Top

Clinical Research in Cardiology

Published in:

01-05-2011 | Original Paper

Music in the cath lab: who should select it?

Authors: Wolfram Goertz, Klaus Dominick, Nicole Heussen, Juergen vom Dahl

Published in: Clinical Research in Cardiology | Issue 5/2011

Abstract

Objectives

The ALMUT study wants to evaluate the anxiolytic effects of different music styles and no music in 200 patients undergoing cardiac catheterization and to assess if there is a difference if patients select one of these therapies or are randomized to one of them.

Background

The anxiolytic and analgesic effects of music have been described in previous trials. Some authors have suggested to evaluate whether patient-selected music is more effective than the music selected by the physician in reducing anxiety and stress levels.

Methods and results

After randomization 100 patients (group A) were allowed to choose between classical music, relaxing modern music, smooth jazz, and no music. One hundred patients (group B) were randomized directly to one of these therapies (n = 25 each). Complete data were available for 197 patients (65 ± 10 years; 134 male). Using the State-Trait Anxiety Inventory (STAI) all patients in group B who listened to music showed a significantly higher decrease of their anxiety level (STAI-State difference pre-post of 16.8 ± 10.2) compared to group A (13.3 ± 11.1; p = 0.0176). Patients without music (6.2 ± 6.7) had a significantly weaker reduction of anxiety compared to all music-listeners (14.9 ± 10.7, p < 0.0001).

Conclusions

The positive effects of music in the cath lab support previous reports. Surprisingly, the hypothesis that the patient’s choice of preferred music might yield higher benefits than a randomized assignment could be dismissed.

Blood DJ, Ferriss SJ (1993) Effects of background music on anxiety, satisfaction with communication, and productivity. Psychol Rep 72:171–177PubMed

Buffum MD, Sasso C, Sands LP, Lanier E, Yellen M, Hayes A (2006) A music intervention to reduce anxiety before vascular angiography procedures. J Vasc Nurs 24:68–73PubMedCrossRef

Byers JF, Smyth KA (1997) Effect of a music intervention on noise annoyance, heart rate, and blood pressure on cardiac surgery patients. Am J Crit Care 6:183–191PubMed

Chan MF, Wong OC, Chan HL, Fong MC, Lai SY, Lo CW, Ng SY, Leung SK (2006) Effects of music on patients undergoing a C-clamp procedure after percutaneous coronary interventions. J Adv Nurs 53:669–679PubMedCrossRef

Evans D (2002) The effectiveness of music as an intervention for hospital patients: a systematic review. J Adv Nurs 37:8–13PubMedCrossRef

Hamel WJ (2001) The effects of music intervention on anxiety in the patient waiting for cardiac catheterization. Intensive Crit Care Nurs 17:279–285PubMedCrossRef

Lee HR (2003) Effects of relaxing music on stress response of patients with acute myocardial infarction. Taehan Kanho Hakhoe Chi 33:693–704PubMed

Marconato C, Munhoz EC, Menim MM, Albach MT (2001) Application of receptive music therapy in internal medicine and cardiology. Arq Bras Cardiol 77:140–141CrossRef

Mok E, Wong KY (2003) Effects of music on patient anxiety. AORN J 77:396–410PubMedCrossRef

10.

Nilsson U (2008) The anxiety-and pain-reducing effects of music interventions: a systematic review. AORN J 87:780–807PubMedCrossRef

11.

Rudin D, Kiss A, Wetz RV, Sottile VM (2007) Music in the endoscopy suite: a meta-analysis of randomized controlled studies. Endoscopy 39:507–510PubMedCrossRef

12.

Sendelbach SE, Halm MA, Doran KA, Miller EH, Gaillard P (2006) Effects of music therapy on physiological and psychological outcomes for patients undergoing cardiac surgery. J Cardiovasc Nurs 21:194–200PubMed

13.

Spintge R (2000) Musik in Anästhesie und Schmerztherapie. Anästhesiol Intensivmed Notfallmed Schmerzther 35:254–265PubMedCrossRef

14.

Strauser J (1997) The effect of music versus silence of measures of state anxiety, perceived relaxation, and physiological responses. J Music Ther 26:168–187

15.

Twiss E, Seaver J, McCaffrey R (2006) The effects of music listening on older adults undergoing cardiovascular surgery. Nurs Crit Care 11:224–231PubMedCrossRef

16.

Vollert JO, Störk T, Rose M, Möckel M (2003) Music as adjuvant therapy for coronary heart disease. therapeutic music lowers anxiety, stress and beta-endorphin concentrations in patients from a coronary sport group. Dtsch Med Wochenschr 128:2712–2716PubMedCrossRef

17.

White JM (2000) State of the science of music interventions. Critical care and perioperative practice. Crit Care Nurs Clin North Am 12:219–225PubMed

18.

Winter MJ, Paskin S, Baker T (1994) Music reduces stress and anxiety of patients in the surgical holding area. J Post Anesth Nurs 9:340–343PubMed

19.

Hillecke T, Nickel A, Bolay HV (2005) Scientific perspectives on music therapy. Ann N Y Acad Sci 1060:271–282PubMedCrossRef

20.

Siedliecki SL, Good M (2006) Effect of music on power, pain, depression and disability. J Adv Nurs 54:553–562PubMedCrossRef

21.

Hamm CW, Albrecht A, Bonzel T, Kelm M, Lange H, Schächinger V, Terres W, Voelker W (2008) Diagnostik heart catherization. Clin Res Cardiol 97:475–512PubMedCrossRef

22.

