In order to bring you the best possible user experience, this site uses Javascript. If you are seeing this message, it is likely that the Javascript option in your browser is disabled. For optimal viewing of this site, please ensure that Javascript is enabled for your browser.


This content is currently on FREE ACCESS, enjoy another 54 days of free consultation

In these unprecedented times, the ESC is doing everything it can to support its community: FREE access to all ESC 365 content until 31 July: explore more than 125,000 educational resources.

From 1 August onwards, support our mission by becoming a member.

Role of Indian yoga with pranayam prevent ventricular remodeling and reduce mortality rate according to LV ejection fraction in post PCI patients of STEMI.

Session Poster Session 1

Speaker Naresh Sen

Event : ESC Congress 2019

  • Topic : preventive cardiology
  • Sub-topic : Rehabilitation: Outcomes
  • Session type : Poster Session

Authors : N Sen (Jaipur,IN), SONAL Tanwar (Jaipur,IN), ASHOK Jain (Jaipur,IN), ASHWIN Mehta (Mumbai,IN), NIMIT Shah (Mumbai,IN), RK Gokhroo (Ajmer,IN), ANIL Dhall (New Delhi,IN)

Authors:
N Sen1 , SONAL Tanwar1 , ASHOK Jain2 , ASHWIN Mehta3 , NIMIT Shah3 , RK Gokhroo4 , ANIL Dhall5 , 1HG SMS Hospital - Jaipur - India , 2Narayana Hrudayalaya, Cardiology - Jaipur - India , 3Kokilaben Dhirubhai Ambani Hospital and Research Institute - Mumbai - India , 4J L N Medical College, Cardiology - Ajmer - India , 5Delhi Heart & Lung Hospital, Cardiology - New Delhi - India ,

Citation:

Background:

Coronary revascularization is fruitful management to relieve angina and reduce mortality as compare to medical management in significant coronary artery stenosis. Although measurement of left ventricular ejection fraction (LVEF) after acute myocardial infarction (MI) is a performance measure, little is known about the relationship between EF and post-discharge mortality among MI patients in contemporary clinical practice.

Objectives:

To assessment of mortality according to left ventricular ejection fraction and compare between yoga group and non yoga group, so that we can evaluate the importance of yoga and pranayam.

Methods:

2,470 patients (25 to 68 years of  age) with STEMI were registered and managed with percutaneous coronary intervention at three centres from 2010 to 2012 . Method was used to assess the association between left ventricular ejection fraction (LVEF) measured during the index hospitalization and 5-year mortality from date of registry. The relationship was examined with EF as a categorical variable, utilizing four clinically relevant categories (EF =34%,  35 to 45%, 46 to 54%, and =55%), and also with EF as a continuous variable .We divided two groups , group A was yoga with pranayam(n=1470) and group B was normal group(n=1000).

Results:

Among STEMI patients we found a graded inverse association between EF category and mortality . For patients relevant categories (EF =34%,  35 to 45%, 46 to 54%, and =55%) mortality after 5 years was assessed by 21% ,14.3%,12.2% and 11% in yoga, pranayam group(p<0.004). For patients relevant categories (EF =34%,  35 to 45%, 46 to 54%, and =55%) mortality after 5 years was assessed by 25% ,17.5%,14.4% and 13% in normal group(p<0.004). LVEF was increased  in yoga & pranayam group by 11+/-3% versus 4+/-1% non yoga group.

Conclusion:

Yoga and Pranayam; breathing exercise may help to reduce metabolic stress, reduce oxygen demand and prevent ventricular remodeling. Low LVEF after STEMI remains an important risk factor for post-discharge mortality, even after extensive adjustment for patient and hospital characteristics. Routine yoga and pranayam; breathing exercise may reduce the mortality after myocardial infarction.

This content is currently on FREE ACCESS, enjoy another 54 days of free consultation

In these unprecedented times, the ESC is doing everything it can to support its community: FREE access to all ESC 365 content until 31 July: explore more than 125,000 educational resources.

From 1 August onwards, support our mission by becoming a member.



Based on your interests

Members get more

Join now
  • 1ESC Professional Members – access all resources from general ESC events 
  • 2ESC Association Members (Ivory, Silver, Gold) – access your Association’s resources
  • 3Under 40 or in training - with a Combined Membership, access all resources
Join now

Our sponsors

ESC 365 is supported by Bayer, Boehringer Ingelheim and Lilly Alliance, Bristol-Myers Squibb and Pfizer Alliance, Novartis Pharma AG and Vifor Pharma in the form of educational grants. The sponsors were not involved in the development of this platform and had no influence on its content.

logo esc

Our mission: To reduce the burden of cardiovascular disease

Who we are