IMPACT OF YOGA ON ARRHYTHMIA BURDEN AND QUALITY OF LIFE (QOL) IN PATIENTS WITH SYMPTOMATIC PAROXYSMAL ATRIAL FIBRILLATION: THE

YOGA MY HEART STUDY Dhanunjaya Lakkireddy, Jayasree Pillarisetti, Donita Atkins, Subba Reddy Vanga, Martin Emert, Rhea Pimentel, Caroline Murray, Sudharani Bommana, Kay Ryschon, Loren Berenbom, Buddhadeb Dawn, Raghu Dendi, and Jeanne Drisko J. Am. Coll. Cardiol. 2011;57;E129 doi:10.1016/S0735-1097(11)60129-0 This information is current as of May 19, 2012 The online version of this article, along with updated information and services, is located on the World Wide Web at: http://content.onlinejacc.org

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E129 JACC April 5, 2011 Volume 57, Issue 14

CARDIAC ARRHYTHMIAS
IMPACT OF YOGA ON ARRHYTHMIA BURDEN AND QUALITY OF LIFE (QOL) IN PATIENTS WITH SYMPTOMATIC PAROXYSMAL ATRIAL FIBRILLATION: THE YOGA MY HEART STUDY
ACC Poster Contributions
Ernest N. Morial Convention Center, Hall F Monday, April 04, 2011, 3:30 p.m.-4:45 p.m.

Session Title: Clinical Electrophysiology -- AF Therapies

Abstract Category: 26. Clinical ElectrophysiologySupraventricular Arrhythmias Session-Poster Board Number: 1123-396 Authors: Dhanunjaya Lakkireddy, Jayasree Pillarisetti, Donita Atkins, Subba Reddy Vanga, Martin Emert, Rhea Pimentel, Caroline Murray, Sudharani Bommana, Kay Ryschon, Loren Berenbom, Buddhadeb Dawn, Raghu Dendi, Jeanne Drisko, KU Cardiovascular Research Institute, Mid America Cardiology, University of Kansas Hospital, Kansas City, KS Background: Atrial Fibrillation (AF) is the most common arrhythmia with tremendous medical, psychosocial & economic impact. Recent studies have shown significant cardiovascular benefits of Yoga. We tested the effect of Yoga on AF burden, QoL, anxiety and depression levels in patients with paroxysmal AF. Methods: 52 consecutive symptomatic PAF patients with no physical limitations to participate in the prescribed Yoga regimen were enrolled and 49 completed this prospective, self-controlled, single center study. Patients were in the control phase for 3 months when regular exercise of patients choice was permitted, followed by the study phase when a structured supervised Yoga program (45-minute sessions) consisting of breathing exercises, asanas (positions), meditation, and relaxation was administered 3 times/week for 3 months. Differences in SF-36 QoL scores, anxiety & depression scores and number of AF episodes during the control and study phases were examined. Results: Yoga intervention significantly reduced the number of episodes of AF during the study phase compared to the control phase (3.83 vs 2.12.6, p<0.001). Yoga also reduced depression & anxiety scores measured by the Zung scoring system (p<0.001). The QoL (SF36) also improved for measurements 1, 4, 5, 6, and 8 (p values of 0.017, <0.001, <0.001, 0.019 and <0.001, respectively) (Table 1). Conclusion: Yoga improves AF symptoms, arrhythmia burden, anxiety & depression scores, and most domains of SF-36 QoL. Table 1: Comparison of Baseline, Pre and Post Yoga Anxiety, depression and SF-36 QoL scores Baseline Pre-Yoga Type of Score (Day-0) (Day-90) Zung Depression Score 32.58.3 31.18.3 Zung Anxiety Score 34.64.5 33.24.4 SF36 -Domain -1 Physical Functioning 82.617.1 79.817.8 -Domain -2 Role Physical 81.230.2 78.132.9 -Domain -3 Bodily Pain 85.226.8 85.929.0 -Domain -4 General Health 61.018.3 57.419.9 -Domain -5 Vitality 77.616.6 78.117.5 -Domain -6 Social Functioning 86.222.0 86.519.8 -Domain 7 Role Emotional 73.317.5 70.816.4 -Domain -8 Mental Health 74.215.7 73.314.4

Post- Yoga (Day 180) 28.08.3 26.85.3 87.611.9 87.027.2 93.117.9 73.912.1 87.112.6 92.114.4 74.316.5 79.211.8

P value p<0.001 p<0.001 p=0.017 p=0.304 p=0.348 p<0.001 p<0.001 p=0.019 p=0.212 p<0.001

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IMPACT OF YOGA ON ARRHYTHMIA BURDEN AND QUALITY OF LIFE (QOL) IN PATIENTS WITH SYMPTOMATIC PAROXYSMAL ATRIAL FIBRILLATION: THE YOGA MY HEART STUDY Dhanunjaya Lakkireddy, Jayasree Pillarisetti, Donita Atkins, Subba Reddy Vanga, Martin Emert, Rhea Pimentel, Caroline Murray, Sudharani Bommana, Kay Ryschon, Loren Berenbom, Buddhadeb Dawn, Raghu Dendi, and Jeanne Drisko J. Am. Coll. Cardiol. 2011;57;E129 doi:10.1016/S0735-1097(11)60129-0 This information is current as of May 19, 2012
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