Yoga Maneuver May Prevent Vasovagal Syncope

Routine practice of a particular yoga maneuver appears to lower vulnerability to reflex vasovagal syncope, a brand-new research study suggests.
The tadasana workout– a movement-based reflective practice that gradually remedies orthostatic imbalance by strengthening protective neuromuscular reflexes– practiced for just 15 minutes twice a day, was related to the complete removal of episodes of vasovagal syncope for lots of clients.

Dr Hygriv Rao

Before treatment, the 52 clients in the standard group experienced 163 syncope or near-syncope events. At follow-up, 22 symptom recurrences happened in 12 clients (23%). Overall mean occasions per patient decreased from 3 to 0.4.

This work was supported in part by a grant from the Dr Earl E. Bakken Family in support of heart-brain research. Rao has actually divulged no pertinent monetary relationships.

Patients had an initial training session personally with a yoga instructor and after that got follow on training by video online. Rao said there was an extremely high rate of compliance, “almost 100%.”.

Full syncope events fell from 108 in 48 clients to 0 (mean per client, 1.8 to 0), and near-syncope events declined from 269 in 33 patients to 6 in 5 patients (suggest per patient, 4.4 to 0.1).

” We found that with the tadasana maneuver, episodes of full syncope, where the client in fact loses consciousness, ceased completely, and episodes of near-syncope, where the client feels faint however does not entirely pass out, were greatly minimized,” Rao included. Of these, 61 patients were in addition trained to practice the tadasana maneuver and asked to practice the movement for 15 minutes two times a day. Before treatment, the 52 clients in the traditional group experienced 163 syncope or near-syncope events. Total mean events per client declined from 3 to 0.4.

He reports that a total of 200 clients have now been treated with this method at his hospital with extremely comparable results to those seen in the initial study.

Results revealed that episodes of both near-syncope and syncope decreased in both groups but there was a much bigger decrease in the patients practicing the tadasana maneuver.

” We discovered that with the tadasana maneuver, episodes of complete syncope, where the client actually passes out, stopped totally, and episodes of near-syncope, where the client feels faint but does not completely lose consciousness, were considerably reduced,” Rao included. “The real loss of consciousness, which is the most harmful part, is virtually gone. This offers a lot of confidence to patients and their families.”
The researchers report their initial arise from a pilot research study of the technique in a letter to JACC: Clinical Electrophysiology that was published online January 26.
Rao, a cardiologist at the KIMS Hospitals, Hyderabad, India, discussed that vasovagal syncope is a short loss of awareness due to a neurologically induced drop in high blood pressure caused by faulty neuromuscular reflexes.

” Each motion takes a few seconds, and each cycle of movements takes about 2 minutes. If this is performed 8 times, then this would take about 15 minutes. We suggest this 15-minute regular twice a day,” Rao said.

Really couple of treatments have been revealed effective, with current management methods involving preventing triggers, increasing fluids, and if the specific feels an episode coming on, they can take actions to stop it by lying down, raising their legs, or decreasing their head to increase blood circulation to the brain.
” Recently, there has been a lot of interest in yoga as a preventative therapy for vasovagal syncope,” Rao noted. “We thought about various yoga positions and we chose the tadasana maneuver to study in this context as it resembles workouts in some cases provided to patients with vasovagal syncope but with some distinctions including the addition of integrated breathing, which might assist stabilize autonomic tone.”
For the tadasana maneuver, the specific stands straight with their feet together, arms by their side (versus a wall if they need support), and additionally lift the front and back part of their feet.
They initially raise their toes with their weight resting on the ball of their feet, then after a couple of seconds they raise their heels with their weight on the front of the foot. After a couple of more seconds they lift their arms over their shoulders, stretching up while standing on their toes.

Rao noted that at baseline nearly all clients in both groups were taking medications for the condition, however during the research study these medications were reduced as less episodes occurred. At the end of the follow up, 80% of the traditional group were still taking medication compared with simply 14% of those in the tadasana group.

It is usually triggered by psychological stress, extended standing, or getting up from a sitting position too quickly.

” This mix of exercise and breathing affects the neuromuscular reflex malfunction that occurs in vasovagal syncope,” Rao kept in mind. “The movements focus on reinforcing neuromuscular reflexes in the quadriceps and the calf muscles, which can increase the blood circulation and venous return, therefore preventing blood pooling in the lower body,” he described.

These movements are integrated with breathing exercises, with the private taking a deep breath in as they lift their arms and breathing out again on lowering the arms.

Both conventional treatment and conventional plus tadasana treatment appeared to benefit clients compared with their particular standard symptom problem.

The researchers say this pilot study offers three main findings. First, both standard therapy and conventional plus tadasana treatment appeared to benefit patients compared with their respective baseline sign burden. Second, application of tadasana as an adjunctive treatment was associated with fewer overall occasion reoccurrences (ie, syncope and near-syncope combined), and third, tadasana was well tolerated, with no adverse events reported.

” The decrease in total occasions (ie, syncope and near-syncope occasions) compared to pre-treatment numbers was significant and most tadasana clients were managed with no pharmacotherapy,” the authors report.

J Am Coll Cardiol EP. Released online January 26, 2022. Letter.

For the present study, 113 clients detected with reoccurring vasovagal disorder were counseled to practice basic physical maneuvers and preserve sufficient hydration. Medications were prescribed at the discretion of the dealing with physician.

In the tadasana group, 61 patients had 378 syncope/near-syncope occasions before treatment; at follow-up, only 6 occasions happened in 5 patients (8%). Per client, overall events decreased from a mean of 6 to 0.1.

Complete syncope occasions in this group declined from 65 in 32 clients to 2 in 2 patients (mean per patient, 1.3 to 1), and near-syncope occasions fell from 98 in 34 patients to 20 in 10 clients (mean per patient, 2.0 to 0.4).

Medscape Cardiology. “We are delighted about these outcomes. We thought it would work, but we did not anticipate it to be so reliable. It appears to work for almost all clients.

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Of these, 61 patients were in addition trained to practice the tadasana maneuver and asked to practice the movement for 15 minutes twice a day. The mean periods of signs and follow-up in the two groups were comparable. The typical follow-up was about 20 months.

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