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Increased Heart Rate Variability following Elective Percutaneous Coronary Intervention in Patients with Stable Coronary Artery Disease and Preprocedural Anxiety
BACKGROUND: There is a strong association between chronic ischemia and autonomic imbalance. Percutaneous coronary intervention (PCI) may restore autonomic balance in patients with stable coronary artery disease (SCAD), which is characterized by increased heart rate variability (HRV). Anxiety is ofte...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7024083/ https://www.ncbi.nlm.nih.gov/pubmed/32089874 http://dx.doi.org/10.1155/2019/3696825 |
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author | Oktaramdani, Tessa Mudjaddid, E. Muhadi, Shatri, Hamzah |
author_facet | Oktaramdani, Tessa Mudjaddid, E. Muhadi, Shatri, Hamzah |
author_sort | Oktaramdani, Tessa |
collection | PubMed |
description | BACKGROUND: There is a strong association between chronic ischemia and autonomic imbalance. Percutaneous coronary intervention (PCI) may restore autonomic balance in patients with stable coronary artery disease (SCAD), which is characterized by increased heart rate variability (HRV). Anxiety is often found in patients who are going to undergo invasive procedures and has been identified to induce autonomic imbalance. The aim of our study is to identify the impact of preprocedural anxiety on increased HRV following an elective PCI. METHODS: Our study was a pretest and post-test correlation study involving 44 SCAD patients who underwent elective PCI at Cipto Mangunkusumo National Hospital. The HRV was measured before and after PCI. Anxiety symptoms were evaluated using Hospital Anxiety Depression Score (HADS) questionnaires. RESULTS: We found a higher increase on HRV parameter following the PCI of subjects in the nonanxiety group compared with the anxiety group (median = 9.11 vs. 2.83; U = 154.00; p=0.043). CONCLUSIONS: Preprocedural anxiety may inhibit HRV increase following PCI procedure. |
format | Online Article Text |
id | pubmed-7024083 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-70240832020-02-21 Increased Heart Rate Variability following Elective Percutaneous Coronary Intervention in Patients with Stable Coronary Artery Disease and Preprocedural Anxiety Oktaramdani, Tessa Mudjaddid, E. Muhadi, Shatri, Hamzah Cardiol Res Pract Research Article BACKGROUND: There is a strong association between chronic ischemia and autonomic imbalance. Percutaneous coronary intervention (PCI) may restore autonomic balance in patients with stable coronary artery disease (SCAD), which is characterized by increased heart rate variability (HRV). Anxiety is often found in patients who are going to undergo invasive procedures and has been identified to induce autonomic imbalance. The aim of our study is to identify the impact of preprocedural anxiety on increased HRV following an elective PCI. METHODS: Our study was a pretest and post-test correlation study involving 44 SCAD patients who underwent elective PCI at Cipto Mangunkusumo National Hospital. The HRV was measured before and after PCI. Anxiety symptoms were evaluated using Hospital Anxiety Depression Score (HADS) questionnaires. RESULTS: We found a higher increase on HRV parameter following the PCI of subjects in the nonanxiety group compared with the anxiety group (median = 9.11 vs. 2.83; U = 154.00; p=0.043). CONCLUSIONS: Preprocedural anxiety may inhibit HRV increase following PCI procedure. Hindawi 2019-12-20 /pmc/articles/PMC7024083/ /pubmed/32089874 http://dx.doi.org/10.1155/2019/3696825 Text en Copyright © 2019 Tessa Oktaramdani et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Oktaramdani, Tessa Mudjaddid, E. Muhadi, Shatri, Hamzah Increased Heart Rate Variability following Elective Percutaneous Coronary Intervention in Patients with Stable Coronary Artery Disease and Preprocedural Anxiety |
title | Increased Heart Rate Variability following Elective Percutaneous Coronary Intervention in Patients with Stable Coronary Artery Disease and Preprocedural Anxiety |
title_full | Increased Heart Rate Variability following Elective Percutaneous Coronary Intervention in Patients with Stable Coronary Artery Disease and Preprocedural Anxiety |
title_fullStr | Increased Heart Rate Variability following Elective Percutaneous Coronary Intervention in Patients with Stable Coronary Artery Disease and Preprocedural Anxiety |
title_full_unstemmed | Increased Heart Rate Variability following Elective Percutaneous Coronary Intervention in Patients with Stable Coronary Artery Disease and Preprocedural Anxiety |
title_short | Increased Heart Rate Variability following Elective Percutaneous Coronary Intervention in Patients with Stable Coronary Artery Disease and Preprocedural Anxiety |
title_sort | increased heart rate variability following elective percutaneous coronary intervention in patients with stable coronary artery disease and preprocedural anxiety |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7024083/ https://www.ncbi.nlm.nih.gov/pubmed/32089874 http://dx.doi.org/10.1155/2019/3696825 |
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