Meditation for Improved Clinical Outcomes in Patients with Implantable Defibrillators for Heart Failure- Pilot Study

Dash Aditee1, Malhotra Pankaj1, Beri Neil1

  • 1Division of Cardiovascular Medicine.

Insights

Meditation may improve survival and reduce arrhythmias in congestive heart failure patients with implantable cardioverter-defibrillators (ICD). This pilot study suggests Vipassana meditation offers potential benefits for cardiac event reduction.

Area of Science:

  • Cardiology
  • Psychoneuroimmunology
  • Medical Interventions

Background:

  • Sympathetic nervous system activation is linked to adverse outcomes in congestive heart failure (CHF).
  • Emotional reactivity may contribute to arrhythmias in CHF patients.
  • Meditation is explored as a strategy to mitigate sympathetic overactivity and reduce cardiac events.

Purpose of the Study:

  • To investigate the effect of Vipassana meditation on arrhythmias and clinical events in patients with CHF and implantable cardioverter-defibrillators (ICD).
  • To assess if meditation can reduce emotional reactivity and its impact on cardiac health.

Main Methods:

  • A randomized controlled trial comparing Vipassana meditation to usual care in CHF patients with ICDs.
  • Meditation group received structured classes and daily practice recommendations.
  • Atrial and ventricular arrhythmias, and cardiac events were monitored via ICD and clinical follow-up.

Main Results:

  • Patients in the meditation group showed a trend towards improved survival (88% vs. 67%).
  • Fewer sustained atrial fibrillation episodes (0.9 vs. 2.5) and ventricular tachycardia (25% vs. 55%) occurred in the meditation group.
  • Reduced need for amiodarone and VT ablation was observed in the meditation arm.

Conclusions:

  • This pilot study indicates a potential benefit of meditation in improving survival and reducing arrhythmias in CHF patients with ICDs.
  • Long-term follow-up suggests meditation may be a valuable complementary therapy for managing CHF.
  • Further research is warranted to confirm these findings in larger cohorts.
Abstract

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