Want alternatives to traditional drug therapy? We started a new Frequently Asked Questions category: FAQ: Natural Therapies & Holistic Treatment. Many A-Fib patients have questions about treatment alternatives such as naturopathic doctors and Holistic medicine as well as mind/body practices such as chiropractic, acupuncture, yoga and meditation. For questions/answers for you to browse, go to FAQ page.
“I do Yoga. It relaxes me and helps with my stress level. Is there any evidence on Yoga helping with other A-Fib symptoms?”
“I wouldn’t have believed until I saw it,” said Dr. Lakkireddy talking about the impact of yoga on his patients. He noticed that a couple of his patients wearing heart-rate monitors became A-Fib free when they were taking yoga classes.
Intrigued, Dr. Dhanunjaya Lakkireddy of the University of Kansas School of Medicine initiated a study to monitor a group of A-Fib patients, first for three months to assess the frequency of their A-Fib episodes, and their anxiety, depression, and quality of life. Then, in the next stage he switched them to taking yoga classes for three months. (Specifically, Iyengar yoga, which comprises breathing control exercises, yoga postures that are held for 30 to 60 seconds each and meditation/relaxation techniques.)
Yoga Study Results
The results? Yoga reduced their A-Fib episodes and improved their emotional well-being. (Specifically, the number of symptomatic A-Fib events was down, heart beat and blood pressure dropped, depression eased and anxiety decreased.)
Why did this happen? Dr. Lakkireddy suggests yoga helps minimize the extreme fluctuations in the autonomic nervous system (ANS), in this case, of patients with Atrial Fibrillation.
In a video interview, Dr. Lakkireddy said, “Yoga can actually be a very good intervention here because yoga reduces the number of episodes of A-Fib, so that means it is decreasing the probability of you developing more systemic inflammation. It is also clearly established that doing yoga reduces the overall inflammatory burden on your body.”
Speaking at the 2012 Boston AFib Symposium, he added that though yoga helps, it doesn’t cure A-Fib, “it only makes it less burdensome.”
Benefits for All (Especially the Aging Baby Boomers)
In an editorial on CardioSource.org, Drs Zografos and Katritsis commented on the Lakkireddy study findings. Because this study was small, had no control group, and only a short duration of follow-up, the results are regarded as ‘preliminary’.
But the findings are timely. They observed that, with the growing population of elderly A-Fib patients, the relative safety of yoga training, along with the added benefits of yoga (reduction of anxiety and depression, improved mobility and fall prevention), the findings of the study are all the more pertinent.
Start Yoga Slowly and Gently
Besides the possible benefits for your A-Fib, there are many other health and well-being reasons to consider adding Yoga to your routine (reduced anxiety, depression and blood pressure). If you are considering adding yoga to your treatment plan, talk to your doctor first. Once you have the go-ahead, start slowly and gently.
In an Everydayhealth.com article, Brian Leaf, director of The New Leaf Learning Center, a holistic tutoring center in Massachusetts, and author of Misadventures of a Garden State Yogi, recommends atrial fibrillation patients should begin with these three relaxing yoga poses:
• Alternate nostril breathing. “This breathing exercise balances the right and left hemispheres of your brain,” Leaf says.
• Cat lift and round. “This practice gently warms up the spine and nervous system and relaxes the upper back and shoulders,” Leaf says.
• Downward dog.
As you progress, consider working with a yoga instructor to modify poses to fit your physical limitations and your heart condition.
Last updated: Saturday, February 11, 2017
Return to FAQ Natural Therapies
by Steve S. Ryan, PhD
For a substantial portion of A-Fib patients, the impact on ‘quality of life’ extends beyond our beating heart. Atrial Fibrillation wreaks havoc with your head as well as your heart. Anxiety, fear, worry, confusion, frustration and depression. And at times, anger.
The psychological and emotional effects of Atrial Fibrillation can be debilitating. Recent research indicates that “psychological distress” worsens A-Fib symptoms’ severity.1
(Don’t expect much help from your heart doctors. They aren’t trained or often have little effective experience in dealing with the psychological and emotional aspects of A-Fib.)
Don’t be ashamed to admit how A-Fib makes you feel (especially if you’re a guy). Your psyche is just as important as your physical heart. Just acknowledging you have some or all of these symptoms is a step in the right direction.
Seven WAYS TO COPE WITH YOUR A-FIB FEAR AND ANXIETY
1. Knowledge is Power and Control!
Read about your treatment options, learn about your A-Fib. Read how others have dealt with their A-Fib. Search the list of Personal Experiences published on his site. With over 80 stories, you’re sure to find a few patients with similar symptoms as yourself. Knowing others have beaten their A-Fib is a tremendous psychological relief. This helps replace fear with hope!
2. Anxiety Thought Log
Confront your A-Fib fears directly. Don’t let them mill around in your subconscious. Former A-Fib patient, Anthony Bladon, suggests you keep an ‘anxiety thoughts log.’ Write down word-for-word what the anxious thought was, when, and what was the trigger. Confront each fearful thought and try to re-state it in a more reasonable frame of mind, thereby reducing the anxiety. (See Anthony Bladon and his anxiety log.)
This may sound a bit bizarre, but try repeating anxious thoughts to yourself. Express a fear to yourself over and over. Let the monotony make your mind wander to more enjoyable thoughts. Or set aside a 20 minute worrying time during the day and refuse to think about troubling fears at any other time.
