Anxiety levels in patients candidate for coronary artery angiography

authors:

avatar Mohamad Reza Asgari , avatar Leila Barari , avatar Mohsen Darabiyan , avatar Rahimeh Eskandarian , avatar Ali Ghods ORCID , * , avatar Raheb Ghorbani ORCID

Koomesh: Vol.21, issue 3; 437-443
published online: September 03, 2019
article type: Research Article
received: February 01, 2018
accepted: March 03, 2019

how to cite: Asgari M R, Barari L, Darabiyan M, Eskandarian R, Ghods A, et al. Anxiety levels in patients candidate for coronary artery angiography. koomesh. 2019;21(3):e153088. 

Abstract

Introduction: One of the diagnostic and therapeutic procedures in coronary artery disease is coronary artery angiography. Due to the invasiveness of this method, most patients experience anxiety before it is performed. Anxiety causes physiological responses in the body that can increase the incidence of complications in these patients. This study aimed to investigate anxiety levels in patients who were candidate for coronary artery angiography. Materials and Methods: In a descriptive-analytical study, 120 patients who referred to the Kowsar Hospital of the Semnan University of Medical Sciences (Semnan, Iran) for coronary artery angiographies were enrolled. Sampling method was simple and purposeful by available samples. Spielberger;#39s situational anxiety inventory (STAI) questionnaire was used to measure the level of situational anxiety before angiography. Results: The mean severity of anxiety before coronary artery angiography was 39.26±11.86. The severity of anxiety was mild in 52.5%, moderate in 41.7%, and severe in 5.8% of patients. Severity of anxiety was significantly higher in women than men (P

References

  • 1.

    Yusuf S, Rangarajan S, Teo K, Islam S, Li W, Liu L, et al. Cardiovascular risk and events in 17 low-, middle-, and high-income countries. N Engl J Med 2014; 371: 818-827.

  • 2.

    Asgari M, Soleimani M. Intensive care nursing in CCU, ICU and dialysis wards. 31th ed. Tehran: Boshra; 2017. (Persian).

  • 3.

    Bashar FR, Azimi VA, Mahmood Salesi SM, Zijoud H. The effect of progressive muscle relaxation on the outcomes of myocardial infarction: review study. J Military Med 2017; 19: 326-335. (Persian).

  • 4.

    Beyranvand M, Kolahi A, Ghafelebashi S. Characteristics and final diagnosis of patients with primary diagnosis of acute coronary syndrome. J Babol Univ Med Sci 2008; 10: 76-82. (Persian).

  • 5.

    Fihn SD, Blankenship JC, Alexander KP, Bittl JA, Byrne JG, Fletcher BJ, et al. ACC/AHA/AATS/PCNA/SCAI/STS focused update of the guideline for the diagnosis and management of patients with stable ischemic heart disease: a report of the American college of cardiology/American heart association task force on practice guidelines, and the American association for thoracic surgery, preventive cardiovascular nurses association, society for cardiovascular angiography and interventions, and society of thoracic surgeons. J Am Coll Cardiol 2014; 64: 1929-1949.

  • 6.

    Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. Heart disease and stroke statistics--2015 update: a report from the American heart association. Circulation 2015; 131: e29-32.

  • 7.

    Akbari Sari A, Babashahy S, Olyaeimanesh A, Rashidian A. Estimating the frequency and rate of first 50 common types of invasive procedures in iran healthcare system. Iran J Public Health 2012; 41: 60-64.

  • 8.

    Sadefi M. Complication of prolonged intubation in patients with coronary artery bypass graft. fifteenth congress of cardiology News. Razi Int Confer Center 2013 (Persian).

  • 9.

    Uzun S, Vural H, Uzun M, Yokusoglu M. State and trait anxiety levels before coronary angiography. J Clin Nurs 2008; 17: 602-607.

  • 10.

    Crawford MH, Dimarco JP, Paulus WJ. Cardiology. Philadelphia: Mosby; 2004.

  • 11.

    Gu G, Zhou Y, Zhang Y, Cui W. Increased prevalence of anxiety and depression symptoms in patients with coronary artery disease before and after percutaneous coronary intervention treatment. BMC Psychiatry 2016; 16: 259.

  • 12.

