Turkiye Klinikleri Cardiovascular Sciences

.: ORIGINAL RESEARCH
The Relationship of Anxiety with Perioperative Hemodynamic Parameters and Complications in Patients to Undergo Coronary Angiography
Koroner Anjiyografi Uygulanacak Hastalarda Anksiyetenin Perioperatif Hemodinamik Parametreler ve Komplikasyonlar ile İlişkisi
Zuhal KOÇa, Havva GENÇOSMANa, Turgut KARABAĞa
aHealth Sciences University İstanbul Training and Research Hospital, Department of Cardiology, İstanbul, TURKEY
Turkiye Klinikleri J Cardiovasc Sci. 2020;32(1):14-9
doi: 10.5336/cardiosci.2019-73178
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of this study was to examine the effect of preprocedural anxiety levels on developing complications and the effect of anxiety on perioperative vital parameters in patients scheduled for coronary angiography. Material and Methods: The study included 150 patients who were admitted to the cardiology outpatient clinic with chest pain and/or any complaints and who were indicated for coronary angiography for the first time as a result of examinations. Anxiety scores were evaluated using the Hamilton Anxiety Rating Scale. Increased blood pressure (>180/100 mmHg), increased heart rate (<120/min), hemodynamic collapse, vagotonia, hemorrhage and hematoma during and after the procedure were evaluated as complications. The patients were divided into two groups as Group 1 including 38 patients, the group with complications (27M; mean age 61.8±14.0 years), and Group 2 including 112 patients, the group without complications (69M; mean age 61.2±12.1years), according to whether or not complications developed. Results: Hamilton anxiety scores and procedure periods were significantly higher in Group 1 compared to Group 2. Blood pressures before and during the procedure and heart rates after the procedure were significantly higher in Group 1 compared to Group 2. Anxiety scores were significantly correlated with waiting periods and procedure periods. Anxiety scores were also significantly correlated with heart rates before and after the procedure. Conclusion: Anxiety scores were significantly higher in patients with complications. Effective anxiety treatment in patients whose preprocedural anxiety scores higher should be determined.

Keywords: Anxiety; complication; coronary angiography
ÖZET
 Amaç: Çalışmamızın amacı, koroner anjiyografi uygulanması planlanan hastalarda işlem öncesi anksiyete düzeylerinin gelişen komplikasyonlar üzerine etkisi ve anksiyetenin perioperatif vital parametrelere etkisinin incelenmesidir. Gereç ve Yöntemler: Çalışmaya göğüs ağrısı ve/veya herhangi bir şikayetle kardiyoloji polikliniğine başvuran ve yapılan incelemeler ve tetkikler neticesinde ilk defa koroner anjiyografi endikasyonu konulan 150 hasta dahil edilmiştir. Anksiyete skorları Hamilton anksiyete değerlendirme ölçegi ile değerlendirildi. Hastaların işlem öncesi bekleme süreleri, işlem süresi, işlem öncesi, sırasında ve sonrasında kan basınçları ile kalp hızları kaydedildi. İşlem esnasında ve sonrasında, kan basıncının yükselmesi (>180/100 mmHg), kalp hızının yükselmesi (<120/dk), hemodinamik kollaps, vagotoni gelişmesi, kanama, hematom gelişimi komplikasyon olarak değerlendirildi. Komplikasyon gelişip gelişmemesine göre hastalar 2 gruba ayrıldı; Grup 1; 38 hasta, komplikasyon gelişmiş grup (27 E; ortalama yaş. 61,8±14,0 yıl), Grup 2; 112 hasta, komplikasyon gelişmemiş grup (69 E; ortalama yaş 61,2±12,1yıl). Bulgular: Hamilton anksiyete skorları ile işlem süreleri Grup 1?de Grup 2?ye göre anlamlı olarak yüksekti. İşlem öncesi ve işlem esnasındaki kan basınçları ile işlem sonrası kalp hızları Grup 1?de Grup 2?ye göre anlamlı olarak yüksekti. İşlem sonrası kan basınçları ile kalp hızları ise benzerdi Anksiyete skorları bekleme süreleri ve işlem süreleri ile anlamlı şekilde korele idi. Anksiyete skorları yine işlem öncesi ve sonrası kalp hızları ile anlamlı şekilde korelasyon göstermekteydi. Sonuç: Komplikasyon gelişen hastalarda anksiyete skorları belirgin derece yüksektir. İşlem öncesi anksiyete skoru belirlenen ve yüksek bulunan hastalarda etkin anksiyete tedavisi uygulanmalıdır.

Anahtar Kelimeler: Anksiyete; komplikasyon; koroner anjiyografi
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