Angina and Exercise Prescript

In the UK, about 1 in 50 people have angina but in males aged between 40 and 64 this rises to 1 in 10. (British Heart Foundation Mission Statement 2002) Angina is more common in people from the Indian sub-continent and those with diabetes, the former may be due to many factors such as differences in diet and/or exercise frequency among certain cultures. Also, before the menopause, women are less likely to develop angina than men are but, after that, the likelihood is similar.

Angina is most often described as an unpleasant feeling or discomfort, like a tightness or weight on the chest, but it can be defined as “Chest pain that occurs secondary to the inadequate delivery of oxygen to the heart muscle. Often described as a heavy or squeezing pain in the mid sternal are

 Promote health and reduce risk factors of angina (e.g. high blood pressure)

Other than client opinion and goals being achieved, it is imperative that the patient’s physical state be evaluated. This takes place throughout the exercise programme as part of monitoring, but it needs to be done at the end of the programme also. Comparing values, such as resting HR and VO2 max, taken at the end of the programme with those taken at the start of the programme, will give a clear indication of how the patient has improved medically. This will also highlight the degree of success of the programme. Frequency of painful attacks would be a good way to measure the difference exercise has made, as it can be compared to the frequency of attacks before the programme was introduced.

 Basic information is also taken at this stage, things such as Age, Gender, symptoms and past medical background are just as important as the clinical testing procedures.

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