Syncope, Vasovagal
Conditions
Keywords
Neurocardiogenic Syncope, Yoga
Brief summary
Syncope is a common problem that many clinicians may encounter in various outpatient settings. Neurocardiogenic syncope (NCS) is a benign condition characterized by a self limited episode of systemic hypotension. Patients are usually managed with education on syncope, anxiety management, and coping skills. It has been established that practice of Yoga could relieve stress and anxiety. In a different study, they also found that Yoga positively influences cardiovascular function by decreasing the heart rate and blood pressure. The main objective of Yoga is to achieve control over the autonomic nervous system and able to control functions like heart rate, blood pressure and respiratory rate. Based on the findings that Yoga relieves stress and reduces heart rate, the investigators propose to study if Yoga can decrease the frequency of NCS and also reduce the symptoms associated with these episodes.
Interventions
OTHERYoga
Includes breathing exercises, postures, and meditation. Participant practices yoga at their home a minimum of 3 times per week for 1 hour per time. Participation can last for up to 1 year.
Sponsors
Dhanunjaya Lakkireddy, MD, FACC
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosis of recurrent Neurocardiogenic syncope * At least one episode of syncope or pre-syncopal event in the last 3 months prior to enrollment
Exclusion criteria
* Previously established diagnosis of any psychiatric illness. * Previous history of Coronary Artery Disease, myocardial infarction, congestive heart failure, carotid sinus hypersensitivity * Established diagnosis of tachy and/or brady arrhythmias, except cardioinhibiotry neurocardiogenic syncope. * History of pacemaker, ICD or CRT-D implantation. * Other conditions where Yoga should be avoided are: 1. Pregnant women 2. Subjects with untreated or uncontrolled high blood pressure 3. Subjects with past history of Pnuemothorax. 4. Subjects with severe cervical spondylitis and cervical, thoracic or lumbar disc prolapse. 5. Subjects with carotid stenosis 6. Subjects with history of psychosis (evidence of acute episodes with deep and prolonged meditation) or substance abuse. 7. Subjects with the history of epilepsy ( evidence of acute episodes with deep and prolonged meditation) 8. Subjects with glaucoma 9. Subjects with history of Total Hip Replacement.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in frequency of recurrent syncopal spells in patients with Neurocardiogenic syncope (NCS) | Baseline to 3 Months | Differences in the incidence of syncopal spells pre and post Yoga. |
Secondary
| Measure | Time frame |
|---|---|
| Change in Heart Health | 3 Months, 1 Year |
Countries
United States
Outcome results
None listed