The Living Guidelines: Chronic Stable Angina Pectoris Recommendations for Physical Activity Suggest Revisions to the CLASS I Guidelines

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Class I Guidelines

 * 1) Physical activity of 30 to 60 minutes, 7 days per week (minimum 5 days per week) is recommended. All patients should be encouraged to obtain 30 to 60 minutes of moderate-intensity aerobic activity, such as brisk walking, on most, preferably all, days of the week, supplemented by an increase in daily activities (such as walking breaks at work, gardening, or household work). (Class I Level of Evidence: B)
 * 2) The patient’s risk should be assessed with a physical activity history. Where appropriate, an exercise test is useful to guide the exercise prescription. (Class I Level of Evidence: B)
 * 3) Medically supervised programs (cardiac rehabilitation) are recommended for at-risk patients (e.g., recent acute coronary syndrome or revascularization, heart failure). (Class I Level of Evidence: B)