Effects of long term device-guided slow breathing on sympathetic nervous activity in hypertensive patients: a randomized open-label clinical trial

Autor(es)

de Barros, Silvana ^[1] ; da Silva, Giovanio Vieira ^[1] ; de Gusmao, Josiane Lima ^[2] ; de Araujo, Tatiana Goveia ^[1] ; de Souza, Dinoelia Rosa ^[3] ; Cardoso, Jr., Crivaldo Gomes ^[4] ; Oneda, Bruna ^[1] ; Mion, Decio ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Sch Med, Hypertens Unit, Nephrol Dept, Gen Hosp, Sao Paulo - Brazil

^[2] Univ Guarulhos, Sao Paulo - Brazil

^[3] Univ Sao Paulo, Sch Phys Educ & Sport, Exercise Hemodynam Lab, Sao Paulo - Brazil

^[4] Univ Estadual Londrina, Londrina - Brazil

• Tipo de documento: Artigo Científico
• Fonte: BLOOD PRESSURE; v. 26, n. 6, p. 359-365, 2017.
• Citações Web of Science: 2

Resumo

Purpose: Device-guided slow breathing (DGB) is indicated as nonpharmacological treatment for hypertension. The sympathetic nerve activity (SNA) reduction may be one of the mechanisms involved in blood pressure (BP) decrease. The aim of this study is to evaluate the long-term use of DGB in BP and SNA.Subjects and methods: Hypertensive patients were randomized to listen music (Control Group-CG) or DGB (aim to reduce respiratory rate to less than 10 breaths/minute during 15minutes/day for 8 weeks). Before and after intervention ambulatory blood pressure monitoring (ABPM), catecholamines and muscle sympathetic nerve activity (MSNA) by microneurography were performed.Results: 17 volunteers in the DGB and 15 in the CG completed the study. There was no change in office BP before and after intervention in both groups. There was a reduction in systolic and diastolic BP in the awake period by ABPM only in the CG (13110/929 vs 128 +/- 10/88 +/- 8mmHg, p<0.05). In relation to SNA, no difference in catecholamines was observed. In the volunteers who had a microneurography record, there was no change the MSNA (bursts/minute): DGB (17(15-28) vs 19(13-22), p=0.08) and CG (22(17-23) vs 22(18-24), p=0.52).Conclusion: Long-term DGB did not reduce BP, catecholamines levels or MSNA in hypertensive patients.ClinicalTrials.gov identifier: NCT01390727 (AU)

• Processo FAPESP: 10/06921-2 - Efeitos da respiração lenta na pressão arterial e na função autonômica em pacientes hipertensos
• Beneficiário: Decio Mion Junior
• Modalidade de apoio: Auxílio à Pesquisa - Regular