sexual intercourse is about the same as walking

up two normal flights of stairs briskly, so it will not unduly affect your heart. Find a

position that is comfortable and does not place any stress on your chest or restrict

your breathing, and avoid positions where your arms are supporting your body

weight.

If you use a GTN (glyceryl trinitrate) spray or take GTN tablets or nitrates, you

should never use PDE-5 medications such as Viagra, Cialis or Levitra. Taken

within 24 hours of each other, this combination of medications can cause a large

drop in blood pressure resulting in dizziness, fainting or even a heart attack.

Phase two cardiac rehabilitation

Phase two cardiac rehabilitation starts once you get home.

This programme will help you adjust to life after hospital, learn

more about what you can expect in the near future, and give

you the chance to ask any questions you may have. Your cardiac rehabilitation

classes are a good chance to ask about examples of the sorts of physical

activity that are right for you as you progress through your recovery.

If you haven’t received an invitation to phase two cardiac rehabilitation, contact your nurse or the Heart Foundation

For more information, visit www.nzta.govt.nz

“I went along to cardiac rehab; it was a 12-week

course and it was fantastic. In actual fact, I

rolled it over and continued it for eight years.”

Graham Lowe

14 15


Looking after yourselfA heart attack is often the result of heart disease. This is a life-long condition.

After a heart attack, it takes time for the injured part of the heart to heal. The healing

process starts soon after the attack and takes six to eight weeks. At the end of this

process, your heart is left with an area of scar tissue. For many people, this scar

tissue does not affect the way the heart works or how you feel.

It is very important that you listen to your body. There are symptoms that you can

look out for to help prevent further heart problems:

Sarah strongly advises people to listen to

their body. “All I can say is you know your

own body and if something is not right, stand

up for yourself and push for more medical

intervention. Listen to your body – if something

is not right, get it checked out.”

• Sometimes the artery leading to the heart can re-narrow and you may get

symptoms of angina

• Sometimes extra beats in the heart can cause fluttering in your chest, dizziness

or blackouts

• A heart attack can sometimes weaken the pumping action of the heart, which

can lead to a build-up of fluid in the legs or lungs. You may feel short of breath

doing minor physical activity or after lying down, feel generally tired or have

swollen ankles

If you have any of these symptoms, talk to your doctor at once.

Early treatment can prevent these symptoms from getting worse

Returning to workAlmost everyone can go back to work after a heart attack – usually

within three to four weeks after leaving hospital. How soon you can

return to work depends on the nature of your job and your personal

rate of recovery. Talk to your doctor about the timing that will work best for you.

It is worth taking some time to think about how your heart condition will affect you in

the workplace. Will you be able to do exactly the same sort of work you used to do?

Will you need to work fewer hours? Will you need to learn new skills?

It is normal to feel tired when you get back to work after your heart attack. One way

to reduce fatigue is to include the type of activity you do at work into your home

physical activity programme. You may also wish to speak with your employer or

occupational health team about other options, such as a gradual return to work

programme.

“I thought that since my heart attack, I might be a

liability working in the warehouse, but they were

happy with my recovery times. When I did go back,

they put me on two full weeks of light duties.”

Keith Taulahi

For more information on returning to work, driving and travel, visit firststeps.hearthelp.org.nz

16 17

Anxiety and depressionYou may experience lots of different feelings, including anxiety, depression,

uncertainty and fear. These feelings are common, especially when you first arrive

home from hospital.

One of the best ways to manage anxious, depressed feelings, and to prevent the

build-up of stress, is to regain balance in your life.

Each day, make sure you:


Try joining a local cardiac rehabilitation or heart support group. This will

offer you ongoing support from health professionals and other people

living with heart disease. For a list of groups in your local community,

please ask your nurse or contact the Heart Foundation

Angina after a heart attackAngina is a common symptom of heart disease. It is usually caused by a narrowed

(but not blocked) coronary artery, which feeds blood to the heart. After a heart attack,

some people experience angina, or their angina worsens.

