The difficulty of unaided paced breathing

For many patients, performing paced breathing without RESPeRATE is difficult and time-consuming. To lower blood pressure, patients need to pace their breathing without effort. Yet even simple breathing exercises as counting, reciting a mantra or consciously observing breathing require effort. This negates blood pressure reduction effects. In fact, without the use of RESPeRATE, proper paced breathing can require years of training and individualized, expensive coaching.

RESPeRATE's rhythmic tones pace breathing subliminally, without the patient's conscious effort. So while unaided breathing techniques can be relaxing, RESPeRATE delivers a far greater effect on constricted blood vessels. And because RESPeRATE is small (about the size of a paperback book) and light, it is ideal for daily use in the home or when traveling.

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How It Works

RESPeRATE's patented technology enables patients to reduce sympathetic activity, peripheral resistance and lower blood pressure by harnessing the power of paced breathing - at home, without the assistance of a personal coach.

At the beginning of each session, RESPeRATE analyzes the patient's individual breathing rate and pattern, using its respiration sensor and built-in computer. It then creates a personalized melody composed of two distinct guiding tones, one for inhaling, one for exhaling.

The patient listens to the melody and synchronizes breathing to the tones. By gradually prolonging the exhalation tone, RESPeRATE guides the patient to slow his or her breathing, and reach what was demonstrated to be the "therapeutic zone" of fewer than 10 breaths per minute. Each patient's breathing rate and pattern changes regularly. In response, RESPeRATE's computer automatically detects, monitors and customizes the guiding tones to the patient.

A few minutes after starting the session, the smooth muscles surrounding the small blood vessels dilate and relax. Blood flows more freely and blood pressure is significantly lowered. The greater lung inflation that accompanies slow breathing activates stretch receptors in the lungs and increases right atrial pre-load that activates cardiac stretch receptors. In response, sympathetic outflow is reduced, leading to a reduction in systemic vascular resistance and blood pressure.1,2,3,4


References

[1] Parati G, Glavina F, Ongaro G, Maronati A, Gavish B, Castiglioni P, Di Rienzo M, Mancia G. Amer J Hyperten 2002; 15(4,2)182A
[2] Asanoi H, Goso Y, Yamazaki T, et al. Circulation Journal 2004, 68 (Suppl I), 184.
[3] Parati G, JL Izzo Jr, B Gavish, in Hypertension Primer, Third Edition. JL Izzo and HR Black, Eds. Baltimore, Lippincott, Williams, and Wilkins, 2003; Ch. A40, p117-120.
[4] Kim JY, Han MS, Yoo HH, CHoe HM Yoo BS, Lee SH, Yoon JH, Choe KH. J Clin Hyperten, 2006, Vol 8, Issue 5, Suppl A. A212.

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