Acute Effect of Slow Deep Breathing Maneuver on Patient with Essential Hypertension Stage 1 and 2

  • Wendy Wiharja Faculty of Medicine, University of Pelita Harapan, Tangerang
  • Raymond Pranata Faculty of Medicine, University of Pelita Harapan, Tangerang
  • Abraham Fatah Faculty of Medicine, University of Pelita Harapan, Tangerang
  • Bertha Bertha Faculty of Medicine, University of Pelita Harapan, Tangerang
  • Ivani C Kurniadi Faculty of Medicine, University of Pelita Harapan, Tangerang
  • Hadrian Deka Faculty of Medicine, Gadjah Mada University, Yogyakarta
  • Vito A Damay Department of Cardiovascular, Siloam Hospital Lippo Village, Tangerang

Abstract

Background: Hypertension remains one of the most common health issues in Indonesia. Slow deep breathing maneuver is a non-pharmacological therapy that achieves systolic and diastolic blood pressure lowering effect through sympathetic and parasymphathetic firing rate.


Methods: This study was done using cross-sectional design, with consecutive sampling. Sample population was patients with hypertension stage 1 and 2, age range 40-55 years old, who came to Puskesmas Balaraja.


Results: Systolic blood pressure lowered from 148.04+5.82 mmHg to 138.15+5.9 mmHg (p<0.05) and diastolic pressure lowered from 85+5.05 mmHg to 78.47+5.46 mmHg (p<0.05). This study showed that there is a relation between the manuever and lowering the systolic and diastolic blood pressure (p=0.000, on T-Test analytical study).


Conclusion: Based on the data, the slow deep maneuver can be used as a non-pharmacological therapy for patients with hypertension. Because the effect is acute, it can be considered for hypertension crisis, but further studies are still needed.

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References

1. Leonard S. Lilly, MD. Pathophysiology of heart disease. 5th edition. Elsevier; 2010. p. 378.

2. Dinas Kesehatan Republik Indonesia. Profil kesehatan Indonesia tahun 2014. Jakarta; 2014. p. 28.

3. Gunardji Wirawan. Epidemi penyakit hipertensi di Indonesiatahun 2014. Bogor; 2014. p. 4.

4. Chacko N. Joseph, MD, H Wolinsky, Yamamoto H. Slow breathing improves arterial baroreflex sensitivity and decreased blood pressure in essential hypertension. Journal of American Heart Association. 2008;18(10):16-19.

5. Sepdianto. Efek slow deep breathing pada pasien hipertensi. Blitar; 2008. p.1-6.

6. Mohamed LAE, Hanafy NF, El-Naby AG. Effect of slow deep breathing exercise on blood pressure and heart rate among newly diagnosed patients with essential hypertension. Journal of Education and Practice. 2013;5(4):36-45.

7. Conklin HW. New alternative for treating hypertension. Canada: University of Toronto; 2010. p. 78.

8. Muntabean H, Mustafa K, Elliot WJ. Device-guided breathing to lower blood pressure. Journal of American Heart Association. 2010;8(6):89-92.

9. Pal GK, Velkumary S, Madanmohan. Effect short-term practice of breathing exercise on autonomic functions in normal human volunteers. Indian Journal of Medical Research. 2014;120:115-121.
Published
2017-04-18
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How to Cite
Wiharja, W., Pranata, R., Fatah, A., Bertha, B., Kurniadi, I., Deka, H., & Damay, V. (2017). Acute Effect of Slow Deep Breathing Maneuver on Patient with Essential Hypertension Stage 1 and 2. Indonesian Journal of Cardiology, 37(2), 75-80. https://doi.org/10.30701/ijc.v37i2.566
Section
Clinical Research