{"id":436,"date":"2020-02-20T13:05:23","date_gmt":"2020-02-20T12:05:23","guid":{"rendered":"https:\/\/hjerteforeningen.dk\/fagnet\/?p=5560"},"modified":"2024-03-21T13:47:57","modified_gmt":"2024-03-21T13:47:57","slug":"medicinsk-yoga-hjaelper-patienter-med-atrieflimren","status":"publish","type":"artikel","link":"https:\/\/hjerteforeningen.dk\/fagnet\/artikler\/alle-artikler\/medicinsk-yoga-hjaelper-patienter-med-atrieflimren\/","title":{"rendered":"Medicinsk yoga hj\u00e6lper patienter med atrieflimren"},"content":{"rendered":"\t\t
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Medicinsk yoga har i videnskabelige studier vist sig at kunne v\u00e6re et gavnligt supplement til behandlingen af patienter med hjerterytmeforstyrrelser. I Svendborg Kommune har tilbud om medicinsk yoga til patienter med atrieflimren vist sig at v\u00e6re meget popul\u00e6re.<\/h2>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Cirka\u00a0132.000\u00a0danskere lider af atrieflimren, og hvert \u00e5r diagnosticeres mere end\u00a024.000 nye tilf\u00e6lde. Sygdommen medf\u00f8rer store daglige gener som hjertebanken, \u00e5nden\u00f8d, svimmelhed, hurtig og uregelm\u00e6ssig puls og f\u00f8lelse af uro\u00a0og\u00a0angst. Behandlingen best\u00e5r som regel i blodfortyndende medicin og frekvens- og rytmeregulerende behandling, men studier\u00a0har vist,\u00a0at medicinsk yoga, ogs\u00e5 kaldet\u00a0MediYoga,\u00a0kan v\u00e6re et godt supplement\u00a0i\u00a0behandlingen.<\/span><\/p>

\u00a0<\/span><\/p>

Medicinsk\u00a0<\/span>y<\/span>oga<\/span>\u00a0til personer med atrieflimren<\/span><\/h3>

Medi<\/span>Y<\/span>oga<\/span>\u00a0<\/span>e<\/span>r en\u00a0<\/span>moderne og blid yogaform<\/span>. Den<\/span>\u00a0er<\/span>\u00a0<\/span>baseret p\u00e5 dyb<\/span>e<\/span>\u00a0vejrtr\u00e6kning<\/span>er\u00a0<\/span>og designet til, at patienter<\/span>ne<\/span>\u00a0ka<\/span>n sidde p\u00e5 en stol og udf\u00f8re bev\u00e6gelserne<\/span>.\u00a0<\/span>Der har v\u00e6ret flere mindre fors\u00f8g p\u00e5 at implementere yoga i\u00a0<\/span>d<\/span>et danske sundhedsv\u00e6sen<\/span>, prim\u00e6rt inden for hjerte-kar-sygdomme<\/span>.\u00a0<\/span>Et af de steder, som har fors\u00f8gt sig med at tilbyde\u00a0<\/span>MediYoga<\/span>\u00a0er Kardiologisk\u00a0<\/span>A<\/span>fdeling<\/span>\u00a0p\u00e5<\/span>\u00a0Svendborg Sygehus. I\u00a0<\/span>samarbejde med Svendborg Kommune og Hjerteforeningen har de<\/span>,<\/span>\u00a0<\/span>som led i et\u00a0<\/span>rehabiliterin<\/span><\/a>gsprojekt for patienter med atrieflimren<\/a>,<\/span>\u00a0<\/span>siden februar 2019 tilbudt<\/span>\u00a0patienterne forl\u00f8b med<\/span>\u00a0<\/span>MediYoga. <\/span>
<\/span><\/p>

O<\/span>verl\u00e6ge Claus Tveskov fra Kardiologisk\u00a0<\/span>A<\/span>fdeling p\u00e5 Svendborg Sygehus\u00a0<\/span>har v\u00e6ret involveret i rehabiliteringsprojektet fra starten. Introduktionen af<\/span>\u00a0<\/span>MediYoga<\/span>\u00a0<\/span>i projektet er blandt andet udsprunget af at \u00f8nske om at kunne\u00a0<\/span>tilbyde noget supplerende<\/span>\u00a0i rehabiliteringen til\u00a0<\/span>patienter med\u00a0<\/span>atrieflimre<\/span>n.<\/span>\u00a0<\/span>\u00a0<\/span><\/p>