Angina does not cause permanent damage to the heart.

Sometimes people struggle to tell the difference between angina and a heart attack,

as the symptoms can be the same. With angina, the symptoms will ease after a few

minutes of resting or taking medication prescribed by your doctor such as GTN

(glyceryl trinitrate). If you are having a heart attack, your symptoms are unlikely to

ease after a few minutes of resting or taking medication.

If you usually have angina, and you notice any of the following changes,

talk to your doctor straight away:

• you get angina when you are doing very little, or resting

• the angina is worse and lasts longer

• you get angina more often

Do some form of physical activity

Have some rest and relaxation time

Do some form of work where you feel useful, productive and gain a sense of achievement

It also helps to talk with others – your family, whānau or people who have gone through a similar experience. Sharing the experience helps to remind you that you are not alone.

Get plenty of sleep as this is the time when your body and mind are restored

Include some enjoyable activities, especially those that make you laugh

ANGINA ACTION PLAN

If your symptoms are relieved, you can resume your activities gently.

If your angina becomes more frequent, severe, lasts longer or happens when you are doing very little or resting, see your doctor in the next 24 hours.

1 2 3After 5 minutes if your symptoms have not been relieved, take 1 more puff of your GTN spray or 1 more tablet under your tongue

After another 5 minutes, if your

symptoms have not been relieved, repeat

After another 5 minutes if you still have symptoms, treat as a heart attack - dial 111 and ask for an ambulance

Chew an aspirin unless advised not to

Stop what you are doing and rest now

Tell someone how you are feeling

Take 1 puff of your GTN spray or 1 tablet under your tongue

18 19


If you are feeling really down or anxious,

talk to your doctor. You may be referred to

a psychologist or counsellor who can help

you talk through some of your concerns. You

may also benefit from taking medication for

depression and / or anxiety.

Keeping your relationships strongFamily members and other loved ones may struggle to come to terms with your

health scare and it is likely that they will feel scared and anxious about you having

another heart attack. It is important for you to recognise that many of the feelings

you and your family experience are normal reactions to your heart attack.

Make sure that you and your family can talk honestly and freely about what they’re

feeling. No one, including children, should be excluded from the conversation. You

may not be aware that children can often blame themselves when their parents

become unwell, so it is important to explain to them what has happened and why it

has happened.

Having open and honest conversations can lower your stress and encourage the

closeness and emotional support that heart attack survivors need.

Julie Birch worried about her partner having another heart attack when he left hospital.

“When he first came home, I was really scared and I thought ‘what do I do, how do I look after a heart patient?’” she explains. “It’s like living with a volcano, I’m afraid to say anything in case he goes off!”

For more stories, visit firststeps.hearthelp.org.nz

Graham says he’s always been a confident person

but the diagnosis hit him hard.

“Many people are just not aware of the toll that

heart disease takes on a person, mentally and

emotionally,” he explains. “Your whole life on this

planet is all of a sudden at extreme risk. I think it

takes a lot of courage, determination and will-

power to face it.”

The Mental Health Foundation produces resources on depression, anxiety and stress. You can find out more on their website: www.mentalhealth.org.nz

20 21

Tackling negative thoughts It really helps to spot negative thoughts and tackle them because

they are often quite wrong.

As you become more confident

about going out on your own

you will stop believing the

negative automatic thought.

How far can I go without

feeling worried? Perhaps

to the end of the garden

path or letter box?

Tomorrow I'll

go to the end

of the street!

Try walking that distance a few

times until you are sure you are not

going to come to any harm.

If I go out on my own I might

have another heart attack!

For example, many people who have had a heart attack are worried about going out alone

for the first time. So how can you tackle this negative thought? Start by challenging it

slightly by asking yourself how far you can go without feeling worried.

Now set your goal. Repeat the process and when you

are comfortable set another target further away.


