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Effectiveness of yoga based life style program on ejection fraction and left ventricular viability at the end of 6th year of coronary artery bypass graft (cabg) surgery

Author: 
Amaravathi, E. and Balaram, P.
Abstract: 

Progression of CAD is very high even after CABG because of risk factors and improper lifestyle. Left ventricular (LV) movement and ejection fraction (EF) can predict the prognosis. There is a necessity to find out the lifestyle interventions which can target the EF and LV movement in this specific geriatric group. The aim of the study is to improve the ejection fraction and LV performance at 6th year of CABG males. Methodology: Patients were recruited with randomized controlled trial and implemented yoga based lifestyle and conventional lifestyle programs from 2005, a previous project from Narayana Hrudayalaya, Bangalore. This project was completed by 2007 projecting YLSP as the best treatment. Later in 2012 that is in their 5th year of CABG life were contacted through phone calls and post cards and revised the treatment protocols. They were included with given freedom of either continuing or implementing new changes in the treatment programs. Out of 150 subjects in each group, 50 in conventional lifestyle program (CLSP) and 54 in yoga based lifestyle programs (YLSP) were shown interest in continuing the protocols and gave the Echo reports at the end of 6th year. Intervention: YLSP and CLSP administered in the contact session at 5th year of CABG providing CD of all practices. Results: YLSP shown significant improvement of ejection fraction (EF) at the end of 6th year with effect size in CLSP (d = 0.23) in YLSP (d = 0.41) groups. Further sub-group analysis done on LV viability (Severe and Moderate). LV severe in YLSP (p<0.001, Paired Samples ‘t’ test, d=0.7). LV severe in CLSP shown significant improvement of EF (p<0.03, Paired Samples ‘t’ test, d=0.4). There is no significant change between the groups (p>0.05) but LV function changed from severe to moderate at 6th year. Conclusion: Both the groups showed improvements of EF at the 6th year of CABG life of males with moderate to high effect.

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