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"Study of Vataja Hridroga and Its Correlation with ECG Changes"

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Journal name: Ayushdhara
Original article title: An Observational Study of Vataja Hridroga in Correlation with Electrocardiographic Changes
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Author(s):

Anil Popat Parekar
Assistant Professor, Department of Rognidan Avum Vikriti Vigyan, Dr. G.D. Pol Foundations, YMT Ayurvedic Medical College, Kharghar, Navi Mumbai, Maharashtra, India.


Ayushdhara:

(A peer-reviewed, bi-monthly open-access journal)

Full text available for: An Observational Study of Vataja Hridroga in Correlation with Electrocardiographic Changes

Year: 2022 | Doi: 10.47070/ayushdhara.v9i6.1116

Copyright (license): CC BY-NC-SA 4.0


Download the PDF file of the original publication


Summary of article contents:

Introduction

This observational study investigates Vataja Hridroga, a condition related to heart disease in Ayurvedic medicine, focusing on its correlation with electrocardiographic changes. As heart disease (Hridroga) is considered life-threatening and prevalent in India, especially among the younger population, this study emphasizes the necessity of accurate diagnosis prior to treatment. The research aims to integrate electrocardiography (ECG), a modern tool for assessing heart conditions, with traditional Ayurvedic methods for early diagnosis and improved therapeutic outcomes.

Pathophysiology of Vataja Hridroga

The study classifies Vataja Hridroga based on the vitiation of the doshas (body energies) leading to specific symptoms and ECG changes. Clinical observations showed that the majority of patients exhibited symptoms linked to Srotorodha (obstruction of channels) and Dhatukshaya (depletion of tissues), with significant findings in Vata Pradhan Kapha-Pitta Anubandha, which affects the heart's functionality. ECG parameters were carefully analyzed, revealing that disturbances in heart rate, rhythm, and voltage were closely associated with the symptoms presented by the patients, showcasing the relevance of dosha dynamics in cardiac health.

ECG Findings and Their Significance

Abnormal findings in ECG patterns were prevalent in 98 out of 100 patients, indicating significant pathological conditions such as abnormal Q waves, ST segment, and T wave fluctuations. The analysis further demonstrated significant correlations between these ECG changes and the clinical manifestations of Vataja Hridroga, highlighting how specific electrocardiographic features can aid in understanding the disease's progression and severity. The study underlines the use of ECG as an effective tool to diagnose Vataja Hridroga, providing clinicians with additional insights into the patient’s health status through a modern lens.

Conclusion

In conclusion, the research validates that there is a significant correlation between the clinical presentation of Vataja Hridroga and the observed ECG changes, establishing the latter as an invaluable asset in diagnosis and treatment planning. The integration of traditional Ayurvedic practices with modern diagnostic tools like ECG can enhance the understanding of heart disease pathophysiology and improve patient care. The findings reinforce the pivotal role of dosha analysis in assessing heart-related conditions, encouraging a more holistic approach to diagnosis and management in cardiovascular health.

FAQ section (important questions/answers):

What is the aim of the study on Vataja Hridroga?

The study aims to examine electrocardiographic changes in patients suffering from Vataja Hridroga, as documented in classical texts like Charak Samhita, Sushruta Samhita, and Ashtanghridaya, and to establish their specific correlations.

What were the inclusion criteria for patients in the study?

Patients aged 25 to 69 years presenting symptoms of Vataja Hridroga according to classical Ayurvedic texts were included. They should not have significant medical conditions like trauma or terminal illnesses that require emergency treatment.

What were the significant findings related to ECG patterns?

A total of 98% of patients exhibited abnormal ECG patterns, with notable changes observed in Q wave, ST segment, and T wave abnormalities, indicating a significant correlation with the clinical signs and symptoms of Vataja Hridroga.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for �"Study of Vataja Hridroga and Its Correlation with ECG Changes"�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Hridroga (Hrdroga, Hrid-roga):
Hridroga is a life-threatening disease that affects the heart (Hridaya) and is often diagnosed before treatment begins. It is a condition of Marma with specific correlation to various body constituents like Dosha, Dhatu, and Oja situated in the heart, leading to pathological changes detected through tools like electrocardiograms (ECG).

