Health

Do you feel dizzy when you stand up? Follow two simple muscle techniques


A new study presents two simple inexpensive and drug-free techniques to effectively manage symptoms of IOH and improve quality of life by activating lower body muscles before or after standing.

Research appears in Heartbeat, Official journal of the Heart Rhythm Society, the Society of Cardiac Electrophysiology and the Society of Pediatric & Congenital Electrophysiology, published by Elsevier.

Syncope, lightheadedness, dizziness, or loss of consciousness due to IOH, affect up to 40% of the general population (all ages), while syncope may be even more common. Despite this, the condition is relatively poorly studied, and little is known about the underlying mechanisms or the management and treatment of symptoms.

Currently, there are few options available to patients with IOH and no drug treatment. The most common recommendations are to stand up slowly or sit up before standing.

“Most people probably experience some sort of dizziness after standing up,” said principal investigator Satish R. Raj, MD, MSCI, FHRS, Professor of Cardiovascular Science, Libin Heart Institute, School of Medicine Cumming department, University of Calgary, Calgary, explained, AB, Canada. “For some people, this happens frequently and can happen several times a day, which can be very scary and negatively impact their quality of life. We wanted to explore the issue further. topic and provide novel and effective symptom management techniques with the goal of improving the Quality of Life of IOH patients.”

This study investigated physical activities before or after standing and their effectiveness in reducing blood pressure and symptoms commonly seen in patients with standing IOH. Study participants included 24 young women (mean age 32 ± 8 years) with a history of fainting shortly after standing and more than four episodes of prior or syncope per month.

Study participants were required to have a significant reduction in systolic blood pressure of at least 40 mmHg while standing to meet the IOH diagnostic criteria on the day of the study. Two participants had incomplete heart rate records and were excluded from the analysis.

22 study participants completed three sit-to-stand maneuvers including one non-interventional (control) standing position and two interventional maneuvers.

The researchers found that both lower muscle activation (thighs) through the pre-standing repetitive knee lift (PREACT) and lower muscle tension (thighs and buttocks) through leg crossing and Stretching immediately after standing (TENSE) effectively improves hypotension. This leads to a reduction in symptoms when standing. They found that the PREACT mechanism accomplishes this by increasing cardiac output, while the TENSE mechanism does so by increasing stroke volume.

First author Nasia A. Sheikh, MSc, Libin Heart Institute, Cumming School of Medicine, University of Calgary, Calgary, said: “Our study provides a novel and free symptom management technique that patients IOH patients can use to control their symptoms. AB, Canada. “Since this is a physical activity, it only requires the lower extremities of the body, which patients can use anytime and from anywhere to combat their symptoms.”

“Our study demonstrates the physiology of IOH and assesses the utility of physical manipulations that can help patients with IOH manage their symptoms. Diagnosing IOH identified by the patient is an important first step. important to help them understand and master their symptoms and thus minimize co-investigator Mary Runté, PhD, University of Lethbridge, Lethbridge, AB, Canada, adds.

In an accompanying editorial, Bert Vandenberk, MD, PhD, Department of Cardiovascular Science, Libin Heart Institute, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada; and Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium; and Carlos A. Morillo, MD, FHRS, Division of Cardiovascular Science, Libin Heart Institute, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, comment that “PREACT and TENSE offer a symptom-relief option.” simple and elegant effect for patients with IOH.”

However, they note, “The study needs to be confirmed in men, as well as explored in the elderly, where multiple confounding factors need to be addressed. Understanding the role of myocardial receptors lungs should also provide additional mechanistic understanding of the effects of effective physiological maneuvering.”

Source: Eurekalert



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