[OP.4C.07] LOADED SLOW BREATHING TRAINING REDUCES HOME RESTING BLOOD PRESSURE IN OLDER PATIENTS WITH ISOLATED SYSTOLIC HYOPERTENSION

2016 ◽  
Vol 34 ◽  
pp. e48-e49
Author(s):  
C. Jones ◽  
B. Sangthong ◽  
O. Pachirat ◽  
D. Jones
2015 ◽  
pp. 673-682 ◽  
Author(s):  
C. U. JONES ◽  
B. SANGTHONG ◽  
O. PACHIRAT ◽  
D. A. JONES

Slow breathing training reduces resting blood pressure, probably by modifying central autonomic control, but evidence for this is lacking. The pressor response to static handgrip exercise is a measure of autonomic control and the aim of this study was to determine whether slow breathing training modulates the pressor responses to exercise of untrained muscles. Twenty hypertensive patients trained for 8 weeks, 10 with unloaded slow breathing (Unloaded) and 10 breathing against an inspiratory load of 20 cm H2O (Loaded). Ten subjects were untrained controls. Subjects performed a 2 min handgrip pressor test (30 % MVC) pre- and post-training, and blood pressure and heart rate (HR) were measured before the contraction, at the end and following 2 min recovery. Resting systolic (sBP) and HR were reduced as a result of training, as reported previously. After training there was both a smaller pressor response to hand grip exercise and a more rapid recovery of sBP and HR compared to pre-training. There were no changes in the Controls and no differences between the Unloaded and Loaded groups. Combining the two training groups, the sBP response to handgrip exercise after training was reduced by 10 mm Hg (95 % CI: −7, −13) and HR by 5 bpm (95 % CI: −4, −6), all p<0.05. These results are consistent with slow breathing training modifying central mechanisms regulating cardiovascular function.


2015 ◽  
Vol 25 (1) ◽  
pp. 4-10 ◽  
Author(s):  
Tomasz Drozdz ◽  
Grzegorz Bilo ◽  
Dorota Debicka-Dabrowska ◽  
Marek Klocek ◽  
Gabriella Malfatto ◽  
...  

Hypertension ◽  
2019 ◽  
Vol 74 (Suppl_1) ◽  
Author(s):  
Alfredo Gamboa ◽  
Emily C Smith ◽  
Sachin Paranjape ◽  
Katrina M Nelson ◽  
Andre Diedrich ◽  
...  

2020 ◽  
Vol 9 (2) ◽  
pp. 52
Author(s):  
Rischar Beni Riswanto ◽  
CH.R Yeni Suryandari ◽  
Nur Hidayatin

Background: Hypertension is recognized as a major health problem throughout the world leading to various life-threatening heart diseases. The higher the level of blood pressure in the long run, the more likely there is a complication of hypertension. Slow breathing exercises are one of the non-pharmacological therapies that can be used to control or reduce blood pressure and strengthening breathing muscles. This systematic review is to analyze the effectiveness of slow breathing training in blood pressure in patients with hypertension.Methods: Literature search is through Scopus, Pubmed, Proquest, Science Direct, and EBSCO. with the last 5 years (2014-2019). Criteria for inclusion in this review are as follows: studies involving hypertension, ages 18 years and over, patients who have received or are still receiving slow breathing exercises. Keyword in this review was Slow Breathing, Blood Pressure, and Hypertension.Results: There are 10 journals chosen. Total respondents in this review were 1757 hypertensive patients who received slow respiratory therapy. Slow breathing training provides many benefits for hypertensive patients. Subjects with hypertension, pre-hypertension, and antihypertensive drugs, were given slow breathing intervention that is inhaling as much as ≤10 breaths/minute carried out for ≥5 minutes. This exercise is carried out at ≥3 days/week; total duration of intervention ≥4 weeks; Slow breathing training reduces blood pressure at rest, the average using this slow breathing exercise, blood pressure drops 10 -15 mmHg in systole and diastole. Overall, slow breathing exercises decreased SBP by -5.62 mmHg [-7.86, -3.38] and DBP by -2.97 mmHg [-4.28, -1.66].Conclusion: Slow breathing training provides many benefits for hypertensive patients. Especially for patients with isolated systolic hypertension. This non-pharmacological therapy can be carried out by individuals independently in controlling the breathing rate so that they can reach breathing speed both during inspiration and expiration. Slow breathing exercises can also help increase baroreflex sensitivity, then affect blood pressure reduction.


2010 ◽  
Author(s):  
Suzanne G. Helfer ◽  
Ashley D. Bugeja ◽  
Sarah E. Jackson ◽  
Elizabeth Woltja

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Linsheng Lv ◽  
Lei Yan ◽  
Xun Liu ◽  
Miaoxia Chen

Abstract Background Endotracheal intubation is known to pose significant physiological, pharmacokinetic, and dynamic changes and postoperative respiratory complications in patients under general anesthesia. Method An RCT trial was organized by the Third Affiliated Hospital at Sun Yat-sen University, China. Patients were eligible for inclusion in the trial if they were over 60 years old and had upper-abdominal surgery during the induction of anesthesia and had enrolled in endotracheal intubations. The primary end point included cardiovascular reactions during the induction of anesthesia and endotracheal intubations and cough events during the recovery period. In the test group, 2 g of lidocaine/prilocaine cream (and in the control group, 2 g of Vaseline) were laid over the surface of the tracheal tube cuff. Results The systolic blood pressure (F value = 62.271, p < 0.001), diastolic blood pressure (F value = 150.875, p < 0.001), and heart rate (F value = 75.627, p < 0.001) of the test group were significantly lower than the control group. Cough events during the recovery period in the test group were better (spontaneous cough, χ2 value = 10.591, p < 0.001; induced cough, χ2 value =10.806, p < 0.001). Conclusion In older patients, coughing and cardiovascular reactions under anesthesia and endotracheal intubations were reduced, as a result of using lidocaine/prilocaine cream on the surface of the tracheal tube cuff. Trial registration International Clinical Trials Network NCT02017392, 2013-12-16.


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