They can’t stand blood. They lose consciousness as soon as it gets hot. They go into crisis out of fear or because they stand for a long time. And they lose consciousness. For those who encounter these forms of failure, call “Vaso-vagali”, the advice to reduce the risks is simple: sign up for a yoga class. Perhaps you could have more benefits from meditation and exercises recommended by the teacher than from therapies made to increase the intake of mineral salts and water, even if associated with physical exercises that tend to concentrate the blood supply to the brain. To bless both in terms of reducing the risk of new misses plus benefits from exercises under the guidance of a teacher is a research conducted in India by Jayaprakash shenthar by Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, published in EP Europace. The study is the first to evaluate guided yoga as a treatment for those suffering from vaso-vagal syncope and involved 100 subjects (mainly women with an average age of 33) who had had this type of faint at least 3 times in the previous year. Participants were randomly assigned to treatment with yoga or conventional therapies: in the latter case, experts recommended increasing salt intake by 50% and drinking over 3 liters of water every day, along with a series exercises aimed at “squeezing” the blood from the lower limbs towards the brain, such as crossing the legs and contracting the muscles of the thighs and buttocks in the presence of warning signs of fainting. In subjects “enrolled” in the yoga course No advice on therapies and hydration was given, but they were asked to participate in sessions (at least 5) with a certified yoga instructor, with one-hour lessons including pranayama (breathing), asana (postures) and dhyana (meditation). Participants were then advised to do yoga for 60 minutes at least 5 days a week for the next 12 months. In the 12 months following these approaches, fainting was reduced in the group “treated” with yoga with only 1.1 episodes of vaso-vagal syncope, compared to 3.8 recorded in the group subjected to standard therapies. According to Shenthar, “the benefits of guided yoga were evident as early as three months after the start of treatment and lasted for six and twelve months. Preliminary observations indicate that the breathing and meditation modes of yoga they have a positive effect on the autonomic system while the “asanas” improve the vascular tone, both could prevent the gravitational stagnation of the blood in the lower parts of the body “.
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“The study – he points out Claudio Cuccia, Head of the Cardiovascular Department of the Poliambulanza Foundation of Brescia – “refers to a pathology that to date has no solution. The fact that yoga can be inserted as an activity aimed at well-being also in the cardiological patient is a practice already adopted in our Department; that yoga can still enter the hospital, it is certain given the positive experience experienced on our doctors and nurses in a long training course – which lasted more than 3 years – which has contributed to improving work well-being, well-being put to the test by recent dramatic experiences of the Covid pandemic “. Sonia Tosoni, nursing coordinator and yoga instructor at the facility, has long included this practice as a preparatory activity, for example, in patients undergoing heart surgery. “The positive experience derived from exercises aimed at increasing awareness of breathing – he maintains – has allowed us to reduce post-operative desaturations, especially in the phases following extubation. These are also preliminary data, which, like those presented in Shenthar’s study, deserve validation on larger case studies. ”
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