Abstract

This study was designed to evaluate the impact of yoga based lifestyle intervention on coronary artery disease (CAD) patients. This multi-centric prospective study was held in the Saaol heart center in different cities (Delhi, Kolkata, Bangalore, Chennai, and Mumbai) of India from 1995 to 2015. In this study, total 5,000 CAD patients having co-morbidity of obesity, hypertension, and diabetes were enrolled. A yoga-based lifestyle modification counseling (consist the essential components; cardiac education, plant-based balanced diet, regular walk, yoga, and meditation) was administrated to study subjects and clinical assessment was done using Saaol safety wheel as a holistic tool. In the beginning, lifestyle modification counseling was provided every month for one year and after one year the counseling was repeated for every six months with clinical assessment till the end of the study. The results of this study demonstrate a significant improvement in angina with reduction of New York Heart Association (NYHA) angina classification score from 3.08±0.56 (mean±SD) to 2.45±0.70 and also reduce the intake of anti-anginal drugs from 4.36±1.35 to 3.82±1.20. In this study, a significant improvement was also observed in heart attack protection score from 56.68±13.53 to 104.13±14.55. After the adherence to yoga-based lifestyle modification counseling components and Saaol safety wheel, 98% study subjects showed the significant improvements in clinical outcomes (BMI, blood pressure, and lipid parameters) and cardiac patients reduced the risk of heart attack and cardiac events. This study concludes that yoga-based lifestyle intervention is a non-invasive effective treatment method to control and prevent cardiac risk factors in CAD patients. This type of holistic approach may help to reduce the rate of cardiac events and heart attacks but there is further long-term multicentric randomized controlled trials are required for better clinical outcomes.

Highlights

  • Cardiovascular diseases (CV) are the prime cause of premature death and disabilities throughout the world, more people die annually from CVDs when compared with any another cause

  • Worldwide understanding that 71% of deaths caused by coronary heart diseases (CHD), 75% of deaths caused by the stroke in addition to 70% of deaths caused by diabetes can occur throughout developing countries

  • Our study revealed that 98% of coronary artery disease (CAD) patients avoided heart attack and other treatment options such as CABG and PTCA

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Summary

Introduction

Cardiovascular diseases (CV) are the prime cause of premature death and disabilities throughout the world, more people die annually from CVDs when compared with any another cause. Cardiovascular disease, especially coronary Artery Disease (CAD) is the leading cause of morbidity and mortality globally with more than 17.3 million deaths annually. CAD is associated with a higher risk of cardiovascular events, including myocardial infarction (MI) and stroke. The prime cause of CAD is modern lifestyle and urbanization and several risk factors such as dyslipidemia, hypoglycemia, high triglyceride, hypertension. Lifestyle modification counseling is the primary goals for prevention and control of CVD, and may significantly improve cardiac risk factors. Lifestyle modification counseling (LMC) commonly used as an intervention tool, is a novel, non-invasive method to control CHD, T2DM, hypertension and other lifestyle- related chronic diseases. Patients require repeated health education and lifestyle modifying interventions through physicians and other health educators.[14,15,16]

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