scholarly journals Comparison of Cardiac Rehabilitation Programs Combined with Relaxation and Meditation Techniques on Reduction of Depression and Anxiety of Cardiovascular Patients

2013 ◽  
Vol 7 (1) ◽  
pp. 99-103 ◽  
Author(s):  
Mahdy Hassanzadeh Delui ◽  
Maliheh Yari ◽  
Gholamreza khouyinezhad ◽  
Maral Amini ◽  
Mohammad Hosein Bayazi

Cardiovascular disease (CVD) is a major cause of death in developed countries. Most cardiac rehabilitation programs include psychological interventions. The aim of this study was to determine the effectiveness of rehabilitation techniques in cardiac patients including psychological-physical interventions such as Meditation and Relaxation. We enrolled 45 patients with CVD and depression. The patients were allocated to 3 groups (Relaxation, Meditation and Control). There was a significant reduction on depression, systolic blood pressure and heart rate in the Meditation group compared with the control group. Our findings suggest that meditation techniques have better outcomes in cardiac patients for improving depression, reduction of systolic and diastolic blood pressure, and heart rate than relaxation techniques.

2017 ◽  
Vol 1 (1) ◽  
pp. 6-9
Author(s):  
Roopam Bassi ◽  
Kiran   ◽  
Kawalinder Girgla

ABSTRACT Introduction In recent years, the various health benefits of meditation have been acknowledged by the scientific community as well as by the public. Apart from its physiological benefits, it can also improve the psychological and spiritual well-being. A case–control study was planned to investigate the effect of Rajyoga Meditation on cardiovascular autonomic activity in meditators and nonmeditators. Materials and methods The study was conducted on 100 subjects, randomized into two groups: meditators (n = 50; age 35.80 ± 7.69 years) and nonmeditators (n = 50; age 36.76 ± 6.38 years). The meditator group practiced meditation for 30 minutes in the morning as well as in the evening. The control group did not practice any type of meditation or relaxation techniques. The cardiovascular parameters – heart rate (HR), systolic (SBP) and diastolic blood pressure (DBP), and Valsalva maneuver tests – were performed in both the groups in the same environmental conditions. The data were compiled and analyzed using unpaired t test. Results The mean values of HR in meditators and the control group were 77.08 ± 5.39 and 80.68 ± 5.71 respectively, and the difference was statistically significant (p < 0.001). The mean values of SBP in meditators and nonmeditators were 124.60 ± 5.39 and 129.56 ± 4.30 mm Hg respectively, while those for DBP were 77.84 ± 4.65 and 80.80 ± 4.78 mm Hg respectively. The difference in both was statistically significant. In meditators, Valsalva ratio was 1.60 ± 0.20, while in nonmeditators, it was 1.33 ± 0.13, and the difference was highly significant. Conclusion Significant improvement is seen in physiological, cardiac, and parasympathetic parameters in Rajyoga meditators. A shift of the autonomic balance toward the parasympathetic side is seen. By purposefully energizing the parasympathetic system by meditation, we can combat the ill effects of stress and help heal many health conditions. How to cite this article Kiran, Thaman RG, Bassi R, Girgla K. Comparison of Autonomic Function using Valsalva Ratio, Heart Rate, and Blood Pressure in Meditators and Nonmeditators. Curr Trends Diagn Treat 2017;1(1):6-9.


2018 ◽  
Vol 38 (3) ◽  
Author(s):  
Qian Fan ◽  
Zhaozhuo Niu ◽  
Liqing Ma

To explore the effect of trimetazidine (TMZ) in cardiomyopathy treatment. Literatures, related with TMZ treatment for cardiomyopathy, were retrieved between 1990 and February 2018 in the Pubmed, Embase, and Cochrane Library systems. Cardiopulmonary exercise testing [resting heart rate (RHR), peak heart rate (PHR), peak systolic blood pressure (PSBP), and resting systolic blood pressure (RSBP)] and echocardiographic results [left ventricular ejection fraction (LVEF), left ventricular end-systolic volume (LVESV), left ventricular end-diastolic volume (LVEDV), systolic wall thickening score index (SWTSI), left ventricular end-systolic diameter (LVESD), and left ventricular end-diastolic diameter (LVEDD)] were merged to detect the publication bias. Total 898 patients with cardiomyopathy were divided into two groups: TMZ-treated group (n=456) and control group (n=442). There was no difference in the improvement of cardiomyopathy between the TMZ and control group. No publication bias was shown for PHR (t= 0.9791, P=0.5067). There were significant differences in LVEF, LVESV, SWTSI, LVESD, and LVEDD between the TMZ group and the control group. TMZ-treatment significantly increased the level of LVEF (95% confidence interval (CI): 5.46–7.84, P<0.001), and reduced the level of LVESV (95% CI: −18.73 to −7.77, P<0.001), SWTSI (95% CI: −0.47 to −0.15, Z = −3.85, P=0.001), LVESD (95% CI: −1.09 to −0.08, P<0.001), and LVEDD (95% CI: −0.55 to −0.26, P=0.023). There was no publication bias except for LVEDV (t = 2.5456, P=0.0438). TMZ is effective for cardiomyopathy treatment and worth to popularize in clinic.


