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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...

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Autores principales: Oktaramdani, Tessa, Mudjaddid, E., Muhadi, Shatri, Hamzah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
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.
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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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