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Yoga: A Holistic Approach for Cardiac Arrhythmia

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The Principles and Practice of Yoga in Cardiovascular Medicine

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Abstract

Cardiac arrhythmia is a common medical condition. It significantly affects the patient’s wellbeing and daily living. Cardiac arrhythmia is characterized by autonomic dysfunction. the mental health factors such as anxiety, depression, and stress are also the risk factors of cardiac arrhythmia. Yoga is one of the mind-body practices that have a positive impact on cardiac health. Yoga helps to alleviate stress, anxiety, and depression. It also helps to correct autonomic dysfunction. The scientific evidence suggests the beneficial effects of yoga in cardiac arrhythmia.

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References

  1. Yoga Journal Releases 2012 Yoga in America Market study. Yoga J. 2012.

    Google Scholar 

  2. Patanjali CH. The yoga-sutra of Patanjali: a new translation with commentary (Shambhala classics) 2003: Shambhala; Shambhala Classics edition (April 1, 2003).

    Google Scholar 

  3. Cramer H, et al. Is one yoga style better than another? A systematic review of associations of yoga style and conclusions in randomized yoga trials. Complement Ther Med. 2016;25:178–87.

    Article  PubMed  Google Scholar 

  4. Streeter CC, et al. Effects of yoga on the autonomic nervous system, gammaaminobutyric-acid, and allostasis in epilepsy, depression, and post-traumatic stressdisorder. Med Hypotheses. 2012;78(5):571–9.

    Article  CAS  PubMed  Google Scholar 

  5. Brown RP, Gerbarg PL. Sudarshan Kriya yogic breathing in the treatmentof stress, anxiety, and depression. Part II – clinical applications and guidelines. JAltern Complement Med. 2005;11(4):711–7.

    Article  Google Scholar 

  6. Brown RP, Gerbarg PL. Yoga breathing, meditation, and longevity. Ann N Y Acad Sci. 2009;1172:54–62.

    Article  PubMed  Google Scholar 

  7. Bernardi L, et al. Slow breathing reduces chemoreflex response to hypoxia andhypercapnia, and increases baroreflex sensitivity. J Hypertens. 2001;19(12):2221–9.

    Article  CAS  PubMed  Google Scholar 

  8. Saper RB, et al. Yoga for chronic low back pain in a predominantly minority population: a pilot randomized controlled trial. Altern Ther Health Med. 2009;15(6):18–27.

    PubMed  PubMed Central  Google Scholar 

  9. Telles S, Nagarathna R, Nagendra HR. Autonomic changes during “OM” meditation. Indian J Physiol Pharmacol. 1995;39(4):418–20.

    CAS  PubMed  Google Scholar 

  10. Kiecolt-Glaser JK, et al. Stress, inflammation, and yoga practice. Psychosom Med. 2010;72(2):113–21.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Cheng TO. Effect of Tai Chi on endothelial function. Clin Cardiol. 2007;30(3):150.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Murugesan M, Taylor AG. Effect of yoga on the autonomic nervous system: clinical implications in the management of atrial fibrillation. 2017.

    Google Scholar 

  13. MacLean CR, et al. Effects of the transcendental meditation program on adaptive mechanisms: changes in hormone levels and responses to stress after 4 months of practice. Psychoneuroendocrinology. 1997;22(4):277–95.

    Article  CAS  PubMed  Google Scholar 

  14. Khattab K, et al. Iyengar yoga increases cardiac parasympathetic nervousmodulation among healthy yoga practitioners. Evid Based Complement Altern Med. 2007;4(4):511–7.

    Article  Google Scholar 

  15. Yetkin E, et al. Beneficial effect of deep breathing on premature ventricular complexes: can it be related to the decrease in QT dispersion? Int J Cardiol. 2006;113(3):417–8.

    Article  PubMed  Google Scholar 

  16. Gunda S, et al. Role of yoga as an adjunctive therapy in patients with neurocardiogenic syncope: a pilot study. J Interv Card Electrophysiol. 2015;43(2):105–10.

    Article  PubMed  Google Scholar 

  17. Dabhade AM, et al. Effect of pranayama (breathing exercise) on arrhythmias in the human heart. Explore (NY). 2012;8(1):12–5.

    Article  Google Scholar 

  18. Lane RD, Jennings JR. Hemispheric asymmetry, autonomic asymmetry, and the problem of sudden cardiac death. Denver: The MIT Press; 1995.

    Google Scholar 

  19. Taggart P. Brain-heart interactions and cardiac ventricular arrhythmias. Neth Heart J. 2013;21(2):78–81.

    Article  CAS  PubMed  Google Scholar 

  20. Fransson EI, et al. The association between job strain and atrial fibrillation: results from the Swedish WOLF study. Biomed Res Int. 2015;2015:371905.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  21. Shusterman V, Lampert R. Role of stress in cardiac arrhythmias. J Atr Fibrillation. 2013;5(6):834.