    Mikosch P, Hadrawa T, Laubreiter K, Brandl J, Pilz J, Stettner H, et al. Effectiveness of respiratorysinusarrhythmia biofeedback on stateanxiety in patients undergoing coronary angiography. J Adv Nurs 2010; 66: 1101-1110.

  • 13.

    Somers JM, Goldner EM, Waraich P, Hsu L. Prevalence and incidence studies of anxiety disorders: a systematic review of the literature. Can J Psychiatry 2006; 51: 100-103.

  • 14.

    Hajbaghery MA, Moradi T, Mohseni R. Effects of a multimodal preparation package on vital signs of patients waiting for coronary angiography. Nurs Midwifery Stud 2014; 3: e17518.

  • 15.

    Watkins LL, Koch GG, Sherwood A, Blumenthal JA, Davidson JR, O'Connor C, et al. Association of anxiety and depression with all-cause mortality in individuals with coronary heart disease. J Am Heart Assoc 2013; 2: e000068.

  • 16.

    Roest AM, Martens EJ, de Jonge P, Denollet J. Anxiety and risk of incident coronary heart disease: a meta-analysis. J Am Coll Cardiol 2010; 56: 38-46.

  • 17.

    Woods SL, Sivarajaan Froelicher ES. Cardiac Nursing. 6th ed. New York: Lippincott Williams & Wilkins; 2010.

  • 18.

    Medi C, Kalman JM, Freedman SB. Supraventricular tachycardia. J Am Med Assos 2009; 190: 255-260.

  • 19.

    Martens EJ, de Jonge P, Na B, Cohen BE, Lett H, Whooley MA. Scared to death? Generalized anxiety disorder and cardiovascular events in patients with stable coronary heart disease: The Heart and Soul Study. Arch Gen Psychiatry 2010; 67: 750-758.

  • 20.

    Jamshidi N, Abaszade A, Najafi-Kaliani M. Stress, anxiety and depression of patients before coronary angiography. Zahedan J Res Med Sci 2012; 13: 29. (Persian).

  • 21.

    Delewi R, Vlastra W, Rohling WJ, Wagenaar TC, Zwemstra M, Meesterman MG, et al. Anxiety levels of patients undergoing coronary procedures in the catheterization laboratory. Int J Cardiol 2017; 228: 926-930.

  • 22.

    Albus C, Jordan J, Herrmann-Lingen C. Screening for psychosocial risk factors in patients with coronary heart disease-recommendations for clinical practice. Eur J Cardiovasc Prev Rehabil 2004; 11: 75-79.

  • 23.

    Spielberger C, Gorsuch R, Lushene R, Vagg P, Jacobs G. Manual for the state-trait anxiety inventory (Form Y). Mind Garden: Palo Alto; 1983.

  • 24.

    Spielberger CD, Reheiser EC. Assessment of emotions: Anxiety, anger, depression, and curiosity. Appl Psychol Health WellBeing 2009; 1: 271-302.

  • 25.

    Shek DT. The Chinese version of the StateTrait Anxiety Inventory: Its relationship to different measures of psychological wellbeing. J Clin Psychol 1993; 49: 349-58.

  • 26.

    Huffman JC, Smith FA, Blais MA, Januzzi JL, Fricchione GL. Anxiety, independent of depressive symptoms, is associated with in-hospital cardiac complications after acute myocardial infarction. J Psychosom Res 2008; 65: 557-563.

  • 27.

    Bjorg U, Ingvar B, Berit R, Hanestad, Ernst O, Tore WL, et al. Comparison of the Short Form 36 and the Hospital Anxiety and Depression Scale measuring emotional distress in patients admitted for elective coronary angiography. Heart Lung 2008; 37: 286-295.

  • 28.

    Asgari MR, Jafarpoor H, Soleimani M, Ghorbani R, Askandarian R, Jafaripour I. Effects of early mobilization program on depression of patients with myocardial infarction hospitalized in CCU. Koomesh 2015; 16: 175-184. (Persian).

  • 29.

    Abbasi SH, De Leon AP, Kassaian S, Karimi A, Sundin , Soares J, et al. Gender differences in the risk of coronary artery disease in Iran. Iran J Public Health 2012; 41: 36-47.

  • 30.

