KANSAS
CITY, Mo. — The same kind of exercise that can bring peace
to your mind may bring peace to your heart as well.
Researchers
at the University of Kansas Hospital are finding that regular
time spent doing yoga breathing and stretching exercises may
help keep potentially dangerous heart rhythm disorders in
check.
A
hospital study published late last month in the Journal of the
American College of Cardiology found that as little as two
one-hour yoga sessions per week can help significantly reduce
the number of episodes of rapid, out-of-control heartbeats
experienced by patients with atrial fibrillation. These
patients also cut their blood pressure and lowered their
levels of anxiety and depression.
The
results of this preliminary study are so promising, two
similar yoga studies at the University of Kansas Hospital are
enrolling patients with other disorders that cause faulty
heart rhythms.
"Yoga
is not a solution in itself, but it provides very profound
effects," said University of Kansas heart specialist
Dhanunjaya Lakkireddy. "It’s not a drug; it’s not a
(medical procedure). It’s something you can do in your
living room for not very much money."
Lakkireddy
wants to see if yoga training can work for other patients.
He has
started recruiting people with tachycardia, another rhythm
disorder with accelerated heart rates, and syncope, a disorder
that causes fainting when the heart stops beating temporarily.
Lakkireddy’s
studies are too small to prove definitively that yoga is
effective. He hopes to persuade the National Institutes of
Health to fund large-scale research to determine with more
certainty what yoga may do.
Yoga,
with its meditation, breathing exercises and
sometimes-difficult poses, has been practiced for more than
5,000 years. Because it’s known for its ability to bring
inner peace, yoga often is recommended to heart and cancer
patients as a way to relieve stress.
Research
suggests yoga can lower blood pressure and slow the heart
rate. But there has been little study aimed at using yoga as a
medical treatment.
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Lakkireddy
was born and raised in India. His grandfather was a yoga
instructor. But Lakkireddy gave up yoga when he was a teenager
and started practicing again only in the past few years.
When a
couple of his patients told him yoga helped dampen their
atrial fibrillation, he was skeptical.
"I
laughed at them, ‘Show me.’ I sent them home with a
(heart) monitor."
Positive
results piqued his interest in taking a scientific look:
"I couldn’t dismiss it."
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Atrial
fibrillation is the chaotic beating — sometimes several
hundred times per minute — of the two upper chambers of the
heart. The irregular rhythm causes the heart to pump less
efficiently. Blood can pool and clot in the heart, raising
risks of stroke and heart attack.
About 3
million Americans have atrial fibrillation. More than a
half-dozen drugs are available for to treat the condition, but
they don’t work for every patient, and even when they do,
they can lose effectiveness over time. There also is a heart
procedure that destroys electrical "hot spots" that
trigger atrial fibrillation; it works about 70 percent to 80
percent of the time.
Lakkireddy
theorized yoga may act on the autonomic nervous system — the
body’s own yin and yang — to bring heart rhythms into
balance.
The
autonomic system has two components. The sympathetic nervous
system produces the "fight or flight" response of
rapid heartbeat and elevated blood pressure; yoga may tone it
down. The parasympathetic system slows the pulse and lowers
blood pressure; yoga may enhance its action.
Several
years ago, Lakkireddy began putting about 50 atrial
fibrillation patients through a three-month course of yoga
training.
They
visited a yoga studio in Overland Park twice a week for
one-hour classes and also did yoga at home, if they wished.
Study
participants wore a portable heart monitor to record episodes
of atrial fibrillation during the three months before they
started yoga classes and the three months they were going to
class. They also filled out surveys to measure anxiety and
depression.
Lakkireddy
found that yoga training reduced instances of atrial
fibrillation by about 30 to 40 percent.
While
Although yoga is not a substitute for medical treatment, it
does improve patients’ quality of life, Lakkireddy said. And
by reducing the number of atrial fibrillation episodes, it
could potentially lower medical bills.
Atrial
fibrillation is one of the most common heart problems that end
up in emergency rooms.
"It
almost competes with chest pains and heart attacks. Even a
small reduction can translate to billions of dollars,"
Lakkireddy said.
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Teresa
Perkins, 60, of Lake Quivira, Kan., still, does some of the
breathing and stretching exercises she learned as a
participant in the study.
"I
feel that when you’re having an (atrial fibrillation)
attack, I can calm down and it stops," she said.
"You’re more comfortable with it.
You’re
not as panicky that you think you’re going to have a heart
attack."
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While
conducting the atrial fibrillation study, Lakkireddy
encountered a patient who helped convince him that he should
expand his research.
Trayce
Loyd, 23, of Moundville, Mo., developed syncope when she was
16. She fainted repeatedly, leading to trips to the emergency
room.
"Everything
they would test came back normal," she said. "It
wasn’t anything serious, they said."
Eventually,
a heart monitor implanted in her chest revealed her heart was
stopping for as long as 20 seconds at a time. She was put on
drugs that made her so tired she slept 12 hours a day.
At age
21, Loyd became a candidate for a pacemaker. But her operation
was delayed because she lacked insurance. Lakkireddy suggested
that in the meantime, she try yoga. She did a yoga routine at
least three times per week. She hasn’t had a fainting spell
in the past year and a half and no longer takes the three or
pills a day she did before.
"I
love doing yoga. I would much rather exercise than take
medications the way I was," she said.