Changes in symptoms of anxiety and depression following diagnostic angiography: a prospective cohort study

Hanssen, Tove Aminda; Iqbal, Amjid; Forsdahl, Signe Helene; Trovik, Thor; Schirmer, Henrik

doi:10.1093/ehjqcco/qcx039

Cited by 7 publications

(4 citation statements)

References 22 publications

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“…9,10,20,21 Periprocedural anxiety is a frequent condition both in conventional and computed tomography CAG. [11][12][13]16,22 Although ambivalent results had been obtained in several studies, patients feel more apprehension instantly before the procedure, which remains high at the early postoperative period but decreases gradually in a few months. 11,13,16,23 According to findings of the studies performed by Delewi et al (VAS was used) and Ozdemir et al (Hospital Anxiety-Depression Scale, SSAI, and STAI were used), LOA even increases after the procedure in patients without significant coronary artery lesions.…”

Section: Discussionmentioning

confidence: 96%

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Comparing of Efficacy of Different Self-Assessment Anxiety Scales for Predicting Radial Artery Spasm During Coronary Interventions

Omaygenç¹,

Karaca²,

İbişoğlu³

et al. 2019

Turkiye Klinikleri J Cardiovasc Sci

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Section: Discussionmentioning

confidence: 96%

“…11,16 Regardless of the results of CAG, the perception of health and quality of life are impaired in this population. 22 Post-operative LOA and relationship of LOA with coronary lesions were not addressed as outcomes in our study.…”

Section: Discussionmentioning

confidence: 99%

Comparing of Efficacy of Different Self-Assessment Anxiety Scales for Predicting Radial Artery Spasm During Coronary Interventions

Omaygenç¹,

Karaca²,

İbişoğlu³

et al. 2019

Turkiye Klinikleri J Cardiovasc Sci

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“…[14][15][16] In addition to adverse clinical outcomes, chest pain with normal angiography can also lead to adverse psychological outcomes. 17 Thinking on ischemia should not be limited to the…”

Section: F O R H Y P E R T E N S I O N P E E R R E V I E W D O N O mentioning

confidence: 99%

Different Effects of Vascular Aging on Ischemic Predisposition in Healthy Men and Women

et al. 2018

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P e e r R e v i e w . D o n o t d i s t r i b u t e . D e s t r o y a f t e r u s e . Abstract word count: 154Abstract:Invasive studies of the twentieth century showed the value of aortic pressure-time integrals as markers of myocardial oxygen demand and supply. More recent studies have used these concepts to evaluate mechanisms of ischemic predisposition using non-invasive arterial tonometry in cardiology outpatients. We sought to evaluate the spectrum of myocardial oxygen demand and supply in a large cross-sectional community sample of healthy volunteers, and identify the roles of age, sex and wave reflection. Arterial tonometry was performed in 3682 healthy volunteers. Measures of systolic and diastolic pressure-time integrals and their ratio in addition to cardiac ejection duration were determined and analyzed by age and sex. Multiple regression analyses were performed to identify the mechanisms underlying observations, whilst controlling for confounders (heart rate, height, weight, mean pressure). In a healthy cohort, older women more than men (p<0.001) had unfavorable myocardial oxygen supply:demand ratios due to differing effects of vascular aging.

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“…10,11 Extant literature has been published relating to the prevalence of anxiety in patients undergoing cardiac catheterization using the transfemoral approach. Evidence suggests that between 24% and 72% [12][13][14] of these patients experience high levels of anxiety and psychological distress before the procedure. [15][16][17] Authors of studies measuring anxiety using the State-Trait Anxiety Inventory (STAI) have reported scores between 35.7 points 14 and 43.7 points 18 for patients having cardiac catheterization using the transfemoral approach.…”

mentioning

confidence: 99%

Preprocedural Anxiety in the Transradial Cardiac Catheterization Era

et al. 2021

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BackgroundTransradial cardiac catheterization is increasingly being used for the management of coronary artery disease given the low risk of procedural discomfort and complications with this approach. However, the evidence relating to preprocedural anxiety levels in these patients is scarce.ObjectiveThe aim of this study was to evaluate the anxiety levels and the predictors of anxiety in patients undergoing transradial cardiac catheterization procedures.MethodsData were collected using a self-administered survey. Anxiety was measured using the Spielberg's State-Trait Anxiety Inventory questionnaire. Multiple regression analysis was used to identify whether gender, age, family history of heart disease, smoking status, history of depression, and trait anxiety scores were predictors of preprocedural anxiety.ResultsA total of 198 patients participated in this study. More than half of the patients (53.5%) were classified as having a high state anxiety level. The mean (SD) preprocedural trait and state anxiety scores were 35.34 (9.8) and 36.43 (11.4), respectively. Female patients, those younger than 65 years, current smokers, and those with a family history of heart disease, a history of depression, and a history of anxiety had significantly higher anxiety scores. Having high trait anxiety scores was the only predictor of preprocedural anxiety.ConclusionAlthough the transradial approach has a low procedural risk and causes less discomfort to the patient, anxiety persists in more than 50% of patients, with trait anxiety being the best predictor. Nurses should therefore try to decrease anxiety levels in the preprocedural phase to minimize postprocedural adverse outcomes in this group of patients.

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Changes in symptoms of anxiety and depression following diagnostic angiography: a prospective cohort study

Cited by 7 publications

References 22 publications

Comparing of Efficacy of Different Self-Assessment Anxiety Scales for Predicting Radial Artery Spasm During Coronary Interventions

Comparing of Efficacy of Different Self-Assessment Anxiety Scales for Predicting Radial Artery Spasm During Coronary Interventions

Different Effects of Vascular Aging on Ischemic Predisposition in Healthy Men and Women

Preprocedural Anxiety in the Transradial Cardiac Catheterization Era

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