2020 ◽  
Vol 23 (3) ◽  
pp. 398-411
Author(s):  
Shahnaz Shahrjerdi ◽  

Background and Aim: Hypertension is a common disease and universal that can cause cardiovascular disease and kidney damage. The purpose of this study was to determine the effect of an eight-weeks massage on blood pressure (systolic and diastolic), heart rate and C-reactive protein in women with hypertension.  Methods & Materials: In this quasi-experimental study, 44 volunteer women with Mean±SD age of 42.12±5.31years were selected from women referred to Arak Oil Company specialized polyclinic with hypertension. Four women excluded from the study for some reason, and the rest were divided into experimental and control groups. In massage group massage was done for three sessions per week, 45-60 minutes in each session, on the back and upper limbs for eight weeks. Data analysis was conducted using dependent and independent t-test by SPSS V. 25 statistical software at the significant level of (P≤0.05). Ethical Considerations: This study (Code: 92-160-26) was approved in Research Ethics Committee of Arak University of Medical Sciences. Results: The results showed that eight weeks of massage reduced blood pressure (P=0.001), the heart rate (P=0.001), and C-reactive protein (P=0.001) in women with hypertension compared to the control group (P=0.62). Conclusion: The findings of this study showed that massage for eight weeks is an efficient and appropriate method to improve systolic and diastolic blood pressure, heart rate, and C-reactive protein in patients with hypertension.


2021 ◽  
Vol 25 (5) ◽  
pp. 333-341
Author(s):  
Assegid K. Ketema

Background and Study Aim. This study was to investigate the effects of low-intensity interval training on the physiological variables of university students. Material and Methods. Forty male sports science students aged 18-25 years were randomly assigned to the Experimental group (n=20) and the Control group (n=20). The Experimental group underwent low-intensity interval training for eight weeks, whereas the Control group did not. Measurements of physiological variables such as resting heart rate, respiratory rate, recovery heart rate, breath-hold time, maximal oxygen uptake, and blood pressure were obtained for all subjects before and after the intervention. To compare the mean physiological variables between the experimental and control groups, an independent samples t-test was used. Results. Statistical significance was set at p 0.05. After the training intervention, the experimental group showed significantly better improvements than the control group in resting heart rate, respiratory rate, recovery heart rate, breath-holding time, maximal oxygen uptake, and blood pressure (p 0.05). Post intervention maximum oxygen uptake was statistically significant with t (38) = 3.086, p value 0.004. Post experiment systolic blood pressure was statistically significant with t (38) = -2.405, p value 0.021 for low intensity interval training and control group. Post experiment diastolic blood pressure was statistically highly significant with t (38) = 0.569, p value 0.001 for low intensity interval training and control group. The result of the study showed that there was a significant difference in post rest heart rate, respiratory rate, recovery heart rate, systolic blood pressure, diastolic blood pressure, breath holding and maximal oxygen uptake between the low intensity interval training and the control group (p 0.05). Conclusions. Thus, it was concluded that eight weeks of low-intensity interval training show significant improvement in physiological variables of university students.


Author(s):  
DIAN ISTIANA ◽  
DEWI NUR SUKMA PURQOTI ◽  
FITRI ROMADHONIKA ◽  
Mita Pusparini