\u00a0<\/span>– Vi har god viden om og ma<\/span>nge<\/span>\u00a0rehabiliteringstilbud til patienter med isk\u00e6miske hjertesygdomme<\/span>.<\/span>\u00a0<\/span>M<\/span>en vi\u00a0<\/span>st\u00e5r med<\/span>\u00a0en k\u00e6mpe gruppe af\u00a0<\/span>patienter med hjerterytmeforstyrrelser<\/span>, som vi ikke indtil nu ikke rigtig har kunne tilbyde noget\u00a0<\/span>ud over de g\u00e6ngse\u00a0<\/span>motions-,\u00a0<\/span>rygestop- og di\u00e6tkurser<\/span>,<\/span>\u00a0forklarer\u00a0<\/span>Claus Tveskov.<\/span>\u00a0<\/span><\/p>

\u00a0<\/span>Det er is\u00e6r adressering af angst og depression, som er en af grundene til<\/span>,<\/span>\u00a0at Svendborg Sygehus er g\u00e5et ind i\u00a0<\/span>MediYoga<\/span>\u00a0<\/span>tilbuddet<\/span>.<\/span>\u00a0<\/span><\/p>

\u00a0<\/span>–\u00a0<\/span>Vi har at g\u00f8re med\u00a0<\/span>en\u00a0<\/span>gruppe patienter<\/span>,<\/span>\u00a0<\/span>hvor en stor del\u00a0<\/span>g\u00e5r rundt<\/span>,<\/span>\u00a0og er bekymrede og nogle gange angste. N\u00e5r vi samtidig ved<\/span>,<\/span>\u00a0at angst er en risikofaktor for atrieflimren, giver det jo god\u00a0<\/span>mening at s\u00e6tte ind ogs\u00e5<\/span>\u00a0der.<\/span>\u00a0<\/span>O<\/span>g\u00a0<\/span>her<\/span>\u00a0virke<\/span>de<\/span>\u00a0<\/span>MediYoga<\/span>\u00a0som en oplagt ting at afpr\u00f8ve<\/span>, fort\u00e6ller\u00a0<\/span>Claus Tveskov<\/span>.<\/span>\u00a0<\/span><\/p>

\u00a0<\/span><\/p>

Begr\u00e6nset videnskabelig evidens<\/span><\/h3>

Antallet af<\/span>\u00a0videnskabelige\u00a0<\/span>studier af effekten af<\/span>\u00a0medicinsk yoga\u00a0<\/span>p\u00e5 hjerte-kar-sygdomme<\/span>\u00a0er\u00a0<\/span>indtil videre relativt lavt<\/span>.<\/span>\u00a0<\/span>Der er dog lavet<\/span>\u00a0en r\u00e6kke mindre studier, som indikere<\/span>r,<\/span>\u00a0at\u00a0<\/span>MediYoga<\/span>\u00a0kan hj\u00e6lpe is\u00e6r patienter med\u00a0<\/span>atrieflimren.\u00a0<\/span>Studie<\/span>r<\/span>ne<\/span>\u00a0<\/span>har<\/span>\u00a0vist<\/span>, at\u00a0<\/span>yogaen<\/span>\u00a0kan\u00a0<\/span>bidrage til\u00a0<\/span>blandt andet\u00a0<\/span>n<\/span>edsat hjertefrekvens, lavere blodtryk, reduceret angst og depression og\u00a0<\/span>en\u00a0<\/span>forbedret livskvalitet<\/span>. Desuden har\u00a0<\/span>d<\/span>e<\/span>t\u00a0<\/span>amerikansk<\/span>e YOGA My Heart<\/span>\u00a0<\/span>studie vist<\/span>\u00a0<\/span>signifikant\u00a0<\/span>f\u00e6rre episoder med<\/span>\u00a0<\/span>a<\/span>trieflimren<\/span>,<\/span>\u00a0n\u00e5r patienterne deltog i yoga undervisning<\/span>.<\/span>\u00a0<\/span><\/p>

\u00a0<\/span>Set fra<\/span>\u00a0Claus Tveskov\u00a0<\/span>stol\u00a0<\/span>er den\u00a0<\/span>prim\u00e6re<\/span>\u00a0gevinst ved\u00a0<\/span>Medi<\/span>Y<\/span>oga<\/span>,\u00a0<\/span>at de<\/span>n<\/span>\u00a0<\/span>kan v\u00e6re med til at\u00a0<\/span>give<\/span>\u00a0patienter<\/span>ne<\/span>\u00a0ro.\u00a0<\/span>\u00a0<\/span><\/p>