2) Pain:
Pain, described under various terms such as Postprandial pain or chest pain, is a significant symptom of Hridroga, specifically Vataja Hridroga. It manifests in different forms such as crushing pain, pricking pain, and squeezing pain, indicating the involvement of the Vata dosha.

3) Vataja (Vata-ja):
Vataja refers to a type of Hridroga where the primary dosha involved is Vata. This condition is characterized by symptoms like tachycardia, tremors, and bradycardia due to the inherent properties of Vayu, evidenced by significant changes in electrocardiograms (ECG).

4) Kapha:
Kapha is one of the three doshas that contribute to the pathogenesis of Hridroga. It is associated with the characteristics of heaviness, stability, and oiliness, which can lead to blockages (Avarodha) and aggregation in conjunction with Pitta in causing heart diseases.

5) Vata:
Vata is a primary dosha involved in Vataja Hridroga, characterized by its mobility and variability (Chala). Vata's properties (Guna) such as lightness and subtlety contribute to various heart-related symptoms like tremors, palpitations, and arrhythmias observed through ECG changes.

6) Guna:
Guna refers to the inherent qualities or properties of doshas. In the context of Hridroga, specific gunas like Chala (mobility), Manda (slowness), and Ushna (heat) play crucial roles in the manifestation and progression of the disease, influencing symptoms and ECG patterns.

7) Pitta:
Pitta is another dosha involved in Hridroga, contributing to inflammation and heat-related symptoms in the heart. Its properties like heat (Ushna) and oiliness (Snigdha) can lead to tissue changes and obstructions (Avarodha) in conjunction with Kapha, affecting the heart's function.

8) Disease:
Disease, specifically Hridroga, is identified through a combination of Ayurvedic and modern diagnostic techniques. Diagnosing a disease accurately involves understanding the doshas, dhatus, and symptoms (Lakshana), which can be correlated with electrocardiogram (ECG) changes for better treatment outcomes.

9) Chala (Chala°):
Chala is one of the properties (Guna) of Vata dosha, indicating movement or mobility. This characteristic is significant in the pathological process of Vataja Hridroga, where disturbances in Chala lead to symptoms like palpitations, tachycardia, and other rhythm abnormalities detected in ECGs.

10) Pradhan:
Pradhan refers to the predominant dosha in a particular condition. In Vataja Hridroga, Vata Pradhan or Vata being the predominant factor is observed, often accompanied by secondary involvement (Anubandha) of Kapha and Pitta, leading to specific diagnostic and therapeutic approaches.

11) Anubandha (Anubamdha):
Anubandha refers to the secondary association or involvement of other doshas in a disease process. In Vataja Hridroga, there is often an Anubandha of Kapha and Pitta, which contributes to the complexity and severity of the disease, seen in various ECG changes.

12) Dosha (Dosa):
Dosha represents the three primary functional principles (Vata, Pitta, Kapha) in Ayurveda, and their balance is crucial for health. In Vataja Hridroga, the vitiation of these doshas leads to symptoms like chest pain and palpitations, observable in electrocardiograms (ECG).

13) Vyana:
[see source text or glossary: Vyana]

14) Lakshana (Laksana):
Lakshana refers to the symptoms or clinical signs of a disease. For Vataja Hridroga, these include tremors, palpitations, and chest pain among others, which are systematically documented and correlated with ECG findings to diagnose and understand the disease's progression.

15) Vayu:
Vayu is synonymous with Vata, one of the three primary doshas in Ayurveda, characterized by properties like movement (Chala) and variability. It plays a central role in Vataja Hridroga, contributing to symptoms such as tachycardia and tremors, detectable through ECG changes.

16) Kaphapitta (Kapha-pitta):
[see source text or glossary: Kapha-pitta]

17) Vyanavayu (Vyana-vayu):
[see source text or glossary: Vyanavayu]

18) Samprapti:
Samprapti refers to the pathogenesis or the process of disease manifestation. In Vataja Hridroga, it includes pathways like Srotorodhajanya (obstructive) and Dhatu Kshayajanya (degenerative), leading to specific dosha imbalances and ECG pattern changes.

