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Heart and lung

Heart failure physiotherapy

Yes, exercise can help people living with stable chronic heart failure. Once your doctor has reviewed you, a monitored exercise program can improve exercise capacity and quality of life.

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Understanding the condition

Heart failure is a condition where the heart is not pumping blood around the body as well as it should.1 It does not mean the heart has stopped. Common symptoms are breathlessness, especially with activity, tiredness, and swollen ankles or legs.1 These need medical assessment, and anyone with severe breathlessness or chest pain should call 000.6 Cardiac rehabilitation, a program of exercise, education and support led by health professionals, is recommended for people living with heart failure.2

A 2019 summary of the 2018 Australian guidelines states that regular exercise, up to moderate intensity, is recommended for people with chronic heart failure to improve quality of life and reduce hospital admissions.3 European guidance also recommends exercise for people able to do it, and says a supervised cardiac rehabilitation program should be considered for those with more severe disease, frailty or other conditions.4 Exercise is prescribed after medical review and monitored. It improves exercise capacity and quality of life, but its effect on survival is less certain.4,5

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Heart failure physiotherapy

What to look out for, and how we help

Symptoms are a guide, not a diagnosis. Your GP confirms the diagnosis; our team helps you manage it day to day.

What you might notice

  • Breathlessness, especially with physical activity
  • Waking overnight with difficulty breathing
  • Swollen ankles or legs, or a bloated stomach
  • Tiredness, weakness or dizziness that limits what you can do
  • Finding everyday activities harder than before
  • Urgent review: call 000 for difficulty breathing or chest pain that is severe, worsening or lasts more than 10 minutes, and contact your doctor or heart failure team quickly if your heart failure symptoms, such as breathlessness or swollen legs, are getting worse or you gain more than 2 kg in two days.

How our team helps

  • Assessment of your strength, balance, walking and daily function, with your medical history and your doctor's advice guiding the plan
  • Individual exercise programs, started after medical review, kept to a safe effort level and monitored each session
  • Group exercise classes to build fitness and confidence in a supportive setting
  • Walking aid prescription if you need extra stability to stay active
  • Reports for your GP and cardiologist so your care team can see how you are going
  • Coordination with exercise physiologists, dietitians, podiatrists and pharmacists

Your PDC care team

The teams and services that most often support people with this condition. They work from one shared plan, and one GP referral reaches all of them.

Allied health teams

Physiotherapy
Physiotherapy
Allied health team
Physiotherapy
Musculoskeletal treatment and rehabilitation to help you move better and manage pain.
Read more

Exercise Physiology
Exercise Physiology
Allied health team
Exercise Physiology
Safe, effective exercise programs designed by Accredited Exercise Physiologists for chronic condition management.
Read more

Related services

Related conditions

See all conditions

Sources and clinical review

Our care follows the National Heart Foundation of Australia and CSANZ Guidelines for the prevention, detection and management of heart failure in Australia 2018 and current Australian physiotherapy guidance.

  1. Heart Foundation. What is heart failure? [Internet]. National Heart Foundation of Australia; last reviewed 16 February 2024 [cited 2026 Oct 4].
  2. Heart Foundation. What is cardiac rehab? [Internet]. National Heart Foundation of Australia; last updated 14 October 2025 [cited 2026 Oct 4].
  3. Atherton JJ, Audehm R, Connell C. Heart failure guidelines: a concise summary for the GP. Medicine Today. 2019;20(10 Suppl) [summary of the 2018 National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand guidelines; cited 2026 Oct 4].
  4. British Journal of Cardiology. Guidance on lifestyle, rehabilitation and devices in heart failure patients (summary of the 2021 ESC heart failure guidelines) [Internet]. 2022 [cited 2026 Oct 4].
  5. Thompson DR, Ski CF, Clark AM, Dalal HM, Taylor RS. Why do so few people with heart failure receive cardiac rehabilitation? Card Fail Rev. 2022 [cited 2026 Oct 4].
  6. Healthdirect Australia. Heart failure [Internet]. Healthdirect Australia; 2024 [cited 2026 Oct 4].
  7. Heart Foundation. Heart failure resources for patients. National Heart Foundation of Australia; updated 10 April 2026 [cited 2026 Oct 4].
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Common questions

Is exercise safe with heart failure?
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For people with stable chronic heart failure, exercise is recommended and is considered safe and effective when prescribed after medical review and monitored. We only start once your doctor is happy for you to exercise, and we stop and refer on if symptoms change.

Do I need my doctor's clearance before starting physio?
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Yes. At PDC we ask for medical review first, and we recommend you tell your GP or cardiologist you plan to start. Heart failure can change from week to week, so we also check how you feel at each session and adjust or pause the program if needed.

How much exercise can I do with heart failure?
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Australian guidelines recommend regular exercise up to moderate intensity. What that means for you depends on your symptoms, medicines and fitness, so we set your effort level individually and build it up gradually rather than using a fixed target.

Do I need a referral for heart failure physio in Perth?
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No referral is needed for private appointments. With a GP Chronic Condition Management Plan, Medicare rebates apply to up to five eligible allied health services a calendar year. Private health extras and DVA may also contribute, depending on your cover or eligibility.

What is the difference between cardiac rehab and physiotherapy?
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Cardiac rehabilitation is a structured program of exercise, education and support, usually running for 6 to 10 weeks. Physiotherapy gives you an individual assessment and exercise plan, and can continue after a program ends. We can work alongside your cardiac rehabilitation team.

Not sure where to start?

Tell us what is going on and we will point you to the right discipline, or to more than one. Most people start with a single appointment and leave with a plan the rest of the team can see.

Or go straight to a service

Phone (08) 6110 0570 · Medicare, NDIS, DVA and private options across our services

For GPs and health professionals

Referring a patient with this condition?

Send an online referral in under two minutes. One referral reaches every discipline at PDC Health Hub.