IJCS | Volume 31, Nº5, September / October 2018

503 1. Langer D, CharususinN, Jácome C, HoffmanM, McConnell A, Decramer M, et al. Efficacy of a novel method for inspiratory muscle training in people with chronic obstructive pulmonary disease. Phys Ther. 2015;95(9):1264-73. 2. VijayaraghavaA,DoreswamyV,NarasipurOS,KunnavilR,Srinivasamurthy N. Effect of yoga practice on levels of inflammatorymarkers aftermoderate and strenuous exercise. J Clin Diagn Res. 2015;9(6):CC08-12. 3. Rajbhoj PH, Shete SU, Verma A, Bhoqal RS. Effect of yogamodule on pro- inflammatory and anti-inflammatory cytokines in industrial workers of lonavla: a randomized controlled trial. J ClinDiagn Res. 2015;9(2):CC01-5. 4. Liu XC, Pan L, Hu Q, DongWP, Yan JH, Dong L. Effects of yoga training in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis. J Thorac Dis. 2014;6(6):795-802. 5. Nici L, Donner C, Wouters E, Zuwallack R, Ambrosino N, Bourbeau J, et al; ATS/ERS Pulmonary Rehabilitation Writing Committee. American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation. Am J Respir Crit Care Med. 2006;173(12):1390-413. 6. Global Initiative for Chronic Obstructive Lung Disease. [Internet]. Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD Executive Summary. Bethesda; 2014. [Cited 2014 Oct 1]. Available from: http://www.goldcopd.org/ 7. Spruit MA, Singh SJ, Garvey C, ZuWallack R, Nici L, Rochester C, et al. An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med. 2013;188(8):13-64. 8. Kaminsky DA, Guntupalli KK, Lippmann J, Burns SM, BrockMA, Skelly J, et al. Effect of yoga breathing (Pranayama) on exercise tolerance in patients with chronic obstructive pulmonary disease: a randomized, controlled trial. J Altern Complement Med. 2017;23(9):696-704. 9. Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, et al. Standardisation of spirometry. Eur Respir J. 2005;26(2):319-38. 10. Singer J, Yelin EH, Katz PP, Sanchez G, Iribarren C, Eisner MD, et al. Respiratory and skeletal muscle strength in COPD: impact on exercise References Babkina et al. Influence of pulmonary rehabilitation Int J Cardiovasc Sci. 2018;31(5)499-504 Original Article breathing activates the parasympathetic nervous system. The influence of yogic breathing on the respiratory and vasomotor centers of the medulla oblongata cannot be ruled out. This phenomenon may be based on some general respiratory and cardiac neuronal network. In addition to active participation in the development of the respiratory muscles and autonomic balance optimization, deep yogic breathing reduces body weight, the effects on lipidperoxidation, normalizes bloodpressure andHR, which is very important in the context of frequent comorbidity of respiratory and cardiovascular disease. The study by Guleria et al. “Yoga is as effective as standard pulmonary rehabilitation in improving dyspnea, inflammatory markers, and quality of life in patients with COPD” has evoked a wide response, comparing the efficacy of yogawith standard pulmonary rehabilitation in patients with COPD. 22 Scientists have found an equivalent reduction inC-reactiveproteinand interleukin-6 levels after performing pranayama as well as at the end of a standard pulmonary rehabilitation. These results allowedconcluding that yoga is a cost-effective formof rehabilitation that is just as effective as standard rehabilitation. Conclusions Application of full yogic breathing in addition to standard therapy of patients with CHF and COPD is associated with a significant decrease in CHF FC and dyspnea severity, and an increase in exercise tolerance and arterial oxygen saturation. Author contributions Conception and design of the research: Smyrnova GS. Acquisition of data: Taradin GG. Analysis and interpretation of the data: Taradin GG. Statistical analysis: Vatutin MT. Writing of the manuscript: Smyrnova GS. Critical revision of the manuscript for intellectual content: Vatutin MT. Supervision / as the major investigador: Babkina TM. Potential Conflict of Interest No potential conflict of interest relevant to this article was reported. Sources of Funding There were no external funding sources for this study. Study Association This study is not associated with any thesis or dissertation work. Ethics approval and consent to participate This study was approved by the Ethics Committee of the DNMU under the protocol number 108/7. All the procedures in this study were in accordance with the 1975 Helsinki Declaration, updated in 2013. Informed consent was obtained from all participants included in the study.