Effects of yoga in patients with paroxysmal atrial fibrillation – a randomized controlled study

Wahlström, Maria; Karlsson, Matts; Medin, Jörgen; Frykman, Viveka

doi:10.1177/1474515116637734

Cited by 43 publications

(61 citation statements)

References 28 publications

(42 reference statements)

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“…The Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow diagram (figure 1) describes the selection process. Nine studies (nine publications) were included in this analysis2 10 25–31 (see table 1).…”

Section: Resultsmentioning

confidence: 99%

“…Evidence from pooled analysis of eight studies2 25–31 showed 52 deaths in 445 (11.7%) exercising participants and 47 deaths in 438 (10.7%) control participants. There was no significant difference in pooled RR between exercise-based CR and control groups (RR 1.08, 95% CI 0.77 to 1.53, p=0.64, I 2 =0%) (figure 2).…”

Section: Resultsmentioning

confidence: 99%

“…Five studies reported on HRQoL using SF-36; however, Hegbom et al 25 only reported combined intervention and control data and therefore could not be pooled. Three studies reported SF-36 MCS26 29 31; pooled analyses showed a significant improvement in MCS in exercise-based CR versus control participants (MD 4.00, 95% CI 0.26 to 7.74; p=0.04, I 2 =62%) (figure 4). Three studies reported SF-36 physical component scores (PCS)26 29 31; pooled analyses showed a significant improvement in PCS in exercise-based CR versus control participants (MD 1.82, 95% CI 0.06 to 3.59; p=0.04, I 2 =26 %) (figure 5).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Exercise-based cardiac rehabilitation improves exercise capacity and health-related quality of life in people with atrial fibrillation: a systematic review and meta-analysis of randomised and non-randomised trials

et al. 2018

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ObjectiveThe aim of this study was to undertake a contemporary review of the impact of exercise-based cardiac rehabilitation (CR) targeted at patients with atrial fibrillation (AF).MethodsWe conducted searches of PubMED, EMBASE and the Cochrane Library of Controlled Trials (up until 30 November 2017) using key terms related to exercise-based CR and AF. Randomised and non-randomised controlled trials were included if they compared the effects of an exercise-based CR intervention to a no exercise or usual care control group. Meta-analyses of outcomes were conducted where appropriate.ResultsThe nine randomised trials included 959 (483 exercise-based CR vs 476 controls) patients with various types of AF. Compared with control, pooled analysis showed no difference in all-cause mortality (risk ratio (RR) 1.08, 95% CI 0.77 to 1.53, p=0.64) following exercise-based CR. However, there were improvements in health-related quality of life (mean SF-36 mental component score (MCS): 4.00, 95% CI 0.26 to 7.74; p=0.04 and mean SF-36 physical component score: 1.82, 95% CI 0.06 to 3.59; p=0.04) and exercise capacity (mean peak VO2: 1.59 ml/kg/min, 95% CI 0.11 to 3.08; p=0.04; mean 6 min walk test: 46.9 m, 95% CI 26.4 to 67.4; p<0.001) with exercise-based CR. Improvements were also seen in AF symptom burden and markers of cardiac function.ConclusionsExercise capacity, cardiac function, symptom burden and health-related quality of life were improved with exercise-based CR in the short term (up to 6 months) targeted at patients with AF. However, high-quality multicentre randomised trials are needed to clarify the impact of exercise-based CR on key patient and health system outcomes (including health-related quality of life, mortality, hospitalisation and costs) and how these effects may vary across AF subtypes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Exercise-based cardiac rehabilitation improves exercise capacity and health-related quality of life in people with atrial fibrillation: a systematic review and meta-analysis of randomised and non-randomised trials

et al. 2018

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“…Likewise, another 12-week intervention of mediyoga, a form of yoga adapted from Kundalini yoga specifically for patients with cardiac disease, has been associated with improvements in quality of life as measured by two validated quality of life instruments. Importantly from a mechanistic standpoint, this study showed a significant decrease in heart rate and blood pressure in the yoga group (Wahlstrom et al, 2017).…”

Section: Yogamentioning

confidence: 63%

Modulation of the autonomic nervous system through mind and body practices as a treatment for atrial fibrillation

Bashir

Kapa

McLeod

2019

Reviews in Cardiovascular Medicine

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Atrial fibrillation is the most common symptomatic arrhythmia that is associated with stroke. Contemporary management of the disease is focused on anticoagulation to prevent stroke, coupled with catheter ablation to limit symptoms and prevent deleterious cardiac remodeling. Emerging data highlights the importance of lifestyle modification by managing sleep apnea, increasing physical activity, and weight loss. There is significant data that supports a link between the autonomic nervous system, arrhythmia development, and atrial fibrillation therapy. It is likely that lifestyle modification through these techniques that are aimed to reduce stress may also mediate atrial fibrillation development through this mechanism. This review examines how mind and body practices such as meditation, yoga, and acupuncture may influence the autonomic nervous system and mitigate atrial fibrillation progression and regression. Available evidence from molecular and anatomical levels through to clinical observations and translational clinical trials were scrutinized and a case established for these interventions as potential powerful mediators of anti-arrhythmic benefit.

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“…They found a decreased heart rate and blood pressure, and improvements in quality of life. These findings suggest that stress and anxiety may have a significant role in AF . It still needs to be elucidated whether psychological stress plays a role in the pathogenesis of AF in athletes.…”

Section: Discussionmentioning

confidence: 91%

Excess of exercise increases the risk of atrial fibrillation

Müssigbrodt

Weber

Mandrola

et al. 2017

Scandinavian Med Sci Sports

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An interesting and still not well-understood example for old medical wisdom "Sola dosis facit venenum" is the increased prevalence of atrial fibrillation (AF) in athletes. Numerous studies have shown a fourfold to eightfold increased risk of AF in athletes compared to the normal population. Analysis of the existing data suggests a dose-dependent effect of exercise. Moderate exercise seems to have a protective effect and decreases the risk of AF, whereas excessive exercise seems to increase the risk of AF. The described cases illustrate clinical manifestations within the spectrum of AF in elderly athletes, that is, exercise-induced AF, vagal AF, chronic AF, and atrial flutter. As the arrhythmia worsened quality of life and exercise capacity in all patients, recovery of sinus rhythm was desired in all described cases. As the atrial disease was advanced on different levels, different treatment regimes were applied. Lifestyle modification and temporary anti-arrhythmic drug therapy could stabilize sinus rhythm in one patient, whereas others needed radiofrequency ablation to achieve a stable sinus rhythm. The patient with the most advanced atrial disease necessitated anti-arrhythmic drug therapy and another left atrial ablation. All described patients remained in sinus rhythm during the long-term follow-up.

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Effects of yoga in patients with paroxysmal atrial fibrillation – a randomized controlled study

Abstract: Background: Patients with atrial fibrillation often have an impaired quality of life (QoL).

Cited by 43 publications

References 28 publications

Exercise-based cardiac rehabilitation improves exercise capacity and health-related quality of life in people with atrial fibrillation: a systematic review and meta-analysis of randomised and non-randomised trials

Exercise-based cardiac rehabilitation improves exercise capacity and health-related quality of life in people with atrial fibrillation: a systematic review and meta-analysis of randomised and non-randomised trials

Modulation of the autonomic nervous system through mind and body practices as a treatment for atrial fibrillation

Excess of exercise increases the risk of atrial fibrillation

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