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

Charo Bruce, Vinod Achan, Sudhir Rathore Department of Cardiology, Frimley Park Hospital, Frimley, Surrey, UKCorrespondence: Sudhir RathoreDepartment of Cardiology, Frimley Park Hospital, Frimley, Surrey GU16 7UJ, UKTel +44 0300 614 5000Email Sudhir.rathore@nhs.netAbstract: Coronary artery disease c...

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Autores principales:	Bruce C, Achan V, Rathore S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	yoga cardiac rehabilitation coronary artery disease Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/3133f637344b44acb5fff6c1e94c8de3
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spelling	oai:doaj.org-article:3133f637344b44acb5fff6c1e94c8de32021-12-02T19:17:36ZYoga-Based Cardiac Rehabilitation: Current Perspectives from Randomized Controlled Trials in Coronary Artery Disease1178-2048https://doaj.org/article/3133f637344b44acb5fff6c1e94c8de32021-12-01T00:00:00Zhttps://www.dovepress.com/yoga-based-cardiac-rehabilitation-current-perspectives-from-randomized-peer-reviewed-fulltext-article-VHRMhttps://doaj.org/toc/1178-2048Charo Bruce, Vinod Achan, Sudhir Rathore Department of Cardiology, Frimley Park Hospital, Frimley, Surrey, UKCorrespondence: Sudhir RathoreDepartment of Cardiology, Frimley Park Hospital, Frimley, Surrey GU16 7UJ, UKTel +44 0300 614 5000Email Sudhir.rathore@nhs.netAbstract: 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.Keywords: yoga, cardiac rehabilitation, coronary artery diseaseBruce CAchan VRathore SDove Medical Pressarticleyogacardiac rehabilitationcoronary artery diseaseDiseases of the circulatory (Cardiovascular) systemRC666-701ENVascular Health and Risk Management, Vol Volume 17, Pp 779-789 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	yoga cardiac rehabilitation coronary artery disease Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	yoga cardiac rehabilitation coronary artery disease Diseases of the circulatory (Cardiovascular) system RC666-701 Bruce C Achan V Rathore S Yoga-Based Cardiac Rehabilitation: Current Perspectives from Randomized Controlled Trials in Coronary Artery Disease
description	Charo Bruce, Vinod Achan, Sudhir Rathore Department of Cardiology, Frimley Park Hospital, Frimley, Surrey, UKCorrespondence: Sudhir RathoreDepartment of Cardiology, Frimley Park Hospital, Frimley, Surrey GU16 7UJ, UKTel +44 0300 614 5000Email Sudhir.rathore@nhs.netAbstract: 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.Keywords: yoga, cardiac rehabilitation, coronary artery disease
format	article
author	Bruce C Achan V Rathore S
author_facet	Bruce C Achan V Rathore S
author_sort	Bruce C
title	Yoga-Based Cardiac Rehabilitation: Current Perspectives from Randomized Controlled Trials in Coronary Artery Disease
title_short	Yoga-Based Cardiac Rehabilitation: Current Perspectives from Randomized Controlled Trials in Coronary Artery Disease
title_full	Yoga-Based Cardiac Rehabilitation: Current Perspectives from Randomized Controlled Trials in Coronary Artery Disease
title_fullStr	Yoga-Based Cardiac Rehabilitation: Current Perspectives from Randomized Controlled Trials in Coronary Artery Disease
title_full_unstemmed	Yoga-Based Cardiac Rehabilitation: Current Perspectives from Randomized Controlled Trials in Coronary Artery Disease
title_sort	yoga-based cardiac rehabilitation: current perspectives from randomized controlled trials in coronary artery disease
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/3133f637344b44acb5fff6c1e94c8de3
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Yoga-Based Cardiac Rehabilitation: Current Perspectives from Randomized Controlled Trials in Coronary Artery Disease

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