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AHA: Yoga-Based Cardiac Rehab Shows Promise in MI Patients

CHICAGO – Yoga-based cardiac rehabilitation seemed to improve clinical outcomes in patients and can help MI patients return to normal…

CHICAGO – Yoga-based cardiac rehabilitation seemed to improve clinical outcomes in patients and can help MI patients return to normal activity, according to a researcher here.

In a multi-center randomized controlled study, self-assessed Life Quality Data showed improvements for the yoga-based rehab (yoga-CaRe) group from the baseline to 3 months. To increase participants in Standard Care (ESC), there was an average change of EQ-5D VAS score of 9.2 (95% CI 8.4-10.1), while participants in yoga care had an average change in EQ-5D VAS score of 10.7 95% CI 9.9-11.5, P = 0.002 for both groups) reported Dorairaj Prabhakaran MD, DM, by the National Institute of Health in India in New Delhi at the Annual Heart Association Annual General Meeting (AHA) 1

9659002] Among the 1,989 ESC participants, the primary results were time for occurrence of first heartedness, which contained composite of 77 deaths, non-fatal MI, three non-fatal stroke and 59 acute myocardial infarction. Among the 1970 yoga-CaRe participants, the same primary outcome was met with the incidence of the first cardiovascular crisis, including 78 deaths, 13 non-fatal MI, five non-fatal strokes and 48 acute cardiovascular hospitalizations.

Heart rehabilitation is a class I indicate for patients after they have MI and have become an important aspect of heart care in higher income countries, noted Prabhakaran.

However, heartbeat, “is almost nonexistent” in low to middle income countries because of its high costs and the need for a multidisciplinary approach. Even in high-income countries, heart hormones are generally only implemented 25% -35% of the time because women and elderly patients tend to prefer simple gender-related approaches, says Prabhakaran.

“In India, you need to develop low cost, culturally acceptable and effective cardiac rehabilitation – a need to be filled by yoga-CaRe, if it proves to be effective, he said.

A review from 2015 showed that it did not There were some randomized controlled studies that looked at yoga outcomes related to cardiac events, deaths and health-related quality of life. The result is that there is limited information about the effectiveness of yoga for prevention in selecting coronary heart disease, indicating the need for more research, “We can consider the yoga-CaRe trial a true landmark in this area of ​​research,” said Bittner.

The researchers estimated 3,959 patients ( mean age 53.4). Among ESC patients, 14.1% were female, as well as 13.8% of yoga-CaRe patients.

Of the ESC patients, 62.1% were revascular 98.5% used anti-platelet therapy, 83.5% used dual antiplatelet therapy, 49.4% ACE inhibitor / angiotensin II receptor blockers (ARB), 62.6% took beta blockers and 93.2% scored statins.

Yoga-CaRe participants underwent 60.7% revascularization, 98.5% treated antiplatelet treatment, 84.3% used double antiplatelet, 51.4% ACE / ARB, 62.6% took beta blockers and 93.2% took statins.

Yoga-CaRe intervention consisted of education about lifestyle, mediation and breathing; yoga training session twice a week for weeks 5-7; full weekly yoga sessions in weeks 8-13; and yoga at home for weeks ≥14.

The ESC group received standard care: a leaflet, delivered by clinics either individually or in group settings, and three information sessions before hospitalization and at week 5 and 12.

For the purpose-to-treat (ITT) analysis, they showed secondary the results at 3 months a change in health conditions EQ-5D-0.03 (95% CI-0.19-0.13. P = 0.72) for the unaltered regression coefficient and return to daily activities before infarction 1.17 (95% CI 0.11-2.23, P <0.001).

For ITT analysis, other secondary outcomes at 3 months were the unsuccessful odds ratio for health condition (≤6) of 1.16 (95% C 1.01-1.34, P = 0, 04), tobacco arrest (OR 1.14, 95% CI 0.89-1.46, P = 0.11) and high compliance with medication (OR 1.04, 0.91-1.19; P = 0.52).

“Yoga-CaRe has the potential to be an alternative to the conventional [cardiac rehab] unnecessary need for cardiac rehabilitation for patients in low and middle income countries,” said Prabhakaran.

Bittner highlighted the study restrictions, which included the inclusion of young patients and very few women and the low cardiovascular event rate among patients. ESC patients also had less contact with the study staff than yoga patients.

She also noted that there was no ESC group exercise intervention, limited compliance among yoga participants, and there was no report on adverse events or injuries deriving from the yoga intervention.

Future research-specific issues that should be seen are how Yoga-CaRe receives domestic or home-based heartbeat or if the program could be incorporated into existing treatment protocols, says Bittner.

Prabhakaran revealed support from the Indian Council for Medical Research and Medical Research Council (UK).

Bittner revealed no relevant relationships with industry.

2018-11-11T11: 00: 00-0500

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