Cardiac Rehabilitation Programs at Twin County Regional Healthcare

Helping Hearts, Saving Lives 


Making heart health a priority

Heart health is about more than just your heart. Blood pressure, cholesterol, family history and other factors all play important roles in keeping your heart strong. If you have questions about your heart health but aren’t quite sure where to begin, start with a heart health assessment and learn more about any risks you may have for heart-related conditions. Your journey to a stronger heart starts here.

Program Overview:

Phase 2 Cardiac Rehabilitation is a medically supervised program designed to help patients recover quickly and safely after a cardiac event. Participation in a cardiac rehab program reduces the risk of developing future heart problems. Our GOAL is to help patients return to an optimal quality of life with improved heart health.

Our cardiac rehabilitation programs include:

Phase 2- EKG Monitored Program

Started early in recovery after a cardiac event or procedure, this program includes:

  • Education to understand and manage heart disease including cardiac risk factor identification and modification. 
  • An individualized EKG-monitored exercise program to safely improve the heart's function and build strength and endurance. Exercises include stretching, range of motion, cardiorespiratory exercise (treadmill, stationary bicycle, NuStep etc.) and strength training. 
  • Information on physical activity guidelines. 
  • Emotional support. 

Phase 3- Cardio Direct Exercise Maintenance Program

This is a "self-pay" program for patients who have completed Phase 2 Cardiac Rehab. This non-EKG monitored program offers ongoing exercise, education and support while making important lifestyle changes.

A physician referral is required.

Who qualifies for cardiac rehabilitation?

You may qualify for cardiac rehabilitation if you've had:

  • Recent heart attack 
  • Coronary artery bypass surgery (CABG) 
  • Valve surgery 
  • Balloon angioplasty/coronary stenting 
  • Heart transplant 
  • Stable chronic heart failure 
  • Other diagnoses may be covered 

Insurance Information:

Most insurances cover all or most of the cost of the Phase 2 program. Some insurances cover additional diagnoses not listed above. We will verify your insurance coverage before you enroll. Cardio Direct programs are "self-pay" and not billed to insurance.

Cardiac Support Group:

The Cardiac Support Group is sponsored by the Twin County Regional Healthcare Cardiac Rehabilitation Program. This group is open to cardiac rehab patients past and present as well as anyone desiring information and support regarding a healthy heard lifestyle.

The Cardiac Support Group meets BI-MONTHLY in the Cardiac Rehab Department on the following dates:

Time: 3:00 pm 

For more information about this group, please contact Amy Combs, BSN, RN, CCRN, CCRP at 276.236.1763 or email Amy

Important Links:


Heart Attack Information:

Heart disease is the number one health problem of BOTH men and women in the United States. Do you know the warning signs of a heart attack? Are you at risk?

The warning signs and symptoms of a heart attack include: 

  • Chest discomfort (tightness, fullness, heaviness, pressure, indigestion, squeezing), lasting more than 5 minutes: it may come and go. 
  • Other discomfort/pain can occur in one or both shoulders, arms, neck, back or stomach. 
  • Shortness of breath, cold sweat, nausea/vomiting, lightheadedness or weakness. 
  • Women, elderly and diabetic patients may have atypical symptoms (other than classic chest pain).  

If you are having a heart attack, call 911 and get medical treatment immediately!

There are treatments that can be done at the hospital to STOP a heart attack if you act quickly! TIME IS MUSCLE!

Cardiac Risk Factors include:

  • Family history of heart disease 
  • Smoking/Tobacco use 
  • High Cholesterol levels 
  • High blood pressure 
  • Diabetes 
  • Overweight/sedentary lifestyle 
  • Stress

Talk to your doctor about cardiac rehabilitation. We can help!

Helping Hearts, Saving Lives

Twin County Regional Health Care

Multi-generational family sitting and smiling togetherCardiac Rehabilitation 

Twin County Regional Hospital 
200 Hospital Drive
Galax, VA 24333

Director: Amy Combs, BSN, RN, CCRN, CCRP

Monday, Wednesday & Thursday 7:00 am to 5:00 pm 
Tuesday & Friday by appointment
276.238.2520 - fax