Department of Physiotherapy in Internal Medicine, Jerzy Kukuczka Academy of Physical Education, Katowice, Poland.
J Cardiopulm Rehabil Prev. 2020 Jul;40(4):263-267. doi: 10.1097/HCR.0000000000000503.
The purpose of the present study was to assess the effect of hatha yoga training that was added to the standard cardiac rehabilitation (CR) program on the cardiac hemodynamic parameters and physical capacity of patients with ST-elevation myocardial infarction (STEMI).
The study included 70 male patients aged 45-65 yr with STEMI who were treated by angioplasty. Patients were randomized to standard CR (control group) versus standard CR plus hatha yoga (experimental group). The training program lasted for a total of 24 d for each patient, with day 1 and day 24 used for medical examinations (electrocardiogram, spiroergometric submaximal treadmill test, and echocardiography). The remaining 22 d consisted of the actual training.
After the CR program the spiroergometric stress test parameters and left ventricular ejection fraction (LVEF) improved in both the experimental and control groups. The most notable changes in echocardiography parameters and physical capacity were in the experimental group. The results showed significant main effect over time, a time-versus-group interaction in LVEF, the duration of the test, and peak oxygen uptake, and a time-versus-group interaction in metabolic equivalents (METs). We also noted the improvement of left ventricular end-diastolic diameter, left ventricular end-systolic diameter, and heart rate over time.
The results revealed better effectiveness in the CR program with a modified hatha yoga training program. Hatha yoga training could be recommended as an adjunct to standard CR.
本研究旨在评估在标准心脏康复（CR）方案中增加哈他瑜伽训练对 ST 段抬高型心肌梗死（STEMI）患者心脏血液动力学参数和身体能力的影响。
本研究纳入了 70 名年龄在 45-65 岁的男性 STEMI 患者，他们接受了经皮冠状动脉介入治疗。患者被随机分为标准 CR（对照组）和标准 CR 加哈他瑜伽（实验组）。每个患者的训练计划持续 24 天，第 1 天和第 24 天用于体检（心电图、次最大踏车运动心肺功能测试和超声心动图）。其余 22 天为实际训练。
在 CR 方案后，实验组和对照组的次最大踏车运动心肺功能测试参数和左心室射血分数（LVEF）均有所改善。实验组在超声心动图参数和身体能力方面的变化最为显著。结果显示，时间对 LVEF、测试持续时间和峰值摄氧量以及时间与组间交互作用均有显著影响，代谢当量（METs）也有时间与组间交互作用。我们还注意到左心室舒张末期直径、左心室收缩末期直径和心率随时间的改善。
研究结果表明，改良哈他瑜伽训练方案的 CR 方案更有效。哈他瑜伽训练可以作为标准 CR 的辅助治疗方法。
