Ming Yen Ng1,2, Yasser Karimzad3, Ravi J Menezes3, Bernd J Wintersperger3, Qin Li3, Julian Forero3, Narinder S Paul3, Elsie T Nguyen3. 1. Department of Medical Imaging, Toronto General Hospital, University of Toronto, Toronto, ON, Canada. myng2@hku.hk. 2. Department of Diagnostic Radiology, The University of Hong Kong, Queen Mary Hospital, Hong Kong, Hong Kong. myng2@hku.hk. 3. Department of Medical Imaging, Toronto General Hospital, University of Toronto, Toronto, ON, Canada.
Abstract
OBJECTIVES: To evaluate the heart rate lowering effect of relaxation music in patients undergoing coronary CT angiography (CCTA), pulmonary vein CT (PVCT) and coronary calcium score CT (CCS). METHODS: Patients were randomised to a control group (i.e. standard of care protocol) or to a relaxation music group (ie. standard of care protocol with music). The groups were compared for heart rate, radiation dose, image quality and dose of IV metoprolol. Both groups completed State-Trait Anxiety Inventory anxiety questionnaires to assess patient experience. RESULTS:One hundred and ninety-seven patients were recruited (61.9 % males); mean age 56y (19-86 y); 127 CCTA, 17 PVCT, 53 CCS. No significant difference in heart rate, radiation dose, image quality, metoprolol dose and anxiety scores. 86 % of patients enjoyed the music. 90 % of patients in the music group expressed a strong preference to have music for future examinations. The patient cohort demonstrated low anxiety levels prior to CT. CONCLUSION:Relaxation music in CCTA, PVCT and CCS does not reduce heart rate or IV metoprolol use. Patients showed low levels of anxiety indicating that anxiolytics may not have a significant role in lowering heart rate. Music can be used in cardiac CT to improve patient experience. KEY POINTS: • Relaxation music does not reduce heart rate in cardiac CT • Relaxation music does not reduce beta-blocker use in cardiac CT • Relaxation music has no effect on cardiac CT image quality • Low levels of anxiety are present in patients prior to cardiac CT • Patients enjoyed the relaxation music and this results in improved patient experience.
RCT Entities:
OBJECTIVES: To evaluate the heart rate lowering effect of relaxation music in patients undergoing coronary CT angiography (CCTA), pulmonary vein CT (PVCT) and coronary calcium score CT (CCS). METHODS:Patients were randomised to a control group (i.e. standard of care protocol) or to a relaxation music group (ie. standard of care protocol with music). The groups were compared for heart rate, radiation dose, image quality and dose of IV metoprolol. Both groups completed State-Trait Anxiety Inventory anxiety questionnaires to assess patient experience. RESULTS: One hundred and ninety-seven patients were recruited (61.9 % males); mean age 56y (19-86 y); 127 CCTA, 17 PVCT, 53 CCS. No significant difference in heart rate, radiation dose, image quality, metoprolol dose and anxiety scores. 86 % of patients enjoyed the music. 90 % of patients in the music group expressed a strong preference to have music for future examinations. The patient cohort demonstrated low anxiety levels prior to CT. CONCLUSION: Relaxation music in CCTA, PVCT and CCS does not reduce heart rate or IV metoprolol use. Patients showed low levels of anxiety indicating that anxiolytics may not have a significant role in lowering heart rate. Music can be used in cardiac CT to improve patient experience. KEY POINTS: • Relaxation music does not reduce heart rate in cardiac CT • Relaxation music does not reduce beta-blocker use in cardiac CT • Relaxation music has no effect on cardiac CT image quality • Low levels of anxiety are present in patients prior to cardiac CT • Patients enjoyed the relaxation music and this results in improved patient experience.
Authors: Laura Jiménez-Juan; Elsie T Nguyen; Bernd J Wintersperger; Hadas Moshonov; Andrew M Crean; Djeven P Deva; Narinder S Paul; Felipe S Torres Journal: Int J Cardiovasc Imaging Date: 2012-04-24 Impact factor: 2.357
Authors: Erica Maffei; Alessandro A Palumbo; Chiara Martini; Carlo Tedeschi; Giuseppe Tarantini; Sara Seitun; Livia Ruffini; Annachiara Aldrovandi; Annick C Weustink; Willem B Meijboom; Nico R Mollet; Gabriel P Krestin; Pim J de Feyter; Filippo Cademartiri Journal: Eur Radiol Date: 2009-12 Impact factor: 5.315
Authors: Eun Ju Chun; Whal Lee; Young Hoon Choi; Bon-Kwon Koo; Sang Il Choi; Hwan Jun Jae; Hyo-Cheol Kim; Young Ho So; Jin Wook Chung; Jae Hyung Park Journal: J Comput Assist Tomogr Date: 2008 Jan-Feb Impact factor: 1.826