19) Samhita:
Samhita refers to classical Ayurvedic texts such as Charaka Samhita and Sushruta Samhita. These texts provide descriptions of diseases like Vataja Hridroga, their symptoms, and diagnostic criteria, which are used in conjunction with modern medical techniques like ECG.

20) Hridaya (Hrdaya):
Hridaya, or the heart, is a crucial marma (vital point) in Ayurvedic medicine. It is the site where various doshas, dhatus, and ojas reside, and its condition is central to diagnosing Hridroga, as seen in both classical texts and modern diagnostic tools like ECG.

21) Drava:
Drava is a property (Guna) associated with doshas, particularly Pitta and Kapha, indicating liquidity. In Hridroga, the presence of Drava guna can contribute to the obstruction (Avarodha) and accumulation within the cardiovascular system, influencing symptoms and ECG patterns.

22) Snigdha:
Snigdha is a property (Guna) meaning unctuous or oily, associated with Kapha and Pitta doshas. In the context of Hridroga, increased Snigdha can lead to blockages and tissue changes in the heart, affecting its function and reflecting in ECG abnormalities.

23) Bhaya:
Bhaya, meaning fear, is a common psychological symptom associated with Vataja Hridroga. It indicates the involvement of Manovaha Srotas (mental channels) and can significantly impact the patient's overall wellbeing, as observed in the study's clinical findings.

24) Shoka (Soka):
Shoka, or grief, is another psychological symptom seen in Vataja Hridroga. It often accompanies signs like palpitations and chest pain, indicating the multifaceted impact of the disease on both physical and mental health, and its relevance is noted in clinical assessments.

25) Manda (Mamda):
Manda is a property (Guna) signifying slowness or dullness, predominantly associated with Kapha dosha. In Vataja Hridroga, Manda Guna can lead to decreased heart rate (bradycardia), blockages (Avarodha), and other pathological changes observable through ECG.

26) Dara:
Dara refers to palpitations, a key symptom of Vataja Hridroga. These palpitations are caused by disturbances in the Chala Guna (moving quality) of Vata and are frequently detected through changes in heart rhythm and rate on an electrocardiogram (ECG).

27) Veshtana (Vestana):
Veshtana refers to cardiac cramps or squeezing pain, a symptom of Vataja Hridroga. This type of pain indicates the involvement of the Vata dosha, disrupting the normal rhythm and contraction of the heart, which can be closely monitored through ECG changes.

28) Vepathu:
Vepathu means trembling or tremors, a symptom often seen in Vataja Hridroga. It signifies the vitiated Vata dosha's influence over the nervous system and manifests as visible tremors, frequently detected alongside other symptoms in clinical assessments.

29) Pramoha:
Pramoha refers to a confused state, a symptom indicative of disturbances in mental clarity often associated with Vataja Hridroga. This symptom highlights the involvement of Manovaha Srotas (mental channels) and is considered during clinical evaluations.

30) Tikshna (Tiksna):
Tikshna is a property (Guna) signifying sharpness or intensity, often associated with Pitta dosha. In the context of Hridroga, Tikshna Guna can lead to acute, piercing pain and rapid progression of symptoms, affecting heart function and observable in ECG patterns.

31) Shotha (Sotha):
Shotha refers to swelling or edema, a pathological condition often seen in Hridroga. It is due to the Avarodha (blockage) by Kapha and Pitta doshas, leading to congestion and inflammatory changes in the heart tissues, evidenced by specific ECG abnormalities.

32) Ushna (Usna):
Ushna is a property (Guna) meaning hot, typically linked to Pitta dosha. In Hridroga, Ushna Guna can cause inflammation and heat-related symptoms in the heart, contributing to conditions like myocardial ischemia and other changes visible in electrocardiograms (ECG).

33) India:
India is highly relevant in the context of Hridroga research due to its high incidence of cardiovascular diseases. Studies like this one often focus on the Indian population, integrating Ayurvedic principles with modern diagnostics to improve heart disease management.

34) Death:
Death is a critical outcome associated with severe cases of Hridroga. This life-threatening disease can lead to fatal complications, highlighting the importance of early and accurate diagnosis using methods like ECG to prevent adverse outcomes.