Hipertensi sudah menjadi masalah kesehatan yang cukup tinggi di dunia tidak hanya ditemukan pada Negara maju tapi dijumpai juga pada negara- negara berkembang. Ketika tensi berada pada angka diatas 140 mmHg untuk tekanan darah sistolik dan di atas angka 90 mmHg untuk tekanan darah diastolik maka kondisi inilah disebut hipetensi. Hipertensi banyak dijumpai pada lansia, beberapa faktor yang melatarbelakangi lansia mengidap hipertensi antara lain faktor kepekaan terhadap kadar garam, reaktivitas pembuluh darah terhadap vasokonstriktor, pola makan, kebiasaan merokok, stress emosi, kegemukan dan lain-lain. Adapun tata laksana pengendalian tekanan darah tinggi ada dua jenis yaitu pengebotan medis dengan obat-obatan dan pengendalian tanpa obat atau teknik relaksasi yang bertujuan untuk merelaks kan otot-otot dan organ sehingga mampu menurunkan tekanan darah. Tujuan dari kegiatan pengabdian ini adalah pengenalan cara pengendalian tekanan darah berupa pelaksanaan terapi shalat dhuha. Panti Sosial Tresna Werdha Provinsi Nusa Tenggara Barat merupakan mitra pada pelaksanaan pengabdian ini. Metode yang dikukan dalam kegiatan pengabdian ini dengan pelaksanaan terapi shalat dhuha selama 7 hari berturut-turut sebanyak 4 rokaat setiap harinya. Hasil dari kegiatan pengabdian ini didapatkan penurunan tekanan darah setelah dilakukannya terapi shalat dhuha. Setelah  pelaksanaan kegiatan pengabdian ini diharapkan terapi shalat dhuha tetap dilaksanakan secara rutin untuk mengendalikan tekanan darah agar tetap stabil.---Hypertension has become a fairly high health problem in the world not only found in developed countries but also in developing countries. When tension is above 140 mmHg for systolic blood pressure and above 90 mmHg for diastolic blood pressure then this condition is called hipetension. Hypertension is found in the elderly, several factors behind the elderly have hypertension, among others, factors of sensitivity to salt levels, vascular reactivity to vasoconstrictor, diet, smoking habits, emotional stress, obesity and others. As for the procedure of controlling high blood pressure there are two types of medical sabotage with drugs and control without drugs or relaxation techniques aimed at relaxing the muscles and organs so as to lower blood pressure. The purpose of this devotional activity is the introduction of a way of controlling blood pressure in the form of the implementation of dhuha prayer therapy. Tresna Werdha Social Home in West Nusa Tenggara Province is a partner in the implementation of this service. The method carried out in this devotional activity with the implementation of dhuha prayer therapy for 7 consecutive days as many as 4 rokaat every day. The result of this devotional activity was obtained a decrease in blood pressure after the dhuha prayer therapy. After the implementation of this devotional activity, it is expected that dhuha prayer therapy will still be carried out regularly to control blood pressure in order to remain stable.


2020 ◽  
Vol 6 (6) ◽  
Author(s):  
Abdolreza Khorshidifar

Introduction: The use of epinephrine for controlling the blood loss has gained out in many dermatological surgeries; however, its use in liposuction has not been studied. In this regard, we aimed to figure out the effectiveness of using epinephrine in tumescent solution during liposuctions surgery. Material and Methods: In this study we present a prospective, double-blind, nonrandomized study evaluating the effects of adding epinephrine to tumescent solution intra-operative in patients undergoing liposuction. Thirty-six patients including 6 males and 29 females undergoing liposuction were divided into two groups. In case group we use 1-1.4 mg/L epinephrine (based on the location of surgery) in tumescent solution; and control group did not receive epinephrine. Lab data such as hemoglobin and hematocrit as well as clinical data including blood pressure and heart rate were recorded before, after 1h and 6h of liposuction.  Results: In this study, we observed that both case and control group faced a significant dropped in their hemoglobin and hematocrit; however, the decrement was significant lower in case group. In addition, both groups had a stable hemostasis after 1h and 6h of surgery. In this regard, we did not observe any significant difference between heart rate and blood pressure of two groups. Conclusion: The results of this study suggest that using epinephrine as vasoconstriction agent in tumescent solution might decrease the rate of bleeding and increase the chance of stable hemostasis both during and after abdominal liposuction.


2018 ◽  
Vol 11 (1) ◽  
pp. 21-26
Author(s):  
Kornanong Yuenyongchaiwat ◽  
Chusak Thanawattano ◽  
Sasipa Buranapuntalug ◽  
Khajonsak Pongpanit ◽  
Patcharin Saengkrut

Purpose The purpose of this study is to develop a prototype of a novel respiratory device that we validated and assessed clinically and examined the effect of prototype of respiratory device on blood pressure (BP). Methods Prototype of respiratory device (TU-Breath Training) was designed with pressure cuff and application software was created. The immediate effect of resisted breathing was determined in 20 adults with high BP (systolic BP ≥ 130 mmHg and diastolic BP ≥ 90 mmHg). A crossover study was designed. A total of 20 eligible participants were asked to sit quietly for 10 min. Heart rate (HR), BP, and oxygen saturation (SpO2) were measured and recorded. After the resting period, all participants were randomized and counterbalanced for undergoing the set of inspiratory muscle training by TU-Breath Training and control group. A set of respiratory training were composed of 10 times per set for three sets, while the control group was asked to sit for 10 min. Results After inspiratory training, both the systolic and diastolic BP decreased significantly. Compared with control group, using TU-Breath Training decreased systolic BP (−7.00 ± 5.93 mmHg) and diastolic BP (−5.95 ± 8.88 mmHg), but did not show differences in HR and SpO2. Conclusion The study indicated that in high-BP participants, the prototype of respiratory device (TU-Breath Training) elicits decreased BP.