3. Yoga, Relaxation Techniques, Meditation and Walking
In preliminary studies, Yoga has been demonstrated to improve A-Fib symptoms and to reduce A-Fib attacks, as well as improve quality of life, depression and anxiety.2 (See also FAQ #8 “I do Yoga. It relaxes me and helps with my stress level. Is there any evidence on Yoga helping with other A-Fib symptoms?“)
Relaxation techniques and meditation may also offer you relief from your anxieties.
A specific type of meditation called ‘Mindfulness’ is recommended by Harvard Pilgrim nurse case manager Linda Bixby. The technique is to ‘Observe and Feel the Physical Sensations’ of the A-Fib Episodes. At first this may seem counter-intuitive and may not work for you. The idea is to observe rather than resist or worry. You allow a frightening health event like an A-Fib attack to just run its course. For example, Neil Blanchette was diagnosed with A-Fib when he was 17. Meditation and “mindfulness” was a great help to him. “Just taking it in and letting myself feel the physical A-Fib experience was actually relaxing.”3(Thanks to David Holzman for calling our attention to this article.)
Walking curbs anxiety. Try to walk outdoors at approximately the same time each day. Breathing fresh air and having an established routine enhance the calming and relaxing effects of walking. But even if you can’t walk at the same time or outdoors, 20 minutes of walking daily reduces anxiety.
4. Natural Remedies:
Lavender Oil Aromatherapy: the light, soothing fragrance of lavender oil has long been used to ease anxiety (and insomnia). One example of many is Nature’s Way Calm Aid. “It contains Silexan, a type of lavender oil shown in clinical studies to ease anxiety as effectively as the benzodiazepine drug lorazepam (Ativan).”4
PharmaGABA: is a bioidentical form of GABA (gamma-aminobutyric acid), which serves as a critical calming agent in the central nervous system, works on the same chemical pathways as Xanax, Valium, and other drugs—without all the negative side effects; helps combat stress and anxiousness.5 One example is Natural Factors PharmaGABA
Relora: a blend of two botanical extracts (Magnolia officinalis and Phellodendron amurense) that helps reduce cortisol levels and promotes feelings of relaxation.6
Chamomile: “calms the nerves, reduces irritability and lessens the muscle spasms, headache and abdominal pain that can accompany anxiousness.” Substitute chamomile tea for caffeinated beverages, or take 60 drops of chamomile tincture in two ounces of water four times a day before or after meals, or add two drops of concentrated chamomile essential oil to a hot bath at night.7
Gotu Kola: restores health to brain and nerve cells by promoting blood circulation to the brain which has a calming effect.8
5. Counseling and Meds
Recognize that you may need professional help. Don’t be embarrassed to seek counseling. In addition, discuss if anxiety medication would be appropriate or helpful. (See Jay Teresi’s story, “Anxiety the Greatest Challenge” and Kelly Teresi’s story “A Young Wife Copes with Husband’s A-Fib” in my book, Beat Your A-Fib, pgs. 101-105)
6. Our A-Fib Support Volunteers
It might calm your fears to talk with or email someone who knows first-hand how A-Fib makes you feel. Each of our A-Fib Support Volunteers has gone through a lot to be cured of their A-Fib. They were helped along the way and now they want to return the favor by offering you support and hope. Learn more on our A-Fib Support Volunteers page (under Resources and Links).
7. Enlist Support From Your Loved Ones
Recognize that A-Fib can have significant consequences on your social interactions with your family and colleagues. Sit down and have a talk with your significant other(s), your friends and co-workers. Explain what A-Fib is, how it affects you and how it makes you feel. Ask for their understanding. They will want to help you, so be prepared to answer their questions.
Takeaway: Fight your fears! Ambush your anxiety! Atrial Fibrillation may be in your heart but it doesn’t have to be in your head. Seek your freedom from anxiety and improve the quality of your life.
Other ideas? If you have suggestions or programs that helped reduce your A-Fib-related anxiety, please email me and let me know.
Last updated: Tuesday, February 14, 2017
- Gehi AK at al. Psychopathology and symptoms of atrial fibrillation: implications for therapy. J Cardiovasc Electrophysiol. 2012 May;23(5):473-8. doi: 10.1111/j.1540-8167.2011.02264.x. Epub 2012 Mar 19. http://www.ncbi.nlm.nih.gov/pubmed/22429764↵
- Neale, T. Yoga May Calm Afib. MedscapeToday.com. Jan 23, 2013. Last accessed Jan 23, 2014. URL:http://www.medpagetoday.com/Cardiology/Arrhythmias/37121↵
- Harvard Pilgrim Health Care. Your Health, Fall 2014.↵
- Lucile, H. (DrHollyLucille.com) Natural remedy for anxiety, Bottom Line Health, April, 2014, p. 16.↵
- Whitaker, J. PharmaGABA Chewables for Immediate Stress Relief. Whitaker Wellness Institute website. Last accessed March 29, 2014. URL: http://www.whitakerwellness.com/pharmagaba/↵
- Whitaker, J. Innovations in Wellness Medicine, Natural Solutions for Stress Relief. Dr. Whitaker’s Health & Healing, March 2015, Vol. 25, No. 3.↵
- Starbuck, Jamison. The Natural Way/No More Drugs for Anxiety. Bottom Line Health, Volume 29, Number 10, October 2015, p. 10.↵