- Evidence summary
- A large body of good quality randomised controlled data shows physical activity will have improve coronary blood flow through better vascular endothelial function (1-8), reduced atherosclerosis (10-12) and better collateral flow (17,18, 25) and perfusion (15,16). Two studies did however reveal acute or strenuous resistance (1) or aerobic exercise training (1, 2) to be a potential risk of activating pro-inflammatory pathway of platelet aggregation.
- Quality of Evidence
- Grade A – moderate quality
- Strength of recommendation
- Grade 1 – strong recommendation
- Physical activity can be recommended to improve the coronary flood flow in most patients with ischaemic heart disease and should be undertaken unless there are compelling reasons to do so.
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