Heart Rate Variability Biofeedback Psychophysiological Rehabilitation in Coronary Artery Disease Patients: State of Heart as the State of Brain

Introduction: Psychological therapies in cardiac rehabilitation programs were found to be effective for patients with Coronary Artery Disease (CAD). Heart Rate Variability Biofeedback (HRV-BF) is a behavioural neuro-cardiac intervention designed as a natural oscillation between the breathing cycle a...

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Main Authors: Moli Jai Jain, Vishnu Vardhan, Vaishnavi Yadav, Pallavi Harjpal
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2023-02-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/17384/57895_CE(Vi)_F(IS)_PF1(OM_SC)_PFA(NC)_PN(SL).pdf
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author Moli Jai Jain
Vishnu Vardhan
Vaishnavi Yadav
Pallavi Harjpal
author_facet Moli Jai Jain
Vishnu Vardhan
Vaishnavi Yadav
Pallavi Harjpal
author_sort Moli Jai Jain
collection DOAJ
description Introduction: Psychological therapies in cardiac rehabilitation programs were found to be effective for patients with Coronary Artery Disease (CAD). Heart Rate Variability Biofeedback (HRV-BF) is a behavioural neuro-cardiac intervention designed as a natural oscillation between the breathing cycle and Heart Rate (HR), also known as refractory sinus rhythm biofeedback. Aim: To find the potential effects of heart rate variability biofeedback for psychophysiological rehabilitation in coronary artery disease patients. Materials and Methods: In this systematic review included five databases (PubMed, Scopus, web of science, and Google Scholar) were searched for publications between January 2011 and December 2021. Randomised control trials published in the English language, done on the effect of HRV-BF on psychophysiological rehabilitation in CAD, were included. High-quality experimental trials were chosen for the study, using Arksey and O’Malley framework. The records were screened against eligibility criteria and methodological quality analysis was done using Downs and black checklist. Results: Overall, 11,048 articles were extracted, from which 56 records were screened, and three randomised control trials were included in the study. All the three studies scored within a range of 20 to 25, with good methodological quality. They demonstrate practical feasibility of heart rate variability biofeedback device with both short-term and long-term effect on psychophysiological rehabilitation in CAD patients. Conclusion: This systematic review showed the potential effects of HRV-BF for psychophysiological rehabilitation in CAD patients. Patients have reported the benefits of HRV-BF therapies by patient-reported as well as therapies reported outcome measures.
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spelling doaj.art-02d09e67c4254b0a967b2dabd1bb9f9d2023-02-03T07:15:30ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-02-01172YC01YC0310.7860/JCDR/2023/57895.17384Heart Rate Variability Biofeedback Psychophysiological Rehabilitation in Coronary Artery Disease Patients: State of Heart as the State of BrainMoli Jai Jain0Vishnu Vardhan1Vaishnavi Yadav2Pallavi Harjpal3MPT Student, Department of Cardio-Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (DU), Wardha, Maharashtra, India.Professor and Head, Department of Cardio-Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (DU), Wardha, Maharashtra, India.Assistant Professor, Department of Cardio-Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (DU), Wardha, Maharashtra, India.MPT Student, Department of Neuro Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (DU), Wardha, Maharashtra, India.Introduction: Psychological therapies in cardiac rehabilitation programs were found to be effective for patients with Coronary Artery Disease (CAD). Heart Rate Variability Biofeedback (HRV-BF) is a behavioural neuro-cardiac intervention designed as a natural oscillation between the breathing cycle and Heart Rate (HR), also known as refractory sinus rhythm biofeedback. Aim: To find the potential effects of heart rate variability biofeedback for psychophysiological rehabilitation in coronary artery disease patients. Materials and Methods: In this systematic review included five databases (PubMed, Scopus, web of science, and Google Scholar) were searched for publications between January 2011 and December 2021. Randomised control trials published in the English language, done on the effect of HRV-BF on psychophysiological rehabilitation in CAD, were included. High-quality experimental trials were chosen for the study, using Arksey and O’Malley framework. The records were screened against eligibility criteria and methodological quality analysis was done using Downs and black checklist. Results: Overall, 11,048 articles were extracted, from which 56 records were screened, and three randomised control trials were included in the study. All the three studies scored within a range of 20 to 25, with good methodological quality. They demonstrate practical feasibility of heart rate variability biofeedback device with both short-term and long-term effect on psychophysiological rehabilitation in CAD patients. Conclusion: This systematic review showed the potential effects of HRV-BF for psychophysiological rehabilitation in CAD patients. Patients have reported the benefits of HRV-BF therapies by patient-reported as well as therapies reported outcome measures.https://jcdr.net/articles/PDF/17384/57895_CE(Vi)_F(IS)_PF1(OM_SC)_PFA(NC)_PN(SL).pdfcardiovascular morbidityoutcomepractical feasibility
spellingShingle Moli Jai Jain
Vishnu Vardhan
Vaishnavi Yadav
Pallavi Harjpal
Heart Rate Variability Biofeedback Psychophysiological Rehabilitation in Coronary Artery Disease Patients: State of Heart as the State of Brain
Journal of Clinical and Diagnostic Research
cardiovascular morbidity
outcome
practical feasibility
title Heart Rate Variability Biofeedback Psychophysiological Rehabilitation in Coronary Artery Disease Patients: State of Heart as the State of Brain
title_full Heart Rate Variability Biofeedback Psychophysiological Rehabilitation in Coronary Artery Disease Patients: State of Heart as the State of Brain
title_fullStr Heart Rate Variability Biofeedback Psychophysiological Rehabilitation in Coronary Artery Disease Patients: State of Heart as the State of Brain
title_full_unstemmed Heart Rate Variability Biofeedback Psychophysiological Rehabilitation in Coronary Artery Disease Patients: State of Heart as the State of Brain
title_short Heart Rate Variability Biofeedback Psychophysiological Rehabilitation in Coronary Artery Disease Patients: State of Heart as the State of Brain
title_sort heart rate variability biofeedback psychophysiological rehabilitation in coronary artery disease patients state of heart as the state of brain
topic cardiovascular morbidity
outcome
practical feasibility
url https://jcdr.net/articles/PDF/17384/57895_CE(Vi)_F(IS)_PF1(OM_SC)_PFA(NC)_PN(SL).pdf
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AT vaishnaviyadav heartratevariabilitybiofeedbackpsychophysiologicalrehabilitationincoronaryarterydiseasepatientsstateofheartasthestateofbrain
AT pallaviharjpal heartratevariabilitybiofeedbackpsychophysiologicalrehabilitationincoronaryarterydiseasepatientsstateofheartasthestateofbrain