22 23


When Julie’s partner had a second heart

attack, she had to convince him to let her call

an ambulance. “He kept saying to me, no it’s

not another heart attack... but then it was. A lot

of people think that after you’ve had one heart

attack, they won’t have another one. [My partner]

is living proof that you can.”

A heart attack is a symptom of heart disease. While heart disease is a life-long

condition, there are choices you can make to lower your risk of another heart

attack and stay well.

There are a number of factors that are known to increase your risk of heart disease.

These are called risk factors. The more risk factors you have, the greater your

chance of having a heart attack.

Some risk factors you can’t do anything about, including age, ethnicity, gender,

personal or family history of heart attack or stroke. But there are other risk factors

that you can change.

After having a heart attack, you are at high risk of having another one. Many people

do not recognise their next heart attack, as it may feel different to the first one. Every

heart attack is different.

Choices you can make to lower your risk of another heart attack


Will it happen again?

For you to be safe when taking your medication, you need to understand:

• What the medication does

• Why you are on the medication

• What unwanted side effects you should look out for

There are things you can do to help you remember when you need to take your

medication. You may like to:

There is lots of support available to help you stop smoking. Talk to your doctor or

nurse about what support may work best for you.

Remember to ask questions about the medication you are taking.

If you smoke, stopping smoking is the best thing you can do for your heart.

Phone Quitline on 0800 778 778 or visit www.quit.org.nz for more information about support to stop smoking

Phone, online and text-to-quit

Local one-on-one or group support

programme

Set reminders on your cellphone

Talk to your pharmacist about a

blister pack

Patches, lozenges and / or gum

Other medications

Make heart healthy eating and drinking

choices

Stop smoking Take medications

Move more Lose weight

Stop smoking

Take medications

24 25

After his heart attack, Roni knew he’d need to make

some drastic lifestyle changes if he was going to stick

around to spend more precious time with his wife,

children and grandchildren.

“It was scary for us as a family because they realised

I could have died from a heart event that has claimed

other family members in the past. Embracing better

eating and drinking habits, following a regular exercise plan, and taking my

medication has really helped me stay alive and well.”

Roni is now quick to offer advice to others – particularly Pacific people – about

taking care of their heart health. He says he’s become an evangelist for the

“Gospel of healthy eating”.

Add one more vege to dinner

Cut the fat off meat and skin off chicken

Switch to lite blue, green or yellow top milk

Choose baked potatoes or kumara instead of deep fried

Swap from white bread to wholegrain

Swap from butter or ghee to oils or

margarine

Here are some ideas to add goodness to your food / kai:

Check out our ‘Healthy Heart’ visual food guide and meal planner app at www.heartfoundation.org.nz

Make heart healthy eating and drinking choices


Work out with a video that shows you how to get active

Deliver a message to a co-worker in person instead of

sending an email

Get off the bus one stop early and walk

Catch up with friends during a walk instead of

by phone

Take the stairs not the elevator

Turn up the music and dance while doing household chores

Building more exercise into your day is easy – start with one of our simple steps:

Move more

For more ideas about what you can do to increase your physical activity, visit firststeps.hearthelp.org.nz

In the long-term, you may like to talk to your doctor or nurse about a green

prescription to help you get moving more. Aim to work up to 30 minutes a day of

moderate exercise. You should be able to feel your heart pumping harder but still

be able to talk comfortably. If you are too breathless to talk, then it’s time to slow

down. If you are able to sing or whistle, then step up the pace.

26 27

My personal plan for my heart healthYou have an important role to play in your health

After reading through this section, there may be one or more things you would like

to do to lower your chance of having another heart attack. Have a conversation with

your health professional about any changes you are thinking about.

The first step is deciding if you are ready to make this change.

Reasons to stay the same

What is good about staying the

same?

What worries me about making a

change?

If it is less important to you than a 7, try finding a more important change that

you would like to make.

