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'Tadasana' Yoga Maneuver for Preventing Vasovagal Syncope Recurrences: A Pilot Study

24 Pages Posted: 18 Mar 2021 Publication Status: Preprint

See all articles by Hygriv B. Rao

Hygriv B. Rao

KIMS Hospitals - Division of Pacing & Electrophysiology

Vaishnavi Gowlikar

KIMS Hospitals - Division of Pacing & Electrophysiology

Sudhindra Vooturi

KIMS Hospitals - Department of Physiotherapy and Rehabilitation Medicine

David G. Benditt

University of Minnesota - Minneapolis - Cardiac Arrhythmia Center

Nagraj H. Rao

KIMS Hospitals - Division of Pacing & Electrophysiology

Mohandas Surath

KIMS Hospitals- Department of Neurology

Abstract

Background: Management of Reflex Vasovagal syncope (VVS) is challenging as no therapy has been found to be uniformly effective. Recently yoga has been proposed as a possible approach to reduce VVS susceptibility.

Objecting: The objective of this study was to evaluate the yoga maneuver - Tadasana - as an adjunctive therapy for prevention of VVS recurrences.

Methods: The study comprised 113 patients (79 men, mean age 53{plus minus}20 years) with tilt-positive VVS and structurally normal hearts . There were 61 patients in Tadasana group and 52 in the conventional arm. The Tadasana group were taught to practice this maneuver in addition to conventional therapy.

Results: Demographics of both groups were comparable. Follow up was 2 1± 5 months. At last follow - up, syncope and near-syncope events in conventional arm vs Tadasana arm were respectively 4 vs 0 (P=0.03) and 11 vs 5.(P=0.03), and the mean total events during this period in the 2 groups were 6.20 ± 9.43 vs 3.13 ± 2.08 , (P= 0.024). Syncope and near-syncope events were respectively 1.77 ± 1.29 vs 1.25 ± 1.28 (P= 0.035) and 0.38 ± 1.05 vs 0.10 ± 0.35,( P=0.048). Compared to pre-treatment, the reduction in total events in Tadasana group was significantly greater than in the conventional arm (6.10 {plus minus} 9.43 vs 3.13 ± 2.0, P=0.01). Tadasana intervention was associated with greater reduction in both syncopal and near-syncope end-points individually.

Conclusion: Adjunctive practice of Yoga maneuver-Tadasana with conventional therapy appears to reduce susceptibility to reflex VVS.

Suggested Citation

Rao, Hygriv B. and Gowlikar, Vaishnavi and Vooturi, Sudhindra and Benditt, David G. and Rao, Nagraj H. and Surath, Mohandas, 'Tadasana' Yoga Maneuver for Preventing Vasovagal Syncope Recurrences: A Pilot Study. Available at SSRN: https://ssrn.com/abstract=3807017 or http://dx.doi.org/10.2139/ssrn.3807017

Hygriv B. Rao (Contact Author)

KIMS Hospitals - Division of Pacing & Electrophysiology ( email )

Secunderab ad,, Telangana State
India

Vaishnavi Gowlikar

KIMS Hospitals - Division of Pacing & Electrophysiology ( email )

Secunderab ad,, Telangana State
India

Sudhindra Vooturi

KIMS Hospitals - Department of Physiotherapy and Rehabilitation Medicine ( email )

Secunderab ad,, Telangana State
India

David G. Benditt

University of Minnesota - Minneapolis - Cardiac Arrhythmia Center ( email )

Minneapolis, MN
United States

Nagraj H. Rao

KIMS Hospitals - Division of Pacing & Electrophysiology ( email )

Secunderab ad,, Telangana State
India

Mohandas Surath

KIMS Hospitals- Department of Neurology ( email )

Secunderab ad,, Telangana State
India

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