Journal of Human Hypertension
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April 2001, Volume 15, Number 4, Pages 263-269
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Original Article
Breathing-control lowers blood pressure
E Grossman1, A Grossman1, M H Schein2, R Zimlichman3 and B Gavish4

1Internal Medicine D, The Chaim Sheba Medical Center, Tel-Hashomer, Israel

2Family Medicine Unit, Hadassah University Hospital, Jerusalem, Israel

3Internal Medicine F Wolfson Hospital Holon, Israel

4InterCure Ltd, Neve Ilan, Israel

Correspondence to: Dr Ehud Grossman, Internal Medicine D, Chaim Sheba Medical Center, Tel-Hashomer, 52621, Israel. E-mail:


We hypothesise that routinely applied short sessions of slow and regular breathing can lower blood pressure (BP). Using a new technology BIM (Breathe with Interactive Music), hypertensive patients were guided towards slow and regular breathing. The present study evaluates the efficacy of the BIM in lowering BP. We studied 33 patients (23M/10F), aged 25-75 years, with uncontrolled BP. Patients were randomised into either active treatment with the BIM (n = 18) or a control treatment with a Walkman (n = 15). Treatment at home included either musically-guided breathing exercises with the BIM or listening to quiet music played by a Walkman for 10 min daily for 8 weeks. BP and heart rate were measured both at the clinic and at home with an Omron IC BP monitor. Clinic BP levels were measured at baseline, and after 4 and 8 weeks of treatment. Home BP measurements were taken daily, morning and evening, throughout the study. The two groups were matched by initial BP, age, gender, body mass index and medication status. The BP change at the clinic was -7.5/-4.0 mm Hg in the active treatment group, vs -2.9/-1.5 mm Hg in the control group (P = 0.001 for systolic BP). Analysis of home-measured data showed an average BP change of -5.0/-2.7 mm Hg in the active treatment group and -1.2/+0.9 mm Hg in the control group. Ten out of 18 (56%) were defined as responders in the active treatment group but only two out of 14 (14%) in the control group (P = 0.02). Thus, breathing exercise guided by the BIM device for 10 min daily is an effective non-pharmacological modality to reduce BP.

Journal of Human Hypertension (2001) 15, 263-269


non-pharmacological treatment; regular breathing; music; blood pressure

Received 1 June 2000; revised 20 July 2000; accepted 3 August 2000
April 2001, Volume 15, Number 4, Pages 263-269
Table of contents    Previous  Abstract  Next   Article  PDF