The effects of music interventions on anxiety in the patient after coronary artery bypass grafting

Barnason, Susan; Zimmerman, Lani; Nieveen, J

doi:10.1016/s0147-9563(05)80007-x

Cited by 144 publications

(143 citation statements)

References 23 publications

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“…People with coronary heart disease (CHD) often suffer from severe distress due to various reasons such as their diagnosis, hospitalization, surgical procedures, uncertainty of outcome, fear of dying, doubts about progress in recovery and helplessness [2]- [4]. As a consequence, this disease is associated with stress triggering the release of stress hormones leading to increase heart rate, respiratory rate, arterial blood pressure and myocardial oxygen demand.…”

Section: Introductionmentioning

confidence: 99%

Effect of Music on State of Ischaemia in Stable Angina; a Randomized Controlled Trial

Siritunga¹,

Wijewardena²,

Ekanayaka³

et al. 2014

IJCM

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Introduction: Ischaemic heart disease is the number one cause of deaths in the world. As these patients experience severe distress due to a number of associated reasons, it is important to focus on both physiological and psychological needs of the patients in the management. Beyond the standard medical and surgical treatments, relaxation therapies such as relaxing music have been identified as having impact in reducing morbidity in ischaemic heart disease. Even though several studies have been conducted to find out the impact of music on pain, anxiety, heart rate and stress associated with myocardial ischaemia, it is hard to find literature on the long-term effects of music on ischaemia. Therefore the effort of this study was to determine the long-term effects of Indian classical music on state of ischaemia in stable angina. Methodology: A single blind randomized clinical trial was conducted on 60 patients of 45 to 65 years of age with stable angina. Intervention group (n = 30) listened to a music based on Indian classical system at home twice a day complementary to their regular treatment for a period of one month. Control group (n = 30) was only on their usual treatment. Both groups were assessed before and one month after the study period for state of ischaemia based on exercise ECG results. Results: Significant improvement in state of ischaemia (p < 0.01) was observed in the intervention group (increase in mean exercise duration by 123 s, the stage at which the test was terminated, maximum metabolic equivalents level * Corresponding author. S. Siritunga et al.1174 achieved by 2.1, the time until 1 mm ST depression by 127.3 s and the time until maximum ST segment depression by 85.9 s and significant reduction in mean maximal ST segment depression by 0.55 mm). But no significant improvement was observed in the control group (p > 0.05). Conclusion: Systematic, regular listening of music based on Indian classical system significantly improved the severity of the state of ischaemia associated with stable angina. Hence music therapy has a potential benefit in considering for use as complementary to angina treatment in reducing morbidity.

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Section: Introductionmentioning

confidence: 99%

Effect of Music on State of Ischaemia in Stable Angina; a Randomized Controlled Trial

Siritunga¹,

Wijewardena²,

Ekanayaka³

et al. 2014

IJCM

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“…Music therapy is currently used to promote physiologic and psychological well being, most commonly for emotionally stressed patients in coronary care units. [2][3][4][5][6][7] Studies of effects of music on HRV using an ambulatory ECG monitoring system have been limited to healthy adolescents. 8) In the present study, we measured autonomic nerve function by performing ambulatory ECG monitoring that automatically measured HRV, because HRV is one of the most useful indicators of autonomic activity.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4][5][6]16,17) Lai reported that relaxing music decreased heart rate and respiratory rate and significantly increased temperature in elderly people, probably due to psychophysiologic effects in which the rhythm and tempo of the music induced relaxation and distraction responses in the limbic and hypothalamic systems of the brain. 18) The limbic and hypothalamic systems can reduce activity of the neuroendocrine system and sympathetic nervous system.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7] In healthy adolescents, relaxing music can significantly reduce heart rate and heart rate variability (HRV), 8) which are among the most widely used indicators in studies of cardiac autonomic modulation. 9) However, it is unclear whether music therapy can significantly affect the function of the autonomic nervous system in elderly patients after cerebral vascular accidents.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Music Therapy on Heart Rate Variability in Elderly Patients with Cerebral Vascular Disease and Dementia

Kurita¹,

Takase

Okada

et al. 2006

Journal of Arrhythmia

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Objective: In Japan, the number of elderly people with cerebral vascular disease (CVD) and dementia is increasing, resulting in increased expenditures to treat such patients. Reports indicate that music therapy can reduce anxiety in patients with myocardial infarction. However, it is unclear whether music therapy can have beneficial effects on very elderly patients with CVD and dementia, as these conditions may influence cardiac autonomic nerve functions. Therefore, we investigated the effects of music therapy on the autonomic nerve system in elderly patients with CVD and dementia, using an ambulatory Holter ECG system. Methods and Results: The subjects were 12 elderly patients aged !75 years, hospitalized for CVD and dementia. We measured their heart rate variability (HRV) indices of power domain and frequency domain analysis. The mean RR significantly increased during music therapy, from 842 AE 174 to 1022 AE 284 (p < 0:05), and decreased to 820 AE 284 ms after music therapy. HF significantly increased during music therapy, from 59 AE 41 to 127 AE 97 ms 2 (p < 0:01), and decreased to 77 AE 60 ms 2 after music therapy. LF/HF decreased from 2:2 AE 1:3 to 1:7 AE 1:3 during music therapy (p < 0:10), and increased to 2:0 AE 1:1 after music therapy. Time domain (HRV) indices increased during music therapy and decreased after music therapy: RMSSD increased from 19:4 AE 11 to 39:8 AE 17 ms, and then decreased to 19:4 AE 8:3 ms; pNN50 increased from 3:6 AE 3:2 to 16:1 AE 13:3% (p < 0:01), and then decreased to 4:3 AE 4:2%.Conclusions: Music therapy enhanced parasympathetic activity and decreased sympathetic activity in elderly patients with CVD and dementia. These findings suggest that music therapy is useful for alleviating anxiety, increasing comfort and facilitating relaxation for elderly patients with CVD and dementia. (J Arrhythmia 2006; 22: 161-166)

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“…Heart rate and systolic and diastolic blood pressures were significantly decreased by the intervention, indicating generalized physiologic relaxation. 13 These two studies indicate that music is not harmful to patients and may help improve mood, anxiety, and physiologic responses to stress. However, Elliot did not find any relation between music therapy and anxiety reduction in a randomized controlled trial.…”

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confidence: 99%

What is the role of music in the intensive care unit?

Chariyawong¹,

Copeland²,

Mulkey³

2016

SWRCCC

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The effects of music interventions on anxiety in the patient after coronary artery bypass grafting

Cited by 144 publications

References 23 publications

Effect of Music on State of Ischaemia in Stable Angina; a Randomized Controlled Trial

Effect of Music on State of Ischaemia in Stable Angina; a Randomized Controlled Trial

Effects of Music Therapy on Heart Rate Variability in Elderly Patients with Cerebral Vascular Disease and Dementia

What is the role of music in the intensive care unit?

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