Skip to content
2000
Volume 23, Issue 5
  • ISSN: 1570-1611
  • E-ISSN: 1875-6212

Abstract

Introduction

With the widespread use of the radial artery in catheterization procedures, radial artery spasm (RAS) is frequently considered an undesirable event. It is known that anxiety increases RAS, and listening to music helps individuals control anxiety during the procedure. This study aimed to investigate the effects of music concerts on RAS.

Methods

In this prospective study, imaging and interventional coronary catheterization procedures using the radial artery were included. One group listened to a musical recital during the procedure, while the other group was treated in a quiet environment. The demographics, procedural parameters, and complications of both groups were compared.

Results

The study included a total of 147 patients, with an average age of 51.6 ± 11.1 years. Of these, 78 patients (53%) listened to music, while 69 patients (46.9%) underwent catheterization in a quiet environment. The impact of music therapy on the RAS was found to be significant (11.5% . 20.3%; p=0.035). While music therapy showed a potential to reduce RAS rates, its effect was not statistically significant in multivariate analysis (p=0.055).

Conclusion

Music is a feasible, simple, and inexpensive method for reducing anxiety levels in patients. Listening to music during catheterization can reduce procedural discomfort and the frequency of undesirable events by helping people control their anxiety.

© 2025 Bentham Science Publishers
Loading

Article metrics loading...

/content/journals/cvp/10.2174/0115701611322882250127051550
2025-02-04
2025-11-14

  • From This Site

    /content/journals/cvp/10.2174/0115701611322882250127051550
    dcterms_title,dcterms_subject,pub_keyword
    -contentType:Contributor -contentType:Concept -contentType:Institution
    10
    5
Loading full text...

Full text loading...

