Table 19.14Physical training vs. relaxation therapy for Cardiac Syndrome X

Quality assessmentSummary of findings
No of patientsEffectQuality
No of studiesDesignLimitationsInconsistencyIndirectnessImprecisionOther considerationsCardiac rehabilitation physical trainingrelaxation therapyRelative (95% CI)Absolute
Distance walked (m) (follow-up 8 weeks; range of scores: -; better indicated by less)
Tyni-Lenne 2002239randomised trial (b)very serious (a)no serious inconsistencyno serious indirectnessno serious imprecisionnone77-MD 22 higher (28.3 lower to 72.3 higher)⊕⊕○○

LOW
peak heart rate (beats/min) (follow-up 8 weeks; range of scores: -; better indicated by less)
Tyni-Lenne 2002239randomised trialvery serious (a)no serious inconsistencyno serious indirectnessno serious imprecisionnone77-MD 11 lower (28.29 lower to 6.29 higher)⊕⊕○○

LOW
exertion (Borg RPE) (follow-up 8 weeks; range of scores: -; better indicated by less)
Tyni-Lenne 2002239randomised trialvery serious (a)no serious inconsistencyno serious indirectnessno serious imprecisionnone77-MD 1 lower (4.14 lower to 2.14 higher)⊕⊕○○

LOW
a

Tyni-Lenne 2002239: Very small sample size, unclear randomisation and allocation concealment methods

b

Interventions in the study: physical programme: outpatient group-based under supervision by physical therapist. Endurance training on cycle ergometer 3 times a week for 8 weeks at the intensity of 50% of the peak work rate achieved in VO2 max test. The training was 30minutes. Relaxation training consisted of a modified Jacobson approach and autogenous training for one hour at a time.

From: 19, Cardiac syndrome X

Cover of Stable Angina
Stable Angina: Methods, Evidence & Guidance [Internet].
NICE Clinical Guidelines, No. 126.
National Clinical Guidelines Centre (UK).
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