\u00a0<\/span>–<\/span>\u00a0<\/span>Om\u00a0<\/span>MediYogaen<\/span>\u00a0<\/span>virker p\u00e5 forekomsten af\u00a0<\/span>hjertearytmier<\/span>,\u00a0<\/span>har vi<\/span>\u00a0<\/span>ingen mulighed for at sige noget om<\/span>. Men\u00a0<\/span>h<\/span>vis de<\/span>n<\/span>\u00a0kan\u00a0<\/span>hj\u00e6lpe\u00a0<\/span>folk\u00a0<\/span>til at l\u00e6re at leve p\u00e5 bedste vis med deres\u00a0<\/span>arytmi<\/span>,<\/span>\u00a0s\u00e5 er meget jo vu<\/span>nd<\/span>et. Og\u00a0<\/span>s\u00e5 er\u00a0<\/span>det jo absolut ikke farligt<\/span>, forklarer Claus Tveskov.<\/span>\u00a0<\/span><\/p>

\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n Yoga My Heart Study <\/div>\n\n
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Medicinsk yoga blev i 2013 unders\u00f8gt i et studie blandt patienter med atrieflimren in USA. Form\u00e5let var at studere effekten af yoga p\u00e5 atrieflimren, livskvalitet, depression og angst.<\/p>

Studiet<\/b>
49 patienter med symptomatisk atrieflimren blev over tre m\u00e5neder observeret for atrieflimren episoder. I de efterf\u00f8lgende tre m\u00e5neder fik de samme patienter to gange om ugen 60 minutters undervisning i medicinsk yoga. Henover perioden observerede man dem for atrieflimren episoder. Endelig udfyldte patienterne b\u00e5de ved studiets start og slutning et sp\u00f8rgeskema om deres livskvalitet, angst og depression.<\/p>

Resultater<\/b>
Ved at sammenligne patienterne b\u00e5de f\u00f8r og efter de tre m\u00e5neders yogaundervisning fandt forskerne, at deltagerne i perioden med yoga oplevede f\u00f8lgende:<\/p>

f\u00e6rre episoder af symptomatisk atrieflimren
f\u00e6rre episoder af symptomatisk ikke-atrieflimren
f\u00e6rre episoder af asymptomatisk atrieflimren
nedsat hjertefrekvens og blodtryk
bedre livskvalitets
mindre angst og depression<\/p>

P\u00e5 baggrund af deres studie konkluderede forskerne, at medicinsk yoga kan have en positiv effekt p\u00e5 personer med atrieflimren. Da det er en b\u00e5de billige og ikke-invasiv behandling, kan medicinsk yoga derfor v\u00e6re et godt supplement til standardbehandlingen af atrieflimren.<\/p>

Kilde<\/b>: Lakkireddy D\u00a0et al (2013).\u00a0 Effect of yoga on arrhythmia burden, anxiety, depression, and quality of life in paroxysmal atrial fibrillation: the YOGA My Heart Study. Journal of the American College of Cardiology.\u00a02013 Mar 19;61(11):1177-82.<\/p> <\/div>\n <\/div>\n <\/div>\n \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Hjerteforeningen tilbyder ogs\u00e5\u00a0<\/span>MediYoga
<\/span><\/h3>

Rehabiliteringsprojekt<\/span>et<\/span>\u00a0for hjerterytmepatienter i\u00a0<\/span>Svendborg Kommune\u00a0<\/span>er et SATS-puljeprojekt og fungerer som et samarbejde mellem Kardiologisk\u00a0<\/span>A<\/span>fdeling p\u00e5 OUH Svendborg, Almen Praksis i Svendborg Kommune, Hjerteforeningen og Sundhedshuset Svendborg.\u00a0<\/span>Deltagerne i projektet skal have atrieflimren i en grad<\/span>,<\/span>\u00a0s\u00e5 de er symptomatiske og\u00a0<\/span>have\u00a0<\/span>mindst \u00e9n af en r\u00e6kke risikofaktorer for atrieflimre<\/span>n<\/span>\u00a0(hypertension,\u00a0<\/span>dysreguleret<\/span>\u00a0diabetes, overv\u00e6gt, rygning, alkohol, inaktivitet, kendt s\u00f8vnapn\u00f8, angst eller depression eller ringe egenomsorg).<\/span>\u00a0<\/span><\/p>

