Yoga-Based Cardiac Rehabilitation After Acute Myocardial Infarction

Chandrasekaran, Ambalam M.; Singh, Kalpana; Chattopadhyay, Kaushik; Bhat, Prabhavathi; Ajay, Vamadevan S.; Singh, Kavita; Praveen, Pradeep A.; Devarajan, Raji; Kondal, Dimple; Soni, Divya; Mallinson, Poppy Alice Carson; Madan, Karan; Hughes, Alun D.; Chathurvedi, Nishi; Ebrahim, Shah; Pocock, Stuart; Tandon, Nikhil; S, Ajay Vamadevan; Reddy, K. Srinath; Roberts, Ian; Bhatnagar, Deepak; Chaturvedi, Vivek; Perel, Pablo; Prabhakaran, Dorairaj; Kinra, Sanjay; Poulter, Neil; Pandey, Ravindra M.; Harikrishnan, S.; Banerjee, Amitava; Gill, Paramjit; Bardoloi, Neil; Roy, Ambuj; Manchanda, Subhash C.; Mohan, Bishav; Negi, Prakash Chand; Asotra, Sanjeev; Bhat, Prabhavati; Nanjappa, Manjunath Cholenahally; Sadananda, Kanchanahalli Siddegowda; Prasad, Megha; Sarma, R.N.; Natrajan, Karthik; Swaminathan, Srikumar; Tongia, Ravindra K.; Natarajan, S.; Rao, B. Tirumala; Narasimhan, Calambur; Abdullakutty, Jabir; Mallya, Srinivas; Jain, Anil; Naik, Sudhir; Desai, Nagraj; Kumar, Sunil; Patil, Satish G; Chadha, D.S.; Chandra, Sharad; Madappa, Nagamalesh Udigala

doi:10.1016/j.jacc.2020.01.050

Cited by 76 publications

(60 citation statements)

References 25 publications

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“…Furthermore, the use of yoga in CR could hold potential for use among individuals with CVD to further expand the scope of CR, 15 provided adequate training is provided before initiation. 16 Accordingly, for those already in a CR program, HBCR would be a viable option during the COVID-19 pandemic. 17 If CR program administrators are able to take measures to implement and master the delivery of HBCR during this time, it is conceivable that CR participation rates might increase when facilities progress to resuming normal CBCR operations by having the option to integrate HBCR within CBCR.…”

mentioning

confidence: 99%

COVID-19: A Time for Alternate Models in Cardiac Rehabilitation to Take Centre Stage

Babu

Arena

Ozemek

et al. 2020

Canadian Journal of Cardiology

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The coronavirus disease 2019 (COVID-19) pandemic has resulted in large-scale social distancing, working from home, prohibiting large group gatherings, 1 and staying at home. 2 These public health measures have been shown to be effective in the influenza pandemic of 1918 3 and continue to hold a place in today's scenario. Social distancing requires one to maintain a distance of at least 2 m or 6 feet between individuals in public spaces 4 whereas stay at home orders require an individual to remain confined to one's home with the provision to leave for essential errands (ie, groceries, medicine, and health care). 2 Although these measures are necessary to curb the widespread transmission of respiratory infection disease, their implementation makes the delivery of traditional, centre-based cardiac rehabilitation (CBCR; ie, face-toface, 12 weeks, 36 sessions) virtually impossible, because CBCR services have been suspended because of their nonessential designation during the COVID-19 pandemic. Essentially, because of the COVID-19 pandemic, the participation rate has decreased to virtually 0%. Before the COVID-19 outbreak, CBCR participation in many jurisdictions, including Canada and the United States was already a longstanding concern, with less than a quarter of eligible American patients participating in traditional cardiac rehabilitation (CR). 5 Although many factors are associated with these sobering participation rates, limited access to CBCR is a prominent contributor within the United States and other countries. 6 To increase participation, key CR stakeholders (eg, physicians, allied health professionals, scientists, professional organizations, etc) have been calling for alternate delivery models to increase access and participation. These trends and

