Effects of sectional breathing on cardio-pulmonary function in a patient with coexisting bronchial asthma and pre-hypertension: a single case report

Authors

  • Sushanthikaa Balasubramaniam Department of Cardiology, All India Institute of Medical Sciences, Rishikesh, India
  • Aiswarya Subramanian Department of Clinical Research, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
  • Dharani Eswaran Department of Acupuncture and Energy Medicine, Govt. Yoga & Naturopathy Medical College & Hospital, The Tamilnadu Dr. MGR Medical University, Chennai, India
  • Jeeva Mageswari Department of Yoga, Govt. Yoga & Naturopathy Medical College & Hospital, The Tamilnadu Dr. MGR Medical University, Chennai, India
  • Yogapriya Chidambaram Department of Clinical Research, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
  • Maheshkumar Kuppusamy Department of Physiology, Govt. Yoga & Naturopathy Medical College & Hospital, The Tamil Nadu Dr. MGR Medical University, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20252142

Keywords:

Bronchial asthma, Pre-hypertension, Pulmonary function test, Sectional breathing

Abstract

Non-communicable diseases (NCDs), such as cardiovascular diseases, chronic respiratory conditions, diabetes, and cancer, remain leading causes of morbidity and mortality worldwide. Hypertension and bronchial asthma are prevalent conditions that significantly contribute to cardiovascular risk. While pharmacological treatments are commonly used, alternative therapies like sectional breathing have gained attention for their potential role in improving cardiopulmonary function. This study explores the effects of sectional breathing on a patient with coexisting bronchial asthma and pre-hypertension. This single-case study involved a patient diagnosed with bronchial asthma and pre-hypertension. The intervention consisted of a structured, sectional breathing program over a specified period. Cardiopulmonary parameters, including pulmonary function tests (PFT), blood pressure, and heart rate, were assessed before and after the intervention. Patient adherence, comfort, and any adverse effects were also monitored throughout the study duration. Post-intervention, pulmonary function parameters, such as forced expiratory volume in one second (FEV1) and peak expiratory flow rate (PEFR), significantly improved. Additionally, blood pressure decreased, suggesting a potential autonomic regulatory effect of sectional breathing. Subjectively, the patient reported enhanced respiratory ease and a decrease in dyspnea episodes, reinforcing the physiological benefits of the intervention. The findings indicate that sectional breathing may be a promising adjunctive therapy for individuals with coexisting bronchial asthma and pre-hypertension. The observed improvements in pulmonary function and blood pressure suggest a potential role for non-pharmacological interventions in managing cardiopulmonary conditions. Further research with larger sample sizes and controlled study designs is recommended to validate these findings and elucidate the underlying physiological mechanisms.

 

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References

Gassner L, Zechmeister-Koss I, Reinsperger I. National Strategies for Preventing and Managing Non-communicable Diseases in Selected Countries. Front Public Health. 2022;10:838051. DOI: https://doi.org/10.3389/fpubh.2022.838051

Marrero S, Adashi EY. Noncommunicable diseases. Semin Reprod Med. 2015;33(1):35-40. DOI: https://doi.org/10.1055/s-0034-1395277

Budreviciute A, Damiati S, Sabir DK, Onder K, Schuller-Goetzburg P. Management and prevention strategies for non-communicable diseases (NCDss) and their risk factors. Front Public Health. 2020;8:574111. DOI: https://doi.org/10.3389/fpubh.2020.574111

Ostchega Y, Fryar CD, Nwankwo T, Nguyen DT. Hypertension Prevalence Among Adults Aged 18 and Over: United States, 2017-2018. NCHS Data Brief. 2020;(364):1-8.

