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Evidence summary (Updated 2022)
A small body of good quality randomised controlled data shows physical activity will improve left ventricular ejection fraction(1–3). A more recent review showed that while left ventricular ejection fraction was significantly improved (MD = 2.82, 95% CI [1.50, 4.14], p < 0.05); left ventricular end diastolic diameter was not significantly improved with exercise interventions.(4)
Quality of Evidence
B – moderate quality
Strength of recommendation
1 – strong recommendation
Conclusion
Physical activity can be recommended to improve cardiac function and reduce the risk of heart failure, most patients with ischaemic heart disease and should be undertaken unless there are compelling reasons not to do so.
References
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