Guided yoga is more effective than conventional treatment to prevent fainting

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According to research published today in, guided yoga is more effective than conventional treatment to prevent fainting in people who repeat EP Europace, a journal of the European Society of Cardiology (ESC). Guided yoga therapy was also more beneficial in terms of quality of life than standard treatment.

“Repeated fainting leads to mental stress, anxiety, depression and constant fear in the next episode,” said the study’s author, Professor Jayaprakash Shenthar, of the Sri Jayadeva Institute of Cardiovascular Science and Research, Bangalore , India. “Quality of life is negatively affected due to unpredictability. In addition, some countries do not allow patients to drive.”

Faint a ““is a brief loss of consciousness caused by reduced blood flow to the brain. It can be triggered by prolonged stays, fear, pain, blood vision, and hot, humid environments. It is estimated that approximately half of the general population in will have syncopal during his lifetime.

Recommendations for preventing vasovagal syncope include staying hydrated, avoiding high-heat environments, straining muscles, and stretching. “Unfortunately, most strategies have only modest benefits, which is frustrating for patients,” Professor Shenthar said.

This was the first randomized study to examine guided yoga as a treatment for patients with vasovagal syncope. The study enrolled 100 patients with at least three episodes of vasovagal syncope the previous year. None of the patients received treatment for syncope and none practiced yoga at the time of enrollment.

Participants were randomly assigned to the yoga or conventional treatment group. The conventional treatment group was advised to consume 6 to 9 grams of salt and more than 3 liters of water each day and to perform physical back pressure maneuvers such as crossing legs and tightening the thigh and buttock muscles when they occur. syncope warning signs.

The yoga group was not given any specific advice on salt, fluid, or physical back pressure maneuvers. Instead, they attended five to seven sessions in which a certified yoga instructor showed them how to perform a 60-minute yoga module. The yoga module consisted of pranayama (breathing), asanas (postures) and dhyana (meditation). Participants were then advised to perform yoga for 60 minutes at least five days a week for the next 12 months.

Participants were asked to record the number of episodes of fainting during follow-up. Quality of life was assessed at baseline, 3, 6, and 12 months using the questionnaire on the functional status of syncope: wondering how it affects syncope such as driving, shopping, exercising, and relating to family and friends and asking respondents to rate their fear / worry on a scale of 1 to 8.

The mean age of the participants was 33 years and more than half were women. Prior to the study, the mean duration of syncopal episodes was 17 months, during which patients had an average of 6.4 blackouts. Compared to the conventional treatment group, the yoga group had fewer blackouts and better quality of life scores at 3, 6, and 12 months. He the group reported 3.8 episodes of fainting during the 12 months of follow-up, while the yoga group reported 1.1 episodes.

Professor Shenthar said: “The benefits of guided yoga appeared as early as three months after the start of treatment and were maintained at six and twelve months. Preliminary evidence suggests that the breathing and meditation aspects of yoga have in the autonomic system, while “asanas” improve vascular tone, which could prevent the gravitational pooling of blood in the lower parts of the body. “

He concluded: “Our small, well-controlled monocentric study suggests this may be a useful therapeutic option for patients with vasovagal syncope. Larger multicenter studies are needed to confirm the results. ”


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More information:
Jayaprakash Shenthar et al, A randomized study of yoga therapy for the prevention of recurrent reflex vasovagal syncope. EP Europace (2021). DOI: 10.1093 / europace / euab054

Citation: Guided yoga is more effective than conventional treatment to prevent fainting (2021, May 21), retrieved May 21, 2021 at https://medicalxpress.com/news/2021-05-effective-conventional yoga -treatment-fainting.html

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