Confronting Vulnerability in Patients Involved in a High Intensity Exercise and Experiencing Chest Pain

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Confronting Vulnerability in Patients Involved in a High Intensity Exercise and Experiencing Chest Pain

Chest pain is one of the common reasons of patients visiting emergency department.. Particularly in population involved in high intensity exercise program, chest pain can be due to different reasons like quality, intensity, and the duration  of exercise performed.

In such population, chest pain may feel like a sharp, harmful pain or a dull ache. It may be a sign of serious heart-related problem, but it may also occur due to one of many common causes which are necessarily not life-threatening. Chest pain requires a prompt diagnosis by an expert to avoid serious and life-threatening conditions like heart attack. It is advised to consult a doctor before doing any strengthening exercises. Angina to aortic dissection or other number of heart ailments can also causes chest pain. However, it can also be the result of a muscle strain, respiratory distress, digestive problems, a pinched nerve or a panic attack. There are chest exercises which can help to alleviate the pain related to muscle weakness.

Rosyland I O et al conducted an exercise training program to explain the transitional process which individuals with the unexplained chest pain undergo while performing intense exercises.  

It was observed that angina-like chest pain in patients with no obstructive coronary artery disease (CAD) is a growing problem. Certain limitations or restricted daily activities and reduced quality of life like symptoms were also reported. In the conducted training program of 3 times a week for 12 weeks, no obstructive CAD patient participated in a high intensity aerobic exercise training program that was supervised by physiotherapists and nurses. The collected data was based on diaries and interviews regarding the experience and analyzed per the principles of classic grounded theory.

Analysis identified “confronting one's vulnerability” as a core category and included three subcategories: i) balancing the existential uncertainty, ii) transforming bodily perceptions and iii) becoming a more capable person.

On transition, the process was described as more capable. However, still health professionals should be aware of the significance of high-intensity exercise training for people with the unexplained chest pain and of the underlying dimension of vulnerability. 


J Clin Nurs. 2016 Oct 5.

Link to the source:

Original title of article:


Confronting one's Vulnerability – Patients with Chest Pain Participating in a High Intensity Exercise Programme



Ingrid Ølfarnes Røysland, Febe Friberg, Berit Støre Brinchmann, Sunniva Nordeide Svello, Torstein Valborgland, Alf Inge Larsen

J Clin Nurs. 2016 Oct 5.
Exploratory, Chest pain, Excercise, Research article
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