How stress cause of HTN and CAD (iĀdhi – The Seed of all Diseases ).Management through Yoga Pancha kosha concept.

1. Dr. Priyanka Nayak
BNYS, MscYoga
YOGIC CONCEPT OF CAD

4. EMOTIONAL CORTEX
CONSTRICTS
BLOOD
VESSELSFORCEFUL
CONTRACTION OF THE HEART
Anger Fear Tension

5. Hypertension
 High blood pressure is a common condition in which the
long-term force of the blood against your artery walls is
high enough that it may eventually cause health problems,
such as heart disease.

6. Blood pressure determined by
The Amount of
blood your heart
pumps
The amount of
resistance to blood
flow in your arteries
More blood
your heart
pumps
Narrower your
arteries
Increase blood
pressure.

8. Types of HTN
• For most adults,
there's no identifiable
cause
Primary
(essential)
hypertension
• tends to appear
suddenly and cause
higher blood pressure
than does primary
hypertension
Secondary
hypertension

11. Risk factors
 Not being physically active. People who are inactive tend to have higher heart
rates. The higher your heart rate, the harder your heart must work with each
contraction and the stronger the force on your arteries. Lack of physical activity
also increases the risk of being overweight.

12. Risk factors
RaceAge Family history Obesity
Men > Women
common among people
of African heritage, often
desveloping at an earlier
age than it does in white
High blood pressure
tends to run in families.
The more you weigh
the more blood you need to
supply oxygen and nutrients to your
tissues
.
As the volume of blood circulated
through your blood vessels
increases,
increase the pressure on arterywalls.

13. Risk factors
.
Not being physically
active
Using tobacco.
People who are inactive tend
to have higher heart rates.
The higher your heart rate, the harder your
heart must work with each contraction and
the stronger the force on your arteries
The chemicals in tobacco
can damage the lining of
your artery walls.
damage the lining of your artery walls.
This can cause your arteries to narrow
and increase your risk of heart disease
Too much salt in
your diet
cause your body to retain fluid,
which increases blood pressure
Too little potassium in
your diet
Drinking too
much alcohol
Stress.

16. Coronary artery disease ( CAD)
 Coronary artery disease is the narrowing or
blockage of the coronary arteries, usually caused
by atherosclerosis. Atherosclerosis (sometimes
called "hardening" or "clogging" of the arteries) is
the buildup of cholesterol and fatty deposits
(called plaques) on the inner walls of the arteries.Ischemia is a condition described as
"cramping of the heart muscle." Ischemia
occurs when the narrowed coronary artery
reaches a point where it cannot supply
enough oxygen-rich blood to meet the heart's
needs. The heart muscle becomes "starved"
for oxygen-rich blood to meet the heart's
needs. The heart muscle becomes "starved"
for oxygen.

18. Symptoms of heart disease in
your blood vessels
(atherosclerotic disease)
 Cardiovascular disease symptoms may be different
for men and women. For instance, men are more
likely to have chest pain; women are more likely to
have other symptoms along with chest discomfort,
such as shortness of breath, nausea and extreme
fatigue.
Symptoms can include:
 Chest pain, chest tightness, chest pressure and chest
discomfort (angina)
 Shortness of breath
 Pain, numbness, weakness or coldness in your legs
or arms if the blood vessels in those parts of your
body are narrowed
 Pain in the neck, jaw, throat, upper abdomen or back

19. ANNAMAYA
KOSHA
PRANAMAYA
KOSHA
MANOMAYA
KOSHA
Excessive speed in
mind
CM - DEEP REST
CALMNESS
YOGA
DIVINE MOOD - CALM -
REST
The excessive speed percolates
as imbalances in kosha
Slow deep breathing
mastery over excessive
speed
Balancing of prana
Reduced sympathetic
The excessive speed
manifests as hyperactive
habit of persistent high
blood pressure
Constriction of blood
vessels

20. DEEP REST TO MIND BODY COMPLEX
IRT QRT DRT
CM
CM
QRTIRTDRT 
QRT
CM
CM

22. ĀDHIJA VYĀDHI - SĀMĀNYA
Stress - Begins in Manomaya Kośa
Modern stress

23. Ādhi – The Seed of all Diseases
Restless Mind
Excess
Speed
Stress
All begins in Manomaya
Kośa
No Control

24. YOGIC
DEFINITION
OF STRESS

25. Yoga Research on Cardiac functions
The efficacy of integrated yoga based life style
modification program in patients with CAD after coronary
artery bypass graft surgery.

26.  This one-year prospective randomized two-arm control
trial on 300 patients who underwent elective coronary
artery bypass graft surgery for coronary artery disease
CAD showed the following results
Summery of Research paper in Cardiac Disorders

27. Fraction (EF
%)
 *p<0.05, **p<0.001 (within group), @@p<0.001 (between the groups) @p<0.05 (between the groups)
EF% Group Base line 1 Year
p - value
(Within
group)
%
Change
p – value
Y v/s C
≥50
Y(n=59)
55.63±3.44 57.07±3.59* 0.005 2.59
0.53
C(n=59)
56.83±3.58 57.69±2.61 0.011 1.51
<50
Y(n=34)
43.26±4.59
49.09±6.67*
*@
0.001 13.47
0.005
C(n=21)
42.86±4.36 46.16±6.36* 0.007 7.69
Total Y(n=93)
51.71±7.28
54.16±7.
52**
0.001 5.88
0.36
C(n=80)
52.06±7.42
54.66±6.44*
*
0.001 4.8

28. Changes in Total EF
46
48
50
52
54
56
58
Yoga Control
Groups
EFValues
Baseline
one year
** **
Changes in EF < 50
0
20
40
60
80
Yoga Control
Groups
EFValues
Baseline
one year
**
Changes in EFgreater than or equal to 50
53
54
55
56
57
58
59
Yoga Control
Groups
EFValues
Baseline
one year
*
LVEF

29. 0
50
100
150
200
250
Yoga Control
TriglycerideValues
Groups
Baseline
one year
0
50
100
150
200
250
300
350
Yoga Control
TriglyceriedValues
Groups
Baseline
one year
Changes in triglyceride ≥ 165Changes in total triglyceride
TRIGLYCERIDES
HDL
Changes in Total HDL
35
36
37
38
39
40
41
42
Yoga Control
Groups
HDLValues
Baseline
one year
**
** ****
36
37
38
39
40
41
42
43
Yoga Control
HDLValues
Groups
Baseline
one year
*
Changes in HDL ≥
35
LDL
0
20
40
60
80
100
120
140
Yoga Control
LDLValues
Groups
Baseline
one year
20
25
30
35
40
45
Yoga Control
VLDLValues
Groups
Baseline
one year

30. MEDICATION
0.4
0.6
0.8
1
1.2
1.4
1.6
1.8
Yoga Control
ANTIHTNMedicationValues
Groups
Baseline
one year
0.8
0.85
0.9
0.95
1
1.05
1.1
1.15
1.2
Yoga Control
CardianMedicationValues
Groups
Baseline
one year
*
@@
*
*
Changes in anti hypertension medication
Changes in cardiac medication