Based on the table, how important is it to you to make a change?

Reasons to make a change

What worries me about staying the

same?

What is good about making a

change?

Not important Very important

1 62 73 84 95 10


You can take steps today to start managing your weight better. This is all about how

you balance what you eat and the exercise you do.

Keep a food diary to spot habits that trigger

unhealthy eating

Eat slowly and don’t go back for seconds for

20 minutes

Use a small plate rather than a big one

Swap to healthier snacks

Cut down on alcohol

For more ideas, check out the tips for heart healthy eating

and moving more

Try these simple steps to help you reach a healthier weight

Lose weight

For more, visit firststeps.hearthelp.org.nz

28 29

Choosing my targets

Break down your goal into small, achievable steps. We’ll call these your ‘targets’.

Set targets that are simple and realistic.

On a scale of 1 to 10, how confident are you that you are going to be able to do

this?

If you are less confident than a 7, think about starting with something easier. You

want to set small, achievable targets.

Discuss your plan with your support team / health professional so they know how

they can support you.

Not confident Very confident

1 62 73 84 95 10


Recruiting help from friends and family / whānau

A key step in making a successful change is to get the support of your friends or

family. Together with your support team, think about what steps you can take to

manage your risk.

Your support team has two important tasks:

1. Ask questions to find out how they can support you to make your change

2. Provide emotional support as you work to make changes

People on my support team:

An important next step is a plan. Carefully monitoring your progress against your

targets each day has been shown to be a really important factor in helping people

succeed in making changes.

Make sure you set SMART goals. This means your goals should be:

S

M

A

R

T

pecific

easurable

chievable

ealistic, and have a

ime frame

My target is: Make it detailed... Set a time...

Remember to keep

these achievable

How much? How long

for? How many?

What days?

What time?

Example: Walk my kids

to school and back.

Example: Twice a week

for 20 minutes.

Example: Monday and

Friday at 8:30am and

2:30pm

30 31

Stop and rest now. Tell someone how you feel.

If you take angina medication and the symptoms have not been relieved within 15 minutes or if the symptoms are severe or getting worse.

Call 111 and ask for an ambulance. If instructed andaspirin is available, chew one.

TIGHTNESS

PRESSURE

DISCOMFORT/PAIN

HEAVINESS

ARE YOU EXPERIENCING…

Heart Attack Warning Signs

You may alsoexperience:

NAUSEA

FATIGUE

SWEATING

DIZZINESS

SHORTNESS

OF BREATH

In ANY of these areas:

JAW

NECK

SHOULDER

CHEST

BACK (PAIN

IN MID BACK)

ARM

15min 03 02 01 STOP YES

On a scale of 1 to 10, how much effort did it take for you to achieve these targets?

Check your progress

After you have completed your target, think about how much effort it took.

Trying aiming for about a 5 for effort, so if you are finding your targets too hard or

too easy then change them to make them right for you.

Too easy Too hard

1 62 73 84 95 10

Now you might be ready for the next

step to help reach your overall goal.

You may like to keep the target you

have already so that it becomes easier

or a habit, or you may like to add a

new target.


32

Heart Foundation, PO Box 17160, Greenlane, Auckland 1546

T 09 571 9191 F 09 571 9190 E [email protected]

Revised and printed October 2015

ISBN 978-1-877571-20-6 (print) ISBN 978-1-877571-23-7 (pdf)

The Heart Foundation of New Zealand is a registered charity (CC23052) under the Charities

Act 2005

Hearts fit for life, for this generation and the nextThe Heart Foundation is the charity that works to stop New Zealanders dying

prematurely from heart disease. We are committed to helping people with heart

disease live full and productive lives through better support, care, research and

prevention.

If you would like to assist us to help other people like yourself, please consider donating

To donate:Visit: www.heartfoundation.org.nz/donate

Phone: 0800 830 100

As a charity, we thank our generous donors

for helping bring this resource to life.

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