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IHD Chest Pain – Improves the perception of chest pain

  • Evidence summary
    • Physical activity is an established treatment to reduce symptom and the amount of chest pain. Expert consensus opinion, via a workshop on 17th April 2018 and subsequent online evaluation, was sought and relevant published literature (36) was reviewed to achieve consensus on the underlying mechanism helping to explain why physical activity can help reduced chest pain.
  • Quality of Evidence
    • Grade C – low quality. The rationale for this mechanism is largely derived from expert consensus.
  • Strength of recommendation
    • Grade 1 – strong recommendation. Clinical and patient consensus is that this can be used to appropriately describe the mechanism by which physical activity alleviates symptoms of chest pain.
  • Conclusion
    • There is a strong recommendation that this explanation is appropriate for most patients, but the supporting evidence behind this mechanism is of low quality.

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35. Cooper A. F., Jackson G., Weinman J., Horne R., 2005. A qualitative study investigating patients’ beliefs about CR. Clinical rehabilitation; vol. 19 (no. 1); pp. 87-96
36. Røysland I. Ø., Friberg F., Brinchmann B. S., Svello S. N., Valborgland T., Larsen A. I., 2016. Confronting one’s vulnerability–patients with chest pain participating in a high-intensity exercise programme. Journal of Clinical Nursing, 26, 2006–2015


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