The Effect of Structured Lifestyle Modification and Yoga Practice on Metabolic Processes Associated With Cardiovascular Disease

Inclusion criteria: * Subjects eligible for the study are 18-80 year old adults. * Underwent percutaneous coronary intervention (PCI) at the catheterization lab of Mount Sinai Hospital (New York, New York) or have non-obstructive coronary artery disease and at least one CVD risk factor (hypertension, hypercholesterolemia, diabetes mellitus, or obesity) or metabolic abnormality (fasting plasma glucose ≥ 100 mg/dl, documented previous diagnosis of hypertension, serum triglycerides ≥ 150 mg/dl, or HDL cholesterol \< 40 mg/dl). * Subjects diagnosed with metabolic syndrome, which is defined as three or more of the following conditions: (1) Central or abdominal obesity (waist circumference \> 40 inches for men and \> 35 inches for women); (2) High triglycerides (≥150 mg/dL or triglycerides treatment); (3) Low HDL cholesterol (\<40 mg/dL for men and \<50 mg/dL for women) or low HDL-C treatment; (4) High blood pressure (≥130/85 mmHg) or antihypertensive medications; (5) High fasting glucose (≥100 mg/dL) or type 2 diabetes mellitus. * Participants must be able to willingly consent to study participation and must be able to comply with the study requirements. Exclusion Criteria: * Physical/psychological limitation or unwillingness to practice yoga, * Congestive heart failure, known arrthymias or prior Automated Implantable Cardioverter-Defibrillator /pacemaker or any metallic implants, * Rheumatological/immunological diseases, * History of transplant, * Moderate to severe chronic obstructive pulmonary disease, debilitating or severe systemic Illness, * Subjects who are pregnant or postpartum less than 6 months, * Liver disease or alcohol use of more than 7 alcoholic drinks/week in women and more than 14 drinks/week in men