35) Grief:
[see source text or glossary: Grief]

36) Sara (Shara):
Sara refers to the fluid or active nature of doshas, especially relevant in the context of Vataja Hridroga. This property influences the mobility of Vata dosha, affecting heart functions like rhythm and rate, which can be diagnosed through ECG changes.

37) Fear:
[see source text or glossary: Fear]

38) Shlakshna (Slaksna):
Shlakshna is a property (Guna) meaning smooth or slippery, associated with Kapha dosha. Its involvement in Hridroga can lead to blockages and impaired cardiac function, often detected through ECG anomalies and reflected in patient symptoms.

39) Splitting:
Splitting refers to a specific type of pain, described as 'splitting pain' in the context of Hridroga. This pain type indicates deep fissures or tears in cardiac tissues, often correlating with severe dosha imbalances and detectable via ECG changes.

40) Avarodha:
Avarodha means obstruction or blockage, a crucial concept in the pathogenesis of Hridroga. Obstructions caused by Kapha and Pitta doshas lead to severe cardiovascular symptoms, which manifest as specific changes in electrocardiograms (ECG).

41) Ruksha (Ruksa):
Ruksha is a property (Guna) signifying dryness, mainly associated with Vata dosha. In Hridroga, increased Ruksha Guna can cause tissue dryness and brittleness, leading to dysfunctions and arrhythmias in the heart, observable in ECG patterns.

42) Sthira:
Sthira is a property (Guna) meaning stable or steady, linked to Kapha dosha. In Hridroga, excessive Sthira can contribute to blockages and reduced heart function, affecting electrical conduction and rhythm, which can be seen through ECG changes.

43) Marma:
Marma are vital points in the body in Ayurvedic medicine. The heart (Hridaya) is considered a major marma, and any disease affecting it, such as Hridroga, can be life-threatening, necessitating accurate diagnosis through traditional and modern methods like ECG.

44) Mamsa (Mamsha):
Mamsa, meaning muscle tissue, is crucial in the context of Hridroga as it involves the heart muscles. Pathological changes like hypertrophy or necrosis in cardiac muscle can lead to significant symptoms and are often detectable through ECG changes.

45) Dhatu:
Dhatu refers to the fundamental tissues in the body. In Hridroga, dhatu imbalance, especially of muscle tissue (Mamsa) and blood (Rasa), plays a critical role in the disease process, affecting heart functions and reflected in clinical and ECG findings.

46) Guru:
Guru is a property (Guna) meaning heavy, primarily associated with Kapha dosha. In Hridroga, increased Guru Guna contributes to blockages and heaviness in the heart, leading to dysfunctions such as reduced heart rate and specific ECG abnormalities.

47) Rasa (Rasha):
Rasa represents the plasma or nutritive fluid in the body, involved in the cardiovascular system. In Hridroga, the obstruction (Avarodha) and vitiation of Rasa can lead to symptoms like swelling and pain, which can be monitored through ECG changes.

48) Paka:
Paka refers to inflammatory changes or suppuration in Ayurvedic pathology. In Hridroga, Paka can indicate severe tissue damage and necrosis in the heart, leading to significant symptoms and detectable abnormalities on an electrocardiogram (ECG).

49) Sushruta-samhita (Susruta-samhita):
[see source text or glossary: Susruta-samhita]

50) Vatadosha (Vatadosa, Vata-dosha):
[see source text or glossary: Vata-dosha]

51) Vitiation (Vitiated):
[see source text or glossary: Vitiation]

52) Ayurveda (Ayus-veda):
Ayurveda is the traditional system of medicine in India, focusing on the balance of doshas, dhatus, and ojas. It provides the foundational principles for diagnosing and treating Hridroga, enhanced by integrating modern diagnostics like ECG for comprehensive care.

53) Vagbhata:
[see source text or glossary: Vagbhata]

54) Pariksha (Pariksa):
Pariksha refers to the examination or diagnostic process in Ayurveda. In the context of Hridroga, Rugna Pariksha (patient examination) includes observing symptoms (Lakshana) and using modern tools like ECG to achieve accurate diagnosis and effective treatment.