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confidence: 99%

COVID-19: A Time for Alternate Models in Cardiac Rehabilitation to Take Centre Stage

Babu

Arena

Ozemek

et al. 2020

Canadian Journal of Cardiology

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“…The trial with the longest follow-up and largest numbers (Prabhakaran et al) studied MACE and patient behaviour following acute MI but did not look at risk factors and LVEF. 12 One study only looked at patients post-CABG (Raghuram et al), and one study only looked at MI patients receiving medical therapy (Sharma et al), which is not reflective of current practice. 13 , 14 Control group intervention also varied between studies ranging from purely pharmacological intervention to comprehensive exercise-based programmes.…”

Section: Resultsmentioning

confidence: 99%

Yoga-Based Cardiac Rehabilitation: Current Perspectives from Randomized Controlled Trials in Coronary Artery Disease

Bruce¹,

Achan²,

Rathore³

2021

VHRM

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Coronary artery disease carries a high morbidity and mortality worldwide, and exercise-based cardiac rehabilitation programmes play a large role in secondary prevention. Exercise-based rehabilitation programmes are expensive, and in certain subgroups uptake is poor. Yoga has been suggested to show improvements in cardiovascular health which would support its use in cardiac rehabilitation programmes. We carried out a review of current randomized controlled trials to determine if yoga-based cardiac rehabilitation leads to reduced cardiac risk factors, and improved physiological and psychological outcomes in patients with coronary artery disease compared to standard care. Six randomized controlled studies were identified after a medical database search, and meta-analysis was carried out for the different outcomes. Overall, the addition of yoga to standard care resulted in improved subjective feeling of cardiac health and quality of life. There was also a trend towards improvement in left ventricular systolic function. Improvement in cardiac risk factors, MACE and psychological health in this cohort has still to be proven, but was not inferior to standard or enhanced care, and the benefits became more pronounced at longer follow-up. Future studies with longer follow-up and larger patient numbers would aid in accurately assessing the long-term benefit of yoga-based rehabilitation.

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“…Yoga was demonstrated to reduce stress and improve the autonomous nervous system's function, thereby affecting cardiovascular risk factors[ 82 ]. An alternative approach through yoga has been shown to improve the subjective assessment of health status, reaching pre-infarct levels[ 83 ]. If yoga is found to be effective in CR, it has the potential to transform the care of acute myocardial infarction patients in India and other low-middle income country settings[ 84 ].…”

Section: Alternative Training Modalitiesmentioning

confidence: 99%

Cardiac rehabilitation and its essential role in the secondary prevention of cardiovascular diseases

Winnige

Vysoký

Dosbaba

et al. 2021

WJCC

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Cardiovascular diseases are the most common causes of mortality worldwide. They are frequently the reasons for patient hospitalization, their incapability for work, and disability. These diseases represent a significant socio-economic burden affecting the medical system as well as patients and their families. It has been demonstrated that the etiopathogenesis of cardiovascular diseases is significantly affected by lifestyle, and so modification of the latter is an essential component of both primary and secondary prevention. Cardiac rehabilitation (CR) represents an efficient secondary prevention model that is especially based on the positive effect of regular physical activity. This review presents an overview of basic information on CR with a focus on current trends, such as the issue of the various training modalities, utilization, and barriers to it or the use of telemedicine technologies. Appropriate attention should be devoted to these domains, as CR continues evolving as an effective and readily available intervention in the future.

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Yoga-Based Cardiac Rehabilitation After Acute Myocardial Infarction

Cited by 76 publications

References 25 publications

COVID-19: A Time for Alternate Models in Cardiac Rehabilitation to Take Centre Stage

COVID-19: A Time for Alternate Models in Cardiac Rehabilitation to Take Centre Stage

Yoga-Based Cardiac Rehabilitation: Current Perspectives from Randomized Controlled Trials in Coronary Artery Disease

Cardiac rehabilitation and its essential role in the secondary prevention of cardiovascular diseases

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