Wahlstrom (2016)

High · RCT · Clinical-Grade RCT · n = 88
Quality Index (Adjusted QI) 0.911
0 Low < 0.56 Moderate 0.56–0.77 High ≥ 0.78 1
Study Details
ConditionAtrial fibrillation
Clinical domainCardiovascular
PopulationParoxysmal AF patients
Sample sizen = 88
Country / SettingSweden - cardiac outpatient clinic
Protocol clusterMediYoga
Duration12 weeks; 1-hour weekly MediYoga group sessions at hospital + CD for home practice
Control typeActive Control
ComparatorRelaxation music (MusicCure, 30 min/week for 12 weeks) + standard treatment only control; 3-arm design
Outcomes & Effect Sizes
Primary outcomeCardiovascular (BP/HRV)
Scales usedAF symptoms; QOL scales; anxiety measures
Key resultSymptoms decreased; QOL increased; anxiety decreased
Effect sized = 0.68 (AF symptom reduction); moderate effect
ES value0.68 (d)
Retention91% (73/80 completed)
SafetyNo adverse cardiac events; well-tolerated
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Methodological Summary

Randomized; symptom-focused; medium-large sample

KY Protocol Components

MediYoga (Kundalini-derived) for Paroxysmal Atrial Fibrillation: RCT DESIGN: RCT; MediYoga (n=~29) vs. relaxation music (n=~29) vs. standard treatment control (n=~29); 88 patients total. POPULATION: Patients with early/new diagnosis of paroxysmal atrial fibrillation (PAF), on medical treatment ≥3 months. DURATION: 12 weeks; 1 hour/week group sessions at hospital + CD for home practice. YOGA TYPE: MediYoga (http://mediyoga.com) — "a therapeutic form of yoga evolved from Kundalini yoga. It is a calm, meditative yoga based on deep breathing." DESIGNED FOR: People with cardiac diseases; stretches chest muscles to facilitate deep breathing and relax body. ADAPTATIONS: Participants can sit on chair if needed. SESSION STRUCTURE: • Deep breathing: 5-10 minutes • Three movements: Back Flex, Back Roll, Sat Kriya • Two breathing techniques incorporated with movements • Meditation: 10 minutes OUTCOMES: QoL, hemodynamic parameters (blood pressure, heart rate) measured at baseline and 12 weeks.

Quality Item Scores — 1 fail · 2 partial · 3 pass · ★ critical
★A1
3
A2
3
★B1
3
★B2
3
B3
3
B4
3
★B5
3
B6
2
★B7
2
★B8
3
B9
3
★C1
3
C2
2
C3
2
JP1
3
Critical fails0
Raw QI0.911
SAF1
Adjusted QI0.911
Final ratingHigh