2007 ◽  
Vol 4 (4) ◽  
pp. 511-517 ◽  
Author(s):  
Kerstin Khattab ◽  
Ahmed A. Khattab ◽  
Jasmin Ortak ◽  
Gert Richardt ◽  
Hendrik Bonnemeier

Relaxation techniques are established in managing of cardiac patients during rehabilitation aiming to reduce future adverse cardiac events. It has been hypothesized that relaxation-training programs may significantly improve cardiac autonomic nervous tone. However, this has not been proven for all available relaxation techniques. We tested this assumption by investigating cardiac vagal modulation during yoga.We examined 11 healthy yoga practitioners (7 women and 4 men, mean age: 43 ± 11; range: 26–58 years). Each individual was subjected to training units of 90 min once a week over five successive weeks. During two sessions, they practiced a yoga program developed for cardiac patients by B.K.S. Iyengar. On three sessions, they practiced a placebo program of relaxation. On each training day they underwent ambulatory 24 h Holter monitoring. The group of yoga practitioners was compared to a matched group of healthy individuals not practicing any relaxation techniques. Parameters of heart rate variability (HRV) were determined hourly by a blinded observer. Mean RR interval (interval between two R-waves of the ECG) was significantly higher during the time of yoga intervention compared to placebo and to control (P< 0.001 for both). The increase in HRV parameters was significantly higher during yoga exercise than during placebo and control especially for the parameters associated with vagal tone, i.e. mean standard deviation of NN (Normal Beat to Normal Beat of the ECG) intervals for all 5-min intervals (SDNNi,P< 0.001 for both) and root mean square successive difference (rMSSD,P< 0.01 for both). In conclusion, relaxation by yoga training is associated with a significant increase of cardiac vagal modulation. Since this method is easy to apply with no side effects, it could be a suitable intervention in cardiac rehabilitation programs.


Author(s):  
Rohini P. ◽  
Roopa S. ◽  
Padmavathi R. ◽  
Maheshkumar K.

Abstract Objectives Sheetali pranayama, a cooling pranayama is best known for its calming and relaxing nature, widely used for many conditions like depression, anxiety and hypertension. The aim of the study was to evaluate the immediate effect of the practice of Sheetali pranayama on heart rate and blood pressure parameters in healthy volunteers. Methods Apparently, 60 healthy volunteers were involved, from both sexes. They were split into pranayama (n=30) and control (n=30) groups at random. Sheetali pranayama was performed for 5 min (5 cycles) in the pranayama group and normal breathing (12–16 breaths/min) was permitted in the control group. Heart rate (HR) and blood pressure (BP) were recorded with RMS polyrite in the supine position after 5 min of rest. Results The HR in the pranayama group significantly decreased (p=0.04). Systolic (SBP) and diastolic blood (DBP) pressure, pulse pressure (PP) and mean arterial pressure (MAP) decreased significantly (p<0.05) relative to control after pranayama practice. Pre-Post inter-group results has also shown that the pranayama group has substantially decreased HR and BP indices. Conclusions Present study shows that the practice of Sheetlai pranayama creates a relaxed state, and parasympathetic activity overrides sympathetic activity in this state. It indicates that in healthy volunteers, pranayama strengthens the resting cardiovascular parameters.


2021 ◽  
Vol 4 (1) ◽  
pp. 12-21
Author(s):  
Ruthpackiavathy Rajen Durai ◽  
Khairuddin Idris ◽  
Oteh Maskon ◽  
Muhammad Hibatullah Romli ◽  
Najibah Abdul Razak

Introduction: Coronary Heart Disease can result in impaired quality of life which can inhibit an early recovery with successful outcomes for cardiac patients. Objective: To investigate the effect of a structured cardiac education and early intervention cardiac rehabilitation program on quality of life in cardiac patients involving caregivers. Method: A quasi experimental study with a purposive sampling was carried out where 132 acute coronary syndrome patients hospitalized for treatment were recruited and allocated to the experiment and control group with and without caregivers. A structured educational intervention and cardiac rehabilitation was initiated for the experimental group with and without caregivers. The outcome was measured using the World Health Organization Quality Of Life-BREF (WHOQOL-BREF) instrument.Results: Data was measured with repeated measures ANOVA between baseline, discharge and follow-up between the intervention and control group with p<0.05 There was a statistically significant difference in QOL in both the groups with and without caregivers in the following domains: psychological health (F=3.784, p=0.002); social relationship (F=4.267, p=0.000) and environment (F=3.578, p=0.004). There was not a statistically significant difference between both the groups in the physical health domain (F=1.316, p=0.266).Conclusion: The results indicated that a structured cardiac educational intervention and cardiac rehabilitation with the involvement of the caregivers have significant effects on the quality of life of cardiac patients. The findings provide useful evidence to improve health outcomes of acute coronary syndrome patients involving the caregivers.


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