MediYoga<\/span>\u00a0er blot \u00e9t af flere tiltag, men interessen for at deltage har vist sig\u00a0<\/span>s\u00e5\u00a0<\/span>stor<\/span>,<\/span>\u00a0at\u00a0<\/span>Hjerteforeningen<\/span>s lokalforening<\/span>\u00a0har valgt\u00a0<\/span>ogs\u00e5\u00a0<\/span>selvst\u00e6ndigt\u00a0<\/span>at<\/span>\u00a0tilbyde<\/span>\u00a0<\/span>deres medlemmer\u00a0<\/span>MediYoga<\/span>\u00a0<\/span>kurser<\/span><\/a>\u00a0<\/span><\/p>

\u00a0<\/span>–\u00a0<\/span>Vi kunne tidligt i forl\u00f8bet se, at interessen for at f\u00f8lge et\u00a0<\/span>MediYoga<\/span>\u00a0kurs<\/span>us<\/span>\u00a0var meget stor, og\u00a0<\/span>vi\u00a0<\/span>t\u00e6nkte\u00a0<\/span>derfor<\/span>, at det gav mening at se<\/span>,<\/span>\u00a0om der\u00a0<\/span>ogs\u00e5\u00a0<\/span>v<\/span>ar interesse blandt borgerne\u00a0<\/span>i<\/span>\u00a0at forts\u00e6tte\u00a0<\/span>kurserne<\/span>\u00a0i regi af Hjerteforening, for<\/span>t\u00e6lle<\/span>r\u00a0<\/span>frivilligkonsulent i Hjerteforeningens Team\u00a0<\/span>S<\/span>yd<\/span>,<\/span>\u00a0<\/span>Jacob Hede<\/span>lund<\/span>.<\/span>\u00a0<\/span>\u00a0<\/span><\/p>

\u00a0<\/span>Derfor har\u00a0<\/span>lokalforeningen<\/span>\u00a0i<\/span>\u00a0<\/span>Svendborg siden\u00a0<\/span>september 2019<\/span>\u00a0tilbudt deres medlemmer kurser i\u00a0<\/span>MediYoga<\/span>.<\/span>\u00a0<\/span><\/p>

Indholdsm\u00e6ssigt er kurse<\/span>rne<\/span>\u00a0identisk<\/span>e<\/span>,<\/span>\u00a0med det der tilbydes i kommunen. Det er den samme\u00a0<\/span>MediYoga<\/span>-uddannede instrukt\u00f8r og lokalerne har v\u00e6ret de samme.\u00a0<\/span>Interessen for kurserne har if\u00f8lge\u00a0<\/span>Jacob Hede<\/span>lund<\/span>\u00a0v\u00e6ret overraskende stor<\/span>.<\/span>\u00a0<\/span><\/p>

\u00a0<\/span>–\u00a0<\/span>Vi\u00a0<\/span>er faktisk\u00a0<\/span>blev v\u00e6ltet\u00a0<\/span>lidt\u00a0<\/span>bagover af<\/span>\u00a0den\u00a0<\/span>inter<\/span>e<\/span>sse<\/span>,<\/span>\u00a0der har v\u00e6ret. Vi\u00a0<\/span>er nu p\u00e5 tredje hold og har m\u00e5tte finde nye lokaler<\/span>,<\/span>\u00a0s\u00e5 det<\/span>\u00a0har<\/span>\u00a0greb<\/span>et\u00a0<\/span>om\u00a0<\/span>sig,\u00a0<\/span>forklarer Jacob Hede<\/span>lund<\/span>.<\/span>\u00a0<\/span><\/p>

\u00a0<\/span><\/p>

Favner en bredere m\u00e5lgruppe<\/span><\/h3>

Konceptet\u00a0<\/span>for Hjerteforeningens kurser\u00a0<\/span>er, at der er l\u00f8bende optag, s\u00e5dan\u00a0<\/span>at\u00a0<\/span>medlemmerne kan f\u00e5 en plads<\/span>\u00a0i takt med<\/span>,<\/span>\u00a0at de er f\u00e6rdige i kommunalt regi<\/span>. Og i mods\u00e6tnings til det kommunale tilbud, som er\u00a0<\/span>forbeholdt dem med atrieflimren<\/span>, s\u00e5\u00a0<\/span>er\u00a0<\/span>Hjerteforeningens kurser\u00a0<\/span>\u00e5bne\u00a0<\/span>for alle hjertepatienter<\/span>.<\/span>\u00a0<\/span><\/p>

