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Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
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Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
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Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
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Related Experiment Video

Updated: Dec 25, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Yoga-Based Cardiac Rehabilitation After Acute Myocardial Infarction: A Randomized Trial.

Dorairaj Prabhakaran1, Ambalam M Chandrasekaran2, Kalpana Singh2

  • 1Centre for Chronic Disease Control, New Delhi, India; Public Health Foundation of India, New Delhi, India; London School of Hygiene and Tropical Medicine, London, United Kingdom; Rollins School of Public Health, Emory University, Atlanta, Georgia.

Journal of the American College of Cardiology
|April 4, 2020
PubMed
Summary
This summary is machine-generated.

Yoga-based cardiac rehabilitation (CR) improved self-rated health and return to activities post-myocardial infarction. However, the study lacked power to demonstrate a significant reduction in major adverse cardiovascular events (MACE).

Keywords:
acute myocardial infarctioncardiac rehabilitationcoronary artery diseaserehabilitationsecondary preventionyoga

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Area of Science:

  • Cardiology
  • Preventive Medicine
  • Integrative Medicine

Background:

  • Cardiac rehabilitation (CR) programs face challenges in India due to shortages and low global uptake, necessitating alternative, cost-effective models.
  • Subgroups like women and the elderly often have poor uptake, highlighting the need for accessible CR options.

Purpose of the Study:

  • To evaluate the effectiveness of a yoga-based cardiac rehabilitation (Yoga-CaRe) program on major cardiovascular events and self-rated health.
  • To assess Yoga-CaRe as an alternative CR model in a multicenter randomized controlled trial.

Main Methods:

  • A multicenter randomized controlled trial involving 3,959 patients with acute myocardial infarction across 24 Indian medical centers.
  • Patients were randomized to either Yoga-CaRe or enhanced standard care with educational advice.
  • Co-primary outcomes included major adverse cardiovascular events (MACE) and self-rated health at 12 weeks.

Main Results:

  • No statistically significant difference in MACE between the Yoga-CaRe group (6.7%) and the enhanced standard care group (7.4%) (p=0.41).
  • Yoga-CaRe significantly improved self-rated health (p=0.002) and increased return to pre-infarct activities.
  • No differences were observed in tobacco cessation or medication adherence between groups.

Conclusions:

  • Yoga-CaRe demonstrated benefits in self-rated health and functional recovery after acute myocardial infarction.
  • The trial did not achieve statistical power to confirm a reduction in MACE.
  • Yoga-CaRe presents a viable alternative for individuals unable to access or unwilling to participate in conventional CR programs.