Ahuja N, Bhardwaj P, Pathania M, Sethi D, Kumar A, Parchani A, et al. Yoga Nidra for hypertension: A systematic review and meta-analysis. J Ayurveda Integr Med. 2024;15(2):100882. DOI: https://doi.org/10.1016/j.jaim.2023.100882

Singh S, Shankar R, Singh GP. Prevalence and Associated Risk Factors of Hypertension: A Cross-Sectional Study in Urban Varanasi. Int J Hypertens. 2017;2017:5491838. DOI: https://doi.org/10.1155/2017/5491838

Carey RM, Wright JT Jr, Taler SJ, Whelton PK. Guideline-Driven Management of Hypertension: An Evidence-Based Update. Circ Res. 2021;128(7):827-46. DOI: https://doi.org/10.1161/CIRCRESAHA.121.318083

Savin IA, Zenkova MA, Sen'kova AV. Bronchial Asthma, Airway Remodeling and Lung Fibrosis as Successive Steps of One Process. Int J Mol Sci. 2023;24(22):16042. DOI: https://doi.org/10.3390/ijms242216042

Anshu, Singh N, Deka S, Saraswati P, Sindhwani G, Goel A, Kumari R. The effect of yoga on pulmonary function in patients with asthma: A meta-analysis. Complement Ther Clin Pract. 2023;50:101682. DOI: https://doi.org/10.1016/j.ctcp.2022.101682

Wong M, Forno E, Celedón JC. Asthma interactions between obesity and other risk factors. Ann Allergy Asthma Immunol. 2022;129(3):301-6. DOI: https://doi.org/10.1016/j.anai.2022.04.029

Salwa H, Nair PMK. Raising burden of non-communicable diseases: importance of integrating Yoga and Naturopathy at primary care level. J Complement Integr Med. 2020;18(2):271-8. DOI: https://doi.org/10.1515/jcim-2017-0019

R A, Mary Vaishali P, Parasuraman G. Beyond the Badge: A Scoping Review Among Police Personnel in South India Exploring the Impact of Yoga and Health Education on Cardiovascular Health. Cureus. 2024 ;16(9):68370. DOI: https://doi.org/10.7759/cureus.68370

Trivedi GY, Saboo B. Bhramari Pranayama - A simple lifestyle intervention to reduce heart rate, enhance the lung function and immunity. J Ayurveda Integr Med. 2021;12(3):562-4. DOI: https://doi.org/10.1016/j.jaim.2021.07.004

Jahan I, Begum M, Akhter S, Islam MZ, Jahan N, Samad N, Das P, A Rahman NA, Haque M. Effects of alternate nostril breathing exercise on cardiorespiratory functions in healthy young adults. Ann Afr Med. 2021;20(2):69-77. DOI: https://doi.org/10.4103/aam.aam_114_20

Jayawardena R, Ranasinghe P, Ranawaka H, Gamage N, Dissanayake D, Misra A. Exploring the Therapeutic Benefits of Pranayama (Yogic Breathing): A Systematic Review. Int J Yoga. 2020;13(2):99-110. DOI: https://doi.org/10.4103/ijoy.IJOY_37_19

Kuppusamy M, Kamaldeen D, Pitani R, Amaldas J, Shanmugam P. Effects of Bhramari Pranayama on health - A systematic review. J Trad Complement Med. 2017;8(1):11-6. DOI: https://doi.org/10.1016/j.jtcme.2017.02.003

Jagadeesan T, Choudhary AK, Loganathan S, Rajendran K, Allu AR, Kuppusamy M. Yoga practice (Sheetali Pranayama) on cognition in patients with hypertension: A randomized controlled study. Integr Med Res. 2021;10(3):100716. DOI: https://doi.org/10.1016/j.imr.2021.100716

Usha M, Bhat JS,Radish Kumar B, Bajaj G, Poovitha Shruthi P. Immediate effects of 'Ujjayi Pranayama' on aerodynamic, acoustic and self-perception parameters of voice in teachers. J Ayurveda Integr Med. 2022;13(1):100490. DOI: https://doi.org/10.1016/j.jaim.2021.07.006

Swami Satyananda Saraswati. Asana Pranayama Mudra Bandha. Bihar, India: Yoga Publications Trust. 2009.

Thanalakshmi J, Maheshkumar K, Kannan R, Sundareswaran L, Venugopal V, Poonguzhali S. Effect of Sheetali pranayama on cardiac autonomic function among patients with primary hypertension - A randomized controlled trial. Complement Ther Clin Pract. 2020;39:101138. DOI: https://doi.org/10.1016/j.ctcp.2020.101138

Ravi P, Kuppusamy M. Effect of yogic breathing techniques on cardio autonomic function in patient with right bundle branch block-a case report. J Cardiovasc Dis Res. 2023;14(3):389-95.

