Nonpharmacologic treatment of resistant hypertensives by device-guided slow breathing exercises |
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Authors: | Viskoper Reuven Shapira Irena Priluck Rita Mindlin Rina Chornia Larissa Laszt Anny Dicker Dror Gavish Benjamin Alter Ariela |
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Institution: | WHO Collaborative Center for Prevention of CVD, the Barzilai Medical Center, Ashkelon, affiliated to the University of the Negev in Beer-Sheva, Ashkelon, Israel. reuvenv@barzi.health.gov.il |
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Abstract: | BACKGROUND: Recent studies have demonstrated the antihypertensive effect of slow breathing exercises, guided interactively by a device, in patients with uncontrolled blood pressure (BP) without changing medication. This study examined the response to the same treatment protocol in resistant hypertensives. METHODS: Seventeen resistant hypertensives exercised device-guided slow breathing for 8 weeks, 15 min daily, and self-monitored BP. Data stored in the devices were collected on a PC-based system. Clinical outcomes were office and home BP changes from baseline to end values. RESULTS: Significant reductions in both office BP (-12.9/-6.9 mm Hg, P <.001 and home BP (-6.4/-2.6 mm Hg, P <.01/P <.05) without side effects with 82% responders and good compliance. CONCLUSIONS: Resistant hypertensives can benefit from and are compliant with self-treatment by device-guided slow breathing. |
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