Bonzel T, Erbel R, Hamm CW, Levenson B, Neumann FJ, Rupprecht HJ, Zahn R (2008) Percutaneous coronary interventions (PCI). Clin Res Cardiol 97:513–547PubMedCrossRef

23.

Werner GS, Gitt AK, Zeymer U, Juenger C, Towae F, Wienbergen H, Senges J (2009) Chronic total coronary occlusion in patients with stable angina pectoris: impact on therapy and outcome in present day clinical practice. Clin Res Cardiol 98:435–441PubMedCrossRef

24.

Laux L, Glanzmann P, Schaffner P, Spielberger CD (1981) Das State-Trait-Angstinventar. Beltz, Göttingen

25.

Bernardi L, Porta C, Sleight P (2006) Cardiovascular, cerebrovascular and respiratory changes induced by different types of music in musicians and non-musicians: the importance of silence. Heart 92:445–452PubMedCrossRef

26.

Gosselin N, Peretz I, Johnsen E, Adolphs R (2007) Amygdala damage impairs emotion recognition from music. Neuropsychol 45:236–244CrossRef

27.

Mitterschiffthaler MT, Fu Ch, Dalton JA, Andrew CM, Williams SC (2007) A functional MRI study of happy and sad affective states induced by classical music. Hum Brain Mapp 28:1150–1162PubMedCrossRef

28.

Knight WE, Rickard NS (2001) Relaxing music prevents stress-induced increases in subjective anxiety, systolic blood pressure, and heart rate in healthy males and femals. J Music Ther 38:254–272PubMed

29.

Stefano GB, Zhu W, Cadet P, Salamon E, Mantione KJ (2004) Music alters constitutively expressed opiate and cytokine processes in listeners. Med Sci Monit 10:18–27

30.

Argstatter H, Haberbosch W, Bolay HV (2006) Study of the effectiveness of musical stimulation during intracardiac catheterization. Clin Res Cardiol 95:514–522PubMedCrossRef

31.

Spitzer M (2006) Musik im Kopf. Hören, Musizieren, Verstehen und Erleben im neuronalen Netzwerk. Schattauer, Stuttgart, p 431

32.

Bally K, Campbell D, Chesnick K, Tranmer JE (2003) Effects of patient-controlled music therapy during coronary angiography on procedural pain and anxiety distress syndrome. Crit Care Nurse 23:50–58PubMed

33.

Altenmüller E, Kopiez R (2005) Schauer und Tränen: zur Neurobiologie der durch Musik ausgelösten Emotionen. In: Bullerjahn C, Gembris H, Lehmann AC (eds) Musik: gehört, gesehen und erlebt. Festschrift Klaus-Ernst Behne zum 65. Geburtstag. Verlag der Hochschule für Musik und Theater, Hannover, pp 159–179

34.

De la Motte-Haber H (1975) Musikpsychologie. In: Dahlhaus C (ed) Einführung in die systematische Musikwissenschaft, 2nd edn. Gerig, Köln, pp 53–93

35.

Sacks O (2008) Der einarmige Pianist. Über Musik und das Gehirn. Rowohlt, Reinbek, p 376

36.

Jourdain R (2001) Das wohltemperierte Gehirn. Wie Musik im Kopf entsteht und wirkt, 2nd edn. Spektrum, Akademischer Verlag, Heidelberg, p 375

37.

Salamon E, Bernstein SR, Kim SA, Kim M, Stefano GB (2003) The effects of auditory perception and musical preference on anxiety in naive human subjects. Med Sci Monit 9:396–399

38.

Khalfa S, Bella SD, Roy M, Peretz I, Lupien SJ (2003) Effects of relaxing music on salivary cortisol level after psychological stress. Ann N Y Acad Sci 999:374–376PubMedCrossRef

39.

Heikkilä J, Paunonen M, Virtanen V, Laippala P (1998) Fears of patients related to coronary arteriography. J Adv Nurs 28:52–62

40.

Peterson M (1991) Patient anxiety before cardiac catherization: an intervention study. Heart Lung 20:643–647PubMed

Title: Music in the cath lab: who should select it?
Authors: Wolfram Goertz
Klaus Dominick
Nicole Heussen
Juergen vom Dahl
Publication date: 01-05-2011
Publisher: Springer-Verlag
Published in: Clinical Research in Cardiology / Issue 5/2011
Print ISSN: 1861-0684
Electronic ISSN: 1861-0692
DOI: https://doi.org/10.1007/s00392-010-0256-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Music in the cath lab: who should select it?

Abstract

Objectives

Background

Methods and results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Background

Methods and results

Conclusions

Please log in to get access to this content

Other articles of this Issue 5/2011

Arrhythmogenic right ventricular cardiomyopathy/dysplasia: a review and update

Impact of smoking on the outcome of patients treated with drug-eluting stents: 1-year results from the prospective multicentre German Drug-Eluting Stent Registry (DES.DE)

Inverted Takotsubo cardiomyopathy following accidental intravenous administration of epinephrine in a young woman

Hemangioma as a rare cause of a neonatal cardiac tumor resulting in inflow obstruction of the tricuspid valve

Appraising the impact of left ventricular ejection fraction on outcomes of percutaneous drug-eluting stenting for unprotected left main disease: insights from a multicenter registry of 975 patients

Vascular remodeling in adults after coarctation repair: impact of descending aorta stenosis and age at surgery