    PubMed  PubMed Central  Google Scholar 

  22. Lampert R, et al. Triggering of symptomatic atrial fibrillation by negative emotion. J Am Coll Cardiol. 2014;64(14):1533–4.

    Article  PubMed  Google Scholar 

  23. Sterndorff B, Smith DF. Normal values for type A behaviour patterns in Danish men and women and in potential high-risk groups. Scand J Psychol. 1990;31(1):49–54.

    Article  CAS  PubMed  Google Scholar 

  24. Severino P, et al. Triggers for atrial fibrillation: the role of anxiety. Cardiol Res Pract. 2019;2019:1208505.

    PubMed  PubMed Central  Google Scholar 

  25. Pitsavos C, et al. Anxiety in relation to inflammation and coagulation markers, among healthy adults: the ATTICA study. Atherosclerosis. 2006;185(2):320–6.

    Article  CAS  PubMed  Google Scholar 

  26. Pasquini M, Berardelli I, Biondi M. Ethiopathogenesis of depressive disorders. Clin Pract Epidemiol Mental Health. 2014;10:166–71.

    Article  CAS  Google Scholar 

  27. Nef HM, et al. Expression profiling of cardiac genes in Tako-Tsubocardiomyopathy: insight into a new cardiac entity. J Mol Cell Cardiol. 2008;44(2):395–404.

    Article  CAS  PubMed  Google Scholar 

  28. Alqaqa A. Anxiety and atrial fibrillation: an interesting bidirectional association. Curr Trend Cardiol. 2017;1(1):15–8.

    Article  Google Scholar 

  29. Carney RM, Freedland KE, Veith RC. Depression, the autonomic nervous system, and coronary heart disease. Psychosom Med. 2005;67:S29–33.

    Article  PubMed  Google Scholar 

  30. Lefer DJ, Granger DN. Oxidative stress and cardiac disease. Am J Med. 2000;109(4):315–23.

    Article  CAS  PubMed  Google Scholar 

  31. Mlinarevic D, et al. Pathophysiological mechanisms of Takotsubo cardiomyopathy: a systematic review. Southeastern Eur Med J. 2017; https://doi.org/10.26332/seemedj.v1i1.31.

  32. Szardien S, et al. Mechanisms of stress (Takotsubo) cardiomyopathy. Heart Fail Clin. 2013;9(2):197–205.

    Article  PubMed  Google Scholar 

  33. Mahida S, et al. Science linking pulmonary veins and atrial fibrillation. Arrhythmia Electrophysiol Rev. 2015;4(1):40–3.

    Article  Google Scholar 

  34. Bartoletti A, et al. Hospital admission of patients referred to the emergency department for syncope: a single-hospital prospective study based on the application of the European Society of Cardiology Guidelines on syncope. Eur Heart J. 2006;27(1):83–8.

    Article  PubMed  Google Scholar 

  35. Sutton R. Reflex syncope: diagnosis and treatment. J Arrhythmia. 2017;33(6):545–52.

    Article  Google Scholar 

  36. Sutton R, et al. Guidelines for the diagnosis and management of syncope (version 2009): the task force for the diagnosis and management of syncope of the European Society of Cardiology (ESC). Eur Heart J. 2009;30(21):2631–71.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Alboni P, Alboni M. Typical vasovagal syncope as a “defense mechanism” for the heart by contrasting sympathetic overactivity. Clin Auton Res. 2017;27(4):253–61.

    Article  PubMed  Google Scholar 

  38. da Silva RMFL. Syncope: epidemiology, etiology, and prognosis. Front Physiol. 2014;5:471.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Brignole M, et al. Isometric arm counter-pressure maneuvers to abort impending vasovagal syncope. J Am Coll Cardiol. 2002;40(11):2053–9.

    Article  PubMed  Google Scholar 

  40. Krediet CT, et al. Management of vasovagal syncope: controlling or aborting faints by leg crossing and muscle tensing. Circulation. 2002;106(13):1684–9.

    Article  PubMed  Google Scholar 

  41. Lee AKY, Krahn AD. Evaluation of syncope: focus on diagnosis and treatment of neurally mediated syncope. Expert Rev Cardiovasc Ther. 2016;14(6):725–36.

    Article  CAS  PubMed  Google Scholar 

  42. Shen W-K, et al. 2017 ACC/AHA/HRS guideline for the evaluation and Management of Patients with syncope: a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines and the Heart Rhythm Society. Circulation. 2017;136(5):e60–e122.