Ankad RB, Herur A, Patil S, Shashikala GV, Chinagudi S. Effect of short-term pranayama and meditation on cardiovascular functions in healthy individuals. Heart Views. 2011;12(2):58-62. DOI: https://doi.org/10.4103/1995-705X.86016

Malhotra V, Srivastava R, Parasuraman P, Javed D, Wakode S, Thakare A, Sampath A, Kumari A. Immediate autonomic changes during right nostril breathing and left nostril breathing in regular yoga practitioners. J Educ Health Promot. 2022;11:280. DOI: https://doi.org/10.4103/jehp.jehp_343_22

Vasundhara VR, Ramanathan M, Ghose S, Bhavanani AB. Immediate Effect of Pranava Pranayama on Fetal and Maternal Cardiovascular Parameters. Int J Yoga. 2022;15(3):240-5. DOI: https://doi.org/10.4103/ijoy.ijoy_151_22

Kavitha N, Pal P, Pal GK, Bharadwaj B, Nanda N. Effects of Slow Breathing Exercises on Cardiac Autonomic Functions in Anxiety Disorder-A Randomised Control Trial. Ann Neurosci. 2024;9:23287. DOI: https://doi.org/10.1177/09727531241266094

Garg P, Mendiratta A, Banga A, Bucharles A. Effect of breathing exercises on blood pressure and heart rate: A systematic review and meta-analysis. Int J Cardiol Cardiovasc Risk Prev. 2023;20:200232. DOI: https://doi.org/10.1016/j.ijcrp.2023.200232

Chung Y, Huang TY, Liao YH, Kuo YC. 12-Week Inspiratory Muscle Training Improves Respiratory Muscle Strength in Adult Patients with Stable Asthma: A Randomized Controlled Trial. Int J Environ Res Public Health. 2021 Mar 22;18(6):3267. DOI: https://doi.org/10.3390/ijerph18063267

Xing S, Feng S, Zeng D. Effect of exercise intervention on lung function in asthmatic adults: a network meta-analysis. Ann Med. 2023;55(2):2237031. DOI: https://doi.org/10.1080/07853890.2023.2237031

Chhabra D, Kharya C, Prem Krishanan A, Singh P, Bhagat OL, Deepak KK, et al. Long Sudarshan Kriya Yoga enhances cardiovascular and respiratory synchronization: An observational study. J Ayurveda Integr Med. 2024;15(1):100867. DOI: https://doi.org/10.1016/j.jaim.2023.100867

Noble DJ, Hochman S. Hypothesis: pulmonary afferent activity patterns during slow, deep breathing contribute to the neural induction of physiological relaxation. Front Physiol. 2019;10:1176. DOI: https://doi.org/10.3389/fphys.2019.01176

Bargal S, Nalgirkar V, Patil A, Langade D. Evaluation of the effect of left nostril breathing on cardiorespiratory parameters and reaction time in young healthy individuals. Cureus. 2022;14(2):22351. DOI: https://doi.org/10.7759/cureus.22351

Mooventhan A, Khode V. Effect of Bhramari pranayama and OM chanting on pulmonary function in healthy individuals: A prospective randomized control trial. Int J Yoga. 2014;7(2):104-10. DOI: https://doi.org/10.4103/0973-6131.133875

Nambi G, Abdelbasset WK, Elshehawy AA, Eltrawy HH, Abodonya AM, Saleh AK, et al. Yoga in Burn: Role of pranayama breathing exercise on pulmonary function, respiratory muscle activity and exercise tolerance in full-thickness circumferential burns of the chest. Burns. 2021;47(1):206-14. DOI: https://doi.org/10.1016/j.burns.2020.06.033

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Published

2025-06-30

How to Cite

Balasubramaniam, S., Subramanian, A., Eswaran, D., Mageswari, J., Chidambaram, Y., & Kuppusamy, M. (2025). Effects of sectional breathing on cardio-pulmonary function in a patient with coexisting bronchial asthma and pre-hypertension: a single case report. International Journal Of Community Medicine And Public Health, 12(7), 3350–3355. https://doi.org/10.18203/2394-6040.ijcmph20252142

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Case Reports