Effects of Slow Deep Breathing Exercises in Patients with Coronary Artery Disease
Zahra Abdulmunem Ahmed 1*, Hussam Abbas Dawood 2*
Journal of Angiotherapy 8(3) 1-9 https://doi.org/10.25163/angiotherapy.839594
Submitted: 02 January 2024 Revised: 04 March 2024 Published: 11 March 2024
In this A Quasi-Experimental Study, we have shown enhanced effect Cardiovascular Health in Coronary Artery Disease Patients Through Deep Breathing Exercises with Incentive Spirometry.
Abstract
Background: Cardiovascular diseases (CVDs) remain a leading cause of mortality and morbidity globally, often associated with autonomic dysfunction. This dysfunction manifests as reduced heart rate variability (HRV), indicating imbalanced autonomic nervous system activity. Deep breathing (DB) techniques and yoga practices have been shown to enhance cardiovascular health by modulating autonomic function. Incentive spirometry (IS) is a widely used therapy in the management of postoperative and hospitalized patients with CVDs. This study aimed to evaluate the effects of IS combined with DB exercises on cardiovascular parameters in patients with coronary artery disease (CAD). Method: A quasi-experimental study design was employed, with 50 CAD patients divided equally into study and control groups. The study group received IS therapy along with DB exercises, while the control group received standard medical management. Various cardiovascular parameters, including heart rate, blood pressure, and electrocardiographic indicators, were measured pre- and post-intervention. Results: The results revealed significant improvements in cardiopulmonary parameters and electrocardiographic findings in the study group compared to the control group. Specifically, participants in the study group exhibited increased HRV, improved blood pressure control, and favorable changes in electrocardiographic indices indicative of enhanced cardiac function. Conclusion: In conclusion, the findings suggest that the combination of IS therapy with DB exercises may offer substantial benefits in managing CAD by improving autonomic function and cardiovascular health. Further research is warranted to elucidate the underlying mechanisms and optimize the implementation of these interventions in clinical practice.
Keywords: incentive spirometer, coronary artery disease (CAD), cardio-pulmonary parameters, ECG findings.
References
Aweto, H. A., Obikeh, E. O., & Tella, B. A. (2020). Effects of incentive spirometry on cardiopulmonary parameters, functional capacity and glycemic control in patients with Type 2 diabetes. Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao, 40(2), 121–132. https://doi.org/10.1142/S1013702520500110
Bilo, G., Revera, M., Bussotti, M., Bonacina, D., Styczkiewicz, K., Caldara, G., Giglio, A., Faini, A., Giuliano, A., Lombardi, C., Kawecka-Jaszcz, K., Mancia, G., Agostoni, P., & Parati, G. (2012). Effects of slow deep breathing at high altitude on oxygen saturation, pulmonary and systemic hemodynamics. PloS one, 7(11), e49074. https://doi.org/10.1371/journal.pone.0049074
Chang, Q., Liu, R., & Shen, Z. (2013). Effects of slow breathing rate on blood pressure and heart rate variabilities. International journal of cardiology, 169(1), e6–e8. https://doi.org/10.1016/j.ijcard.2013.08.121
McCraty, R., & Shaffer, F. (2015). Heart Rate Variability: New Perspectives on Physiological Mechanisms, Assessment of Self-regulatory Capacity, and Health risk. Global advances in health and medicine, 4(1), 46–61. https://doi.org/10.7453/gahmj.2014.073
Qiu, T., Li, Y., Zhang, J., Hou, X., Wu, Y., Xu, Y., Chen, W., Rui, J., Yang, J., & Qian, J. (2022). A Cross-Sectional Study on the Application of IS in Perioperative Pulmonary Function Training in Spine and Orthopedics. Computational intelligence and neuroscience, 2022, 4546549. https://doi.org/10.1155/2022/4546549
Russell, M. E., Scott, A. B., Boggero, I. A., & Carlson, C. R. (2017). Inclusion of a rest period in diaphragmatic breathing increases high frequency heart rate variability: Implications for behavioral therapy. Psychophysiology, 54(3), 358–365. https://doi.org/10.1111/psyp.12791
Russell, M. E., Scott, A. B., Boggero, I. A., & Carlson, C. R. (2017). Inclusion of a rest period in diaphragmatic breathing increases high frequency heart rate variability: Implications for behavioral therapy. Psychophysiology, 54(3), 358–365. https://doi.org/10.1111/psyp.12791
Shah, A. S., El Ghormli, L., Vajravelu, M. E., Bacha, F., Farrell, R. M., Gidding, S. S., Levitt Katz, L. E., Tryggestad, J. B., White, N. H., & Urbina, E. M. (2019). Heart Rate Variability and Cardiac Autonomic Dysfunction: Prevalence, Risk Factors, and Relationship to Arterial Stiffness in the Treatment Options for Type 2 Diabetes in Adolescents and Youth (TODAY) Study. Diabetes care, 42(11), 2143–2150. https://doi.org/10.2337/dc19-0993
Sigamani, A., & Gupta, R. (2022). Revisiting secondary prevention in coronary heart disease. Indian heart journal, 74(6), 431–440. https://doi.org/10.1016/j.ihj.2022.11.011
Sweity, E. M., Alkaissi, A. A., Othman, W., & Salahat, A. (2021). Preoperative incentive spirometry for preventing postoperative pulmonary complications in patients undergoing coronary artery bypass graft surgery: a prospective, randomized controlled trial. Journal of cardiothoracic surgery, 16(1), 241. https://doi.org/10.1186/s13019-021-01628-2
Toor, H., Kashyap, S., Yau, A., Simoni, M., Farr, S., Savla, P., Kounang, R., & Miulli, D. E. (2021). Efficacy of Incentive Spirometer in Increasing Maximum Inspiratory Volume in an Out-Patient Setting. Cureus, 13(10), e18483. https://doi.org/10.7759/cureus.18483
Wang, X., & Khalil, R. A. (2018). Matrix Metalloproteinases, Vascular Remodeling, and Vascular Disease. Advances in pharmacology (San Diego, Calif.), 81, 241–330. https://doi.org/10.1016/bs.apha.2017.08.002
Wu, Q., Liu, L., Jiang, X., Hu, Y. Y., Liang, Q. S., He, Z. S., Xue, Y., Zhu, W., Tang, Z. X., Hou, Y. Y., Zhao, Q., & Wang, X. H. (2020). Effect of voluntary breathing exercises on stable coronary artery disease in heart rate variability and rate-pressure product: a study protocol for a single-blind, prospective, randomized controlled trial. Trials, 21(1), 602. https://doi.org/10.1186/s13063-020-04402-2
Wu, Z., & McGoogan, J. M. (2020). Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72?314 Cases From the Chinese Center for Disease Control and Prevention. JAMA, 323(13), 1239–1242. https://doi.org/10.1001/jama.2020.2648
Zerang, F., Amouzeshi, A., & Barkhordari-Sharifabad, M. (2022). Comparison of the effect of incentive spirometry and deep breathing exercises on hemodynamic parameters of patients undergoing coronary artery bypass graft surgery: A Clinical Trial. Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing, 40(3), 134–139. https://doi.org/10.1016/j.jvn.2022.08.002
View Dimensions
View Altmetric
Save
Citation
View
Share