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Cardiac Coherence Training

What Is Cardiac Coherence Training?

Cardiac coherence training (CCT) involves the use of biofeedback to control heart rate variability (HRV) — the moment-to-moment change in heart rate. With the help of the clinician, a person can learn to make the heart rate fluctuation more rhythmic or coherent. The skills learned with the use of biofeedback can be practiced at home for relaxation and can be used as a stress management tool during daily activities. However, the program is much more than a simple relaxation technique — a person learns to appreciate oneself, to substitute stressful responses with more positive emotions, and to more freely engage one's heart and caring side.

What Is the Background of Cardiac Coherence Training?

We have long known that stress stimulates the sympathetic nervous system (fight-or-flight response) and relaxation or positive emotions involve the parasympathetic system. Much research has shown a direct connection between sympathetic vs. parasympathetic tone and physical and mental health problems such as heart disease, hypertension, depression, and anxiety. Additionally, there appears to be a two-way communication system between the brain and the nerves surrounding the heart. This system affects the body's stress hormones and immune system. Research has shown benefits of CCT for management of stress and anxiety symptoms, work satisfaction, and work and school performance. Additionally, the HRV pattern associated with a stress response may be a risk factor for complications in cardiac patients. Further research is needed about the role of CCT for these patients.

What Are the Indications for Cardiac Coherence Training?

  • Used most commonly for general wellness and stress management
  • Stress related to family, school, or work situations
  • Posttraumatic stress disorder, depression, anxiety, or phobias
  • Stress affectng mental or physical health or relationships
  • Health problems that can have a significant stress component, such as hypertension and coronary artery disease

What Are the Contraindications for Cardiac Coherence Training?

There are no specific contraindications to CCT, but individuals with active suicidality or psychosis may require a more intensive level of psychiatric care. Additionally, there may be technical difficulties with the use of this form of biofeedback for individuals with cardiac arrhythmia (irregular heartbeat).

​Contact Us

UPMC Center for Integrative Medicine
Shadyside Place
Suite 310
580 S. Aiken Ave.
Pittsburgh, PA 15232

For general information or to schedule an appointment, call 412-623-3023.


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