Role of yoga as an adjunctive therapy in patients with neurocardiogenic syncope: a pilot study

Sampath Gunda, Arun Kanmanthareddy, Donita Atkins, Sudharani Bommana, Rhea Pimentel, Jeanne Drisko, Luigi Di Biase, Salwa Beheiry, Steven Hao, Andrea Natale, Dhanunjaya Lakkireddy

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Neurocardiogenic syncope (NCS) is a common clinical condition characterized by abrupt cardiovascular autonomic changes resulting in syncope. This is a recurring condition with mixed results from current strategies of treatment. Methods: Subjects with a diagnosis of NCS were screened and enrolled. All the participants were given a DVD containing yoga videos and were instructed to practice yoga therapy for 60 min, three times a week for 3 consecutive months. Syncope functional status questionnaire score (SFSQS) was administered at the beginning and the end of the study. The subjects were followed for 3 months and underwent repeat tilt table testing at the end of the study. Results: Of the 60 patients screened, 44 subjects were enrolled, 21 in the intervention group and 23 in the control group. Most of the participants were females, and the mean age was 21 ± 3 years. In the intervention group, who finished the yoga regimen, there was a statistically significant improvement from control phase to the intervention phase, in number of episodes of syncope (4 ± 1 vs 1.3 ± 0.7, p < 0.001) and presyncope (4.7 ± 1.5 vs 1.5 ± 0.5, p < 0.001). The mean SFSQS also decreased from 67 ± 7.8 to 29.8 ± 4.6 (p < 0.001). All subjects had positive head up tilt table (HUTT) study at the time of enrollment compared to only six patients at the completion of intervention phase (10/100 vs 6/28 %, p < 0.0001). Conclusion: Yoga therapy can potentially improve the symptoms of presyncope and syncope in young female patients with NCS.

Original languageEnglish (US)
Pages (from-to)105-110
Number of pages6
JournalJournal of Interventional Cardiac Electrophysiology
Volume43
Issue number2
DOIs
StatePublished - Apr 12 2015

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Vasovagal Syncope
Yoga
Syncope
Therapeutics
Head
Control Groups

Keywords

  • Neurocardiogenic syncope
  • Tilt study
  • Yoga

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

Gunda, S., Kanmanthareddy, A., Atkins, D., Bommana, S., Pimentel, R., Drisko, J., ... Lakkireddy, D. (2015). Role of yoga as an adjunctive therapy in patients with neurocardiogenic syncope: a pilot study. Journal of Interventional Cardiac Electrophysiology, 43(2), 105-110. https://doi.org/10.1007/s10840-015-9996-1

Role of yoga as an adjunctive therapy in patients with neurocardiogenic syncope : a pilot study. / Gunda, Sampath; Kanmanthareddy, Arun; Atkins, Donita; Bommana, Sudharani; Pimentel, Rhea; Drisko, Jeanne; Di Biase, Luigi; Beheiry, Salwa; Hao, Steven; Natale, Andrea; Lakkireddy, Dhanunjaya.

In: Journal of Interventional Cardiac Electrophysiology, Vol. 43, No. 2, 12.04.2015, p. 105-110.

Research output: Contribution to journalArticle

Gunda, S, Kanmanthareddy, A, Atkins, D, Bommana, S, Pimentel, R, Drisko, J, Di Biase, L, Beheiry, S, Hao, S, Natale, A & Lakkireddy, D 2015, 'Role of yoga as an adjunctive therapy in patients with neurocardiogenic syncope: a pilot study', Journal of Interventional Cardiac Electrophysiology, vol. 43, no. 2, pp. 105-110. https://doi.org/10.1007/s10840-015-9996-1
Gunda, Sampath ; Kanmanthareddy, Arun ; Atkins, Donita ; Bommana, Sudharani ; Pimentel, Rhea ; Drisko, Jeanne ; Di Biase, Luigi ; Beheiry, Salwa ; Hao, Steven ; Natale, Andrea ; Lakkireddy, Dhanunjaya. / Role of yoga as an adjunctive therapy in patients with neurocardiogenic syncope : a pilot study. In: Journal of Interventional Cardiac Electrophysiology. 2015 ; Vol. 43, No. 2. pp. 105-110.
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abstract = "Background: Neurocardiogenic syncope (NCS) is a common clinical condition characterized by abrupt cardiovascular autonomic changes resulting in syncope. This is a recurring condition with mixed results from current strategies of treatment. Methods: Subjects with a diagnosis of NCS were screened and enrolled. All the participants were given a DVD containing yoga videos and were instructed to practice yoga therapy for 60 min, three times a week for 3 consecutive months. Syncope functional status questionnaire score (SFSQS) was administered at the beginning and the end of the study. The subjects were followed for 3 months and underwent repeat tilt table testing at the end of the study. Results: Of the 60 patients screened, 44 subjects were enrolled, 21 in the intervention group and 23 in the control group. Most of the participants were females, and the mean age was 21 ± 3 years. In the intervention group, who finished the yoga regimen, there was a statistically significant improvement from control phase to the intervention phase, in number of episodes of syncope (4 ± 1 vs 1.3 ± 0.7, p < 0.001) and presyncope (4.7 ± 1.5 vs 1.5 ± 0.5, p < 0.001). The mean SFSQS also decreased from 67 ± 7.8 to 29.8 ± 4.6 (p < 0.001). All subjects had positive head up tilt table (HUTT) study at the time of enrollment compared to only six patients at the completion of intervention phase (10/100 vs 6/28 {\%}, p < 0.0001). Conclusion: Yoga therapy can potentially improve the symptoms of presyncope and syncope in young female patients with NCS.",
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AU - Bommana, Sudharani

AU - Pimentel, Rhea

AU - Drisko, Jeanne

AU - Di Biase, Luigi

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AU - Natale, Andrea

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