Because of growing evidence for stress as a major factor contributing to cardiovascular disease (CVD), techniques of meditation are being increasingly used. The Transcendental Meditation (TM) technique is distinct from other techniques of meditation not only in its origin and procedure, but also in the amount and breadth of research testing it. Evidence for its ability to reduce traditional and novel risk factors for CVD includes: 1) decreases in blood pressure, 2) reduced use of tobacco and alcohol, 3) lowering of high cholesterol and lipid oxidation, and 4) decreased psychosocial stress. Changes expected to result from reducing these risk factors, namely, reversal of atherosclerosis, reduction of myocardial ischemia and left ventricular hypertrophy, reduced health insurance claims for CVD, and reduced mortality, also have been found with TM practice. Research on mechanisms suggests that some of the CVD-related benefits as a result of this technique could arise from normalization of neuroendocrine systems whose function has been distorted by chronic stress. Further randomized clinical trials are in progress with a focus on underserved minority populations.
Keywordscomplementary and alternative medicine; cardiovascular disease; psychosocial stress; transcendental meditation Current evidence indicates that psychosocial stress contributes to cardiovascular disease (CVD). Effects of stress are evident in each of the recognized mechanisms leading to cardiac events, namely, clustering of traditional risk factors, endothelial dysfunction, myocardial ischemia, plaque rupture, thrombosis, and malignant arrhythmias (see for review, reference1). Although a variety of stress reduction approaches are currently being applied to prevention and treatment of CVD, the Transcendental Meditation (TM) technique has been the most widely researched.2 Among the more than 600 published studies on the TM technique, many support its usefulness in preventing and treating CVD. As a result of space limitations, only the studies most directly related to CVD, and with the strongest experimental designs, are described in the next sections.