Deltagerne har indtil nu v\u00e6ret en meget blandet gruppe med stort set lige mange m\u00e6nd og kvinder. Det er for tidligt at evaluere p\u00e5 initiativet<\/span>,<\/span>\u00a0med det er Jacob Hede<\/span>lund<\/span>\u00a0fornemmelse, at\u00a0<\/span>MediYoga<\/span>\u00a0tilbud<\/span>d<\/span>et form\u00e5r at favne en lidt anden m\u00e5lgruppe end de plejer<\/span>\u00a0at ramme<\/span>:<\/span>\u00a0<\/span><\/p>

\u00a0<\/span>–<\/span>\u00a0<\/span>Med\u00a0<\/span>MediYoga<\/span>\u00a0f\u00e5r vi i h\u00f8jere grad<\/span>\u00a0<\/span>fat i dem<\/span>,<\/span>\u00a0som har en interesse i mere alternative behandlinger.\u00a0<\/span>Vi<\/span>\u00a0rammer\u00a0<\/span>m\u00e5ske<\/span>\u00a0ned i en tids\u00e5nd og\u00a0<\/span>i\u00a0<\/span>noget af det alternative, men p\u00e5 en m\u00e5de<\/span>,<\/span>\u00a0hvor v<\/span>i\u00a0<\/span>har\u00a0<\/span>et fagligt grundlag for at kunne antage<\/span>, at det virker, siger Jacob Hede<\/span>lund<\/span>, med reference til de videnskabelig<\/span>e<\/span>\u00a0studier der\u00a0<\/span>fore<\/span>ligger p\u00e5\u00a0<\/span>effekten af\u00a0<\/span>MediYoga<\/span>\u00a0til hjertepatienter<\/span>.<\/span>\u00a0<\/span><\/p>

\u00a0<\/span><\/p>

Medi<\/span>cinsk y<\/span>oga og fremtiden
<\/span><\/h3>

B\u00e5de Jacob Hede<\/span>lund<\/span>\u00a0og\u00a0<\/span>Claus Tveskov mener<\/span>,<\/span>\u00a0at\u00a0<\/span>MediYoga<\/span>\u00a0til\u00a0<\/span>patienter med\u00a0<\/span>atrieflimren kan have en rolle at spille i fremtiden.<\/span>\u00a0<\/span><\/p>

\u00a0<\/span>–\u00a0<\/span>Jeg ser helt klar<\/span>t<\/span>\u00a0potentiale for, at det her skal forts\u00e6tte. I hvilken form er det nok for tidligt at sige, men interessen er der<\/span>,<\/span>\u00a0og flere af Hjerteforeningens lokalforeninger\u00a0<\/span>starter kurser op<\/span>, s\u00e5 der bliver mange erfaringer at tr\u00e6kke p\u00e5 i fremtiden,<\/span>\u00a0s<\/span>iger<\/span>\u00a0Jacob Hede<\/span>lund<\/span>.<\/span>\u00a0<\/span><\/p>

\u00a0<\/span>Claus Tveskov er enig:<\/span>\u00a0<\/span><\/p>

\u00a0<\/span>–\u00a0<\/span>J<\/span>eg er helt sikker p\u00e5, at vi kommer til at forts\u00e6tte med at tilbyde rehabilitering til personer med\u00a0<\/span>hjertearytmier<\/span>.<\/span>\u00a0Men om det p\u00e5 sigt lige bliver<\/span>\u00a0<\/span>MediYoga<\/span>\u00a0<\/span>er for tidligt at sige. I<\/span>ndtil videre er erfaringe<\/span>rne<\/span>\u00a0gode<\/span>,<\/span>\u00a0og n\u00e5r projektet afsluttes ved udgangen af 2020<\/span>,<\/span>\u00a0<\/span>ved vi<\/span>\u00a0mere om<\/span>,<\/span>\u00a0hvordan denne m\u00e5de at h\u00e5ndtere re<\/span>h<\/span>a<\/span>b<\/span>iliteringsopgaven fungerer<\/span>, slutter han.<\/span>\u00a0<\/span><\/p>


<\/span>Hvad er\u00a0MediYoga?\u00a0\u00a0<\/span><\/p>