    Meshgin Abadi N, Ramezani Badr F, Mahmoodi Kh. Effect of aromatherapy massage on anxiety in patients undergoing percutaneous coronary intervention (PCI). J Prev Care Nurs Midwifery 2012; 2: 14-22. (Persian).

  • 31.

    Tajfard M, Mobarhan MG, Rahimi HR, Mouhebati M, Esmaeily H, Ferns GA, et al. Anxiety, depression, coronary artery disease and diabetes mellitus; an association study in Ghaem Hospital, Iran. Iran Red Crescent Med J 2014; 16: e14589.

  • 32.

    Fakhr-Movahedi A, Ebrahimian A, Mirmohammadkhani M, Ghasemi S. Relationship between chest pain severity and physiological indexes in patients with coronary artery disease. Tehran Univ Med J 2016; 74: 140-145. (Persian).

  • 33.

    Cho MY, Min ES, Hur MH, Lee MS. Effects of aromatherapy on the anxiety, vital signs, and sleep quality of percutaneous coronary intervention patients in intensive care units. Evid Based Complement Alternat Med 2013; 2013: 381381.

  • 34.

    Tahmasbi H, Mahmoodi G, Mokhberi V, Hassani S, Akbarzadeh H, Rahnamai N. The impact of aromatherapy on the anxiety of patients experiencing coronary angiography. Zahedan J Res Med Sci 2012; 14: 51-55. (Persian).

  • 35.

    Hanser SB. Music therapy in cardiac health care: current issues in research. Cardiol Rev 2014; 22: 37-42.

  • 36.

    Bauer BB, Hill SS. Mental health nursing: an introductory text. 1st ed. Philadelphia: WB Saunders; 2000.

  • 37.

    Reed T. Reducing patient anxiety pre-cardiac catheterization through education. Cath Lab Digest 2008; 16; 30-32.

  • 38.

    Hamang A, Eide GE, Rokne B, Nordin K, yen N. General anxiety, depression, and physical health in relation to symptoms of heart-focused anxiety-a cross sectional study among patients living with the risk of serious arrhythmias and sudden cardiac death. Health Qual Life Outcomes 2011; 9: 100.

  • 39.

    Rajabi N, Choopani-Ab-Bakhsh N, Pishgooi SA, Sharififar s. Assessment of anxiety level and hemodynamic state in the patients candidate for coronary angiography and its relationship with demographic factors. J Nurse Phys Within War 2015; 3: 26-32. (Persian).

  • 40.

    Timberlake N, Klinger L, Smith P, Venn G, Treasure T, Harrison M, et al. Incidence and patterns of depression following coronary artery bypass graft surgery. J Psychosom Res 1997; 43: 197-207.

  • 41.

    Esmaeeli Douki Z, Vaezzadeh N, Shahmohammadi S, Shahhosseini Z, Ziabakhsh Tabary SH, Mohammadpour R, et al. Anxiety before and after coronary artery bypass grafting surgery: relationship to QOL. Middle East J Sci Res 2011; 7: 103-108. (Persian).

  • 42.

    Andrews G, Henderson S, Hall W. Prevalence, comorbidity, disability and service utilisation. overview of the australian national mental health survey. Br J Psychiatry 2001; 178: 145-153.

  • 43.

    Garbossa AM, Mortari E, Biasi D, Leguisamo J. Effects of physiotherapeutic instructions on anxiety of CABG patients. Rev Bras Cir Cardiovasc 2009; 24: 359-366.

  • 44.

    Vasilopoulou C, Bourtsi E, Giaple S, Koutelekos I, Theofilou P, Polikandrioti M. The impact of anxiety and depression on the quality of life of hemodialysis patients. Glob J Health Sci 2015; 8: 45-55.

  • 45.

    Olagunju AT, Campbell EA, Adeyemi JD. Interplay of anxiety and depression with quality of life in endstage renal disease. Psychosomatics 2015; 56: 67-77.

  • 46.

    Raies dana N, Kamali E, Soleimani M, Mir Mohammad Khani M. Assessment of situational and heart focused anxiety in patients with coronary artery disease before angiography. Koomesh 2017; 19: 199-206. (Persian).

  • 47.

    Carney RM, Freedland KE. Depression and heart rate variability in patients with coronary heart disease. Cleve Clin J Med 2009; 76: S13-17.##.