55) Medicine:
Medicine in the context of Hridroga involves both Ayurvedic treatments to balance the doshas and modern pharmacological interventions. The integrated approach aims to manage symptoms, improve heart function, and prevent severe outcomes like death.

56) Sukshma (Suksma, Shukshma):
[see source text or glossary: Sukshma]

57) Avarana:
[see source text or glossary: Avarana]

58) Pramana:
Pramana refers to the means of obtaining knowledge or evidence. In diagnosing Hridroga, traditional Pramanas from Ayurvedic texts are used alongside modern diagnostic tools like ECG to enhance understanding and precision in treatment planning.

59) Prakopa:
Prakopa refers to the aggravation of doshas. In the context of Vataja Hridroga, Vata dosha's aggravation (Prakopa) leads to various symptoms like tachycardia and tremors, influencing heart function and detectable through specific changes in ECG patterns.

60) Vedana:
[see source text or glossary: Vedana]

61) Shosha (Sosa):
Shosha means emaciation or dryness, a symptom often indicating advanced stages of Vataja Hridroga. It reflects severe tissue deterioration and dehydration, contributing to decreased heart function and visible through ECG changes.

62) Laghu:
Laghu is a property (Guna) meaning lightness, typically associated with Vata dosha. In Hridroga, an imbalance in Laghu can lead to symptoms like palpitations and tremors due to its influence on the heart's electrical and rhythmic activities, observable in ECG.

63) Avalambakakapha (Avalambaka-kapha):
[see source text or glossary: Avalambakakapha]

64) Rasavahasrotas (Rasavaha-srotas):
Rasavaha Srotas are the channels carrying Rasa (plasma) in the body. In Hridroga, obstructions (Avarodha) or dysfunctions in these channels lead to symptoms like swelling and pain in the heart, often correlating with specific ECG changes.

65) Sadhakapitta (Sadhaka-pitta):
[see source text or glossary: Sadhakapitta]

66) Maharashtra (Maharastra, Maha-rashtra):
Maharashtra is relevant as the location where this study on Vataja Hridroga was conducted, specifically at YMT Ayurvedic Medical College in Navi Mumbai, contributing to the regional data on heart disease prevalence and treatment outcomes.

67) Sutrasthana (Sutra-sthana):
Sutrasthana refers to a section in Ayurvedic texts like Sushruta Samhita that deals with foundational principles. It emphasizes the importance of multidisciplinary study for physicians, a concept applied in the integrated approach to diagnosing and treating Hridroga.

68) Dhatukshaya (Dhatuksaya, Dhatu-kshaya):
Dhatukshaya means depletion or wasting of bodily tissues (Dhatus). In the context of Hridroga, Dhatukshaya leads to weakened heart muscles and impaired function, contributing to the disease's progression and detectable through ECG changes.

69) Pittadosha (Pittadosa, Pitta-dosha):
[see source text or glossary: Pitta-dosha]

70) Kaphadosha (Kaphadosa, Kapha-dosha):
[see source text or glossary: Kapha-dosha]

71) Unconscious:
Unconscious patients are excluded from studies like this one on Vataja Hridroga due to their inability to participate in diagnostic processes, including the detailed recording of symptoms and electrocardiographic changes critical for accurate analysis.

72) Adhyashana (Adhyasana):
[see source text or glossary: Adhyashana]

73) Pravartana:
[see source text or glossary: Pravartana]

74) Mulasthana (Mula-sthana):
Mulasthana refers to the primary seat or root of a functional system in the body. Hridaya (heart) is the Mulasthana of the circulatory system (Rasa and Rakta Vaha Srotas), making it central to diagnosing and treating Hridroga, often involving ECG for precision.

75) Vatapitta (Vata-pitta):
[see source text or glossary: Vata-pitta]

[Note: The above list is limited to 75. Total glossary definitions available: 103]

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Pramana, Anubandha, Marma, Hridya, Heart disease, Clinical study, Clinical presentation, Dosha Vitiation, Sample size calculation, Vataja Hridroga, Electrocardiographic changes, Srotorodh, ECG Parameters.

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