    PubMed  Google Scholar 

  43. van Dijk N, et al. Effectiveness of physical counterpressure maneuvers in preventing vasovagal syncope: the physical counterpressure manoeuvres trial (PC-trial). J Am Coll Cardiol. 2006;48(8):1652–7.

    Article  PubMed  Google Scholar 

  44. Hoff HE, Geddes LA. Cholinergic factor in auricular fibrillation. J Appl Physiol. 1955;8(2):177–92.

    Article  CAS  PubMed  Google Scholar 

  45. Lewis T, Drury A, Bulger H. Observations upon atrial flutter and fibrillation. VI. Refractory period and rate of propagation in the auricle: their relation to block in the auricular walls and to flutter etc. Heart. 1921;8:84–134.

    Google Scholar 

  46. Xi Y, Cheng J. Dysfunction of the autonomic nervous system in atrial fibrillation. J Thorac Dis. 2015;7(2):193–8.

    PubMed  PubMed Central  Google Scholar 

  47. Akella K, Kanuri SH, Murtaza G, Rocca DGD, Kodwani N, Turagam MK, Shenthar J, Padmanabhan D, Basu Ray I, Natale A, Gopinathannair R, Lakkireddy D. Impact of yoga on cardiac autonomic function and arrhythmias. J Atr Fibrillation. 2020 Jun 30;13(1):2408. https://doi.org/10.4022/jafib.2408.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Lakkireddy D, et al. Effect of yoga on arrhythmia burden, anxiety, depression, and quality of life in paroxysmal atrial fibrillation: the YOGA My Heart Study. J Am Coll Cardiol. 2013;61(11):1177–82.

    Article  PubMed  Google Scholar 

  49. Vaseghi M, Shivkumar K. The role of the autonomic nervous system in sudden cardiac death. Prog Cardiovasc Dis. 2008;50(6):404–19.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  50. Han J, Garciadejalon P, Moe GK. Adrenergic effects on ventricular vulnerability. Circ Res. 1964;14:516–24.

    Article  CAS  PubMed  Google Scholar 

  51. Shen MJ, et al. 40 - Neural activity and atrial tachyarrhythmias, in cardiac electrophysiology: from cell to bedside. In: Zipes DP, Jalife J, Stevenson WG, editors. Cardiac electrophysiology: from cell to bedside. 7th ed. Philadelphia, PA: Elsevier; 2018. p. 375–86.

    Chapter  Google Scholar 

  52. Stavrakis S, et al. 44 - Role of the autonomic nervous system in atrial fibrillation. In: Zipes DP, Jalife J, Stevenson WG, editors. Cardiac electrophysiology: from cell to bedside. 7th ed. Philadelphia, PA: Elsevier; 2018. p. 419–25.

    Chapter  Google Scholar 

  53. Bourke T, et al. Neuraxial modulation for refractory ventricular arrhythmias: value of thoracic epidural anesthesia and surgical left cardiac sympathetic denervation. Circulation. 2010;121(21):2255–62.

    Article  PubMed  PubMed Central  Google Scholar 

  54. Nivethitha L, Mooventhan A, Manjunath NK. Effects of various Prānāyāma on cardiovascular and autonomic variables. Anc Sci Life. 2016;36(2):72–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Author information

Authors and Affiliations

  1. Memphis VA Medical Center, Memphis, TN, USA

    Indranill Basu-Ray

  2. The University of Memphis, Memphis, TN, USA

    Indranill Basu-Ray

  3. Department of Cardiology, All India Institute of Medical Sciences, Rishikesh, India

    Indranill Basu-Ray

  4. Department of Cardiology, Nilratan Sircar Medical College, Kolkata, India

    Anindya Mukherjee

Authors
  1. Indranill Basu-Ray
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  2. Anindya Mukherjee
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Correspondence to Indranill Basu-Ray .

Editor information

Editors and Affiliations

  1. Cardiologist & Cardiac Electrophysiologist, Director of Cardiovascular Research, Memphis VA Medical Center, Memphis, TN, USA

    Indranill Basu-Ray

  2. Medical Director, Benson-Henry Institute for Mind Body Medicine & Director, Office for Well-Being, Center for Faculty Development, Massachusetts General Hospital, Boston, MA, USA

    Darshan Mehta

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Basu-Ray, I., Mukherjee, A. (2022). Yoga: A Holistic Approach for Cardiac Arrhythmia. In: Basu-Ray, I., Mehta, D. (eds) The Principles and Practice of Yoga in Cardiovascular Medicine. Springer, Singapore. https://doi.org/10.1007/978-981-16-6913-2_14

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  • DOI: https://doi.org/10.1007/978-981-16-6913-2_14

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-6912-5

  • Online ISBN: 978-981-16-6913-2

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