References

  1. KiemeneijF. LaarmanG.J. de MelkerE. Transradial artery coronary angioplasty.Am. Heart J.199512911710.1016/0002‑8703(95)90034‑9 7817902
     [Google Scholar]
  2. KiemeneijF. BurzottaF. FajadetJ. Thirty years of transradial coronary interventions.EuroIntervention2022181192110.4244/EIJ‑E‑22‑00009 35570688
     [Google Scholar]
  3. AklE. RashidM.K. AlshattiA. JollyS.S. Transradial angiography and intervention in acute coronary syndromes.Interv. Cardiol. Clin.202091334010.1016/j.iccl.2019.08.003 31733739
     [Google Scholar]
  4. CaoG. CaiH.X. CaoJ. Advancement in coronary angiography or percutaneous coronary intervention using the distal transradial artery access in acute coronary syndrome and complex coronary artery disease.Anatol. J. Cardiol.202226316317110.5152/AnatolJCardiol.2021.933 35346902
     [Google Scholar]
  5. YoshimachiF. KiemeneijF. MasutaniM. MatsukageT. TakahashiA. IkariY. Safety and feasibility of the new 5 Fr Glidesheath Slender.Cardiovasc. Interv. Ther.2016311384110.1007/s12928‑015‑0344‑2 26141373
     [Google Scholar]
  6. CaputoR.P. TremmelJ.A. RaoS. Transradial arterial access for coronary and peripheral procedures: Executive summary by the transradial committee of the SCAI.Catheter. Cardiovasc. Interv.201178682383910.1002/ccd.23052 21544927
     [Google Scholar]
  7. HamiltonGW SharmaV YeohJ Ultrasound guidance for transradial access in the cardiac catheterization laboratory: A systematic review of the literature and meta-analysis.Heart Lung Circ
     [Google Scholar]
  8. RoczniakJ. TarnawskiA. DziewierzA. Radial artery spasms – Angiographic morphology, risk factors and management.Postepy Kardiol. Interwencyjnej2024201536110.5114/aic.2024.136936 38616935
     [Google Scholar]
  9. ChyrchelM. RoczniakJ. SurdackiA. Radial artery spasms impair invasive cardiological procedures’ performance: A pharmacological approach to prevention and treatment.J. Physiol. Pharmacol.202374610.26402/jpp.2023.6.02 38345441
     [Google Scholar]
  10. KozińskiŁ. OrzałkiewiczZ. Dąbrowska-KugackaA. Feasibility and safety of the routine distal transradial approach in the anatomical snuffbox for coronary procedures: The ANTARES randomized trial.J. Clin. Med.202312247608
     [Google Scholar]
  11. KhanM.Z. PatelK. FranklinS. FaruqiA. AhmadW. SaeedJ. Radial artery spasm: Reviews and updates.Ir. J. Med. Sci.202018941253125810.1007/s11845‑020‑02203‑9 32185750
     [Google Scholar]
  12. HoH.H. JafaryF.H. OngP.J. Radial artery spasm during transradial cardiac catheterization and percutaneous coronary intervention: Incidence, predisposing factors, prevention, and management.Cardiovasc. Revasc. Med.201213319319510.1016/j.carrev.2011.11.003 22226169
     [Google Scholar]
  13. SpenceM.S. ByrneJ. HiltonD. Troubleshooting in transradial intervention.Indian Heart J.2008601Suppl. AA54A59 19359751
     [Google Scholar]
  14. AounJ. HattarL. DgayliK. WongG. BhatT. Update on complications and their management during transradial cardiac catheterization.Expert Rev. Cardiovasc. Ther.2019171074175110.1080/14779072.2019.1675510 31608731
     [Google Scholar]
  15. RoyS. KabachM. PatelD.B. GuzmanL.A. JovinI.S. Radial artery access complications: Prevention, diagnosis and management.Cardiovasc. Revasc. Med.20224016317110.1016/j.carrev.2021.12.007 34952824
     [Google Scholar]
  16. ShroffA. SiddiquiS. BurgA. SinglaI. Identification and management of complications of transradial procedures.Curr. Cardiol. Rep.201315435010.1007/s11886‑013‑0350‑x 23420446
     [Google Scholar]
  17. BradtJ. DileoC. PotvinN. Music for stress and anxiety reduction in coronary heart disease patients.Cochrane Database Syst. Rev.2013201312CD006577 24374731
     [Google Scholar]
  18. BatistaL.C. MeloM.N. CruzD.A.L.M.D. Characteristics of music intervention to reduce anxiety in patients undergoing cardiac catheterization: Scoping review.Heliyon2022811e11894
     [Google Scholar]
  19. ChandrababuR. RameshJ. Sanatombi DeviE. NayakB.S. GeorgeA. Effectiveness of music on anxiety and pain among cardiac surgery patients: A quantitative systematic review and meta‐analysis of randomized controlled trials.Int. J. Nurs. Pract.2021274e1292810.1111/ijn.12928 33759286
     [Google Scholar]
  20. ForooghyM. Mottahedian TabriziE. HajizadehE. PishgooB. Effect of music therapy on patients’ anxiety and hemodynamic parameters during coronary angioplasty: A randomized controlled trial.Nurs. Midwifery Stud.201542e2580010.17795/nmsjournal25800 26339666
     [Google Scholar]
  21. Rodgers-MelnickS.N. RivardR.L. BlockS. DusekJ.A. Effectiveness of music therapy within community hospitals: An EMMPIRE retrospective study.Pain Rep.202383e107410.1097/PR9.0000000000001074 37731473
     [Google Scholar]
  22. BoccaraG. MazeraudA. CassagnolD. TarraganoF. A web app based-music intervention (MUSIC-CARE) reduces sedative requirement and anxiety during coronary angioplasty.Music Med.202113410.47513/mmd.v13i4.811
     [Google Scholar]
  23. PourmovahedZ. MozaffariF. TavangarH. Comparing the effects of muscle relaxation and music therapy on anxiety among candidates for coronary angiography: A randomized clinical trial.Nurs. Midwifery Stud.20209312412910.4103/nms.nms_90_18
     [Google Scholar]
  24. KakarE. BillarR.J. van RosmalenJ. KlimekM. TakkenbergJ.J.M. JeekelJ. Music intervention to relieve anxiety and pain in adults undergoing cardiac surgery: A systematic review and meta-analysis.Open Heart202181e00147410.1136/openhrt‑2020‑001474 33495383
     [Google Scholar]
  25. Sai NuthalapatiB. DeyD. SinghB. Harmonizing hearts: Exploring the impact of music therapy on cardiovascular health.Cardiol. Rev.202410.1097/CRD.0000000000000676 38441154
     [Google Scholar]
  26. MoonJ.R. SongJ. HuhJ. The effects of music intervention on anxiety and stress responses in adults with CHD undergoing cardiac catheterisation.Cardiol. Young202333221322010.1017/S1047951122000439 35285439
     [Google Scholar]
  27. MerleM. CollotF. CastelneauJ. MUSIC: Cardiac imaging, modelling and visualisation software for diagnosis and therapy.Appl. Sci. 20221212614510.3390/app12126145
     [Google Scholar]
  28. HanserS.B. Music therapy in cardiac health care: Current issues in research.Cardiol. Rev.2014221374210.1097/CRD.0b013e318291c5fc 23535529
     [Google Scholar]
  29. Using music to tune the heart. Music therapy, or just listening to music, can be good for the heart.Harv. Heart Lett.200920345 20614640
     [Google Scholar]
  30. VlachopoulosC. AggelakasA. IoakeimidisN. Music decreases aortic stiffness and wave reflections.Atherosclerosis2015240118418910.1016/j.atherosclerosis.2015.03.010 25796036
     [Google Scholar]
  31. BabikianT. ZeltzerL. TachdjianV. Music as medicine: A review and historical perspective.Altern. Complement. Ther.201319525125410.1089/act.2013.19510
     [Google Scholar]
  32. ThautM.H. Chapter 8 - Music as therapy in early history.In: Progress in Brain Research.2015Elsevier2171435810.1016/bs.pbr.2014.11.025
     [Google Scholar]
  33. GreenbergD.M. RentfrowP.J. Music and big data: A new frontier.Curr. Opin. Behav. Sci.201718505610.1016/j.cobeha.2017.07.007
     [Google Scholar]
  34. HohmannL. BradtJ. StegemannT. KoelschS. Effects of music therapy and music-based interventions in the treatment of substance use disorders: A systematic review.PLoS One20171211e018736310.1371/journal.pone.0187363 29141012
     [Google Scholar]
  35. McCraryJ.M. AltenmüllerE. KretschmerC. ScholzD.S. Association of music interventions with health-related quality of life: A systematic review and meta-analysis.JAMA Netw. Open202253e22323610.1001/jamanetworkopen.2022.3236 35315920
     [Google Scholar]
  36. DarkiC. RileyJ. DadabhoyD.P. DarkiA. GarettoJ. The effect of classical music on heart rate, blood pressure, and mood.Cureus2022147e2734810.7759/cureus.27348 36046316
     [Google Scholar]
  37. McCratyR. Barrios-ChoplinB. AtkinsonM. TomasinoD. The effects of different types of music on mood, tension, and mental clarity.Altern. Ther. Health Med.1998417584 9439023
     [Google Scholar]
  38. KemperK.J. DanhauerS.C. Music as Therapy.South. Med. J.200598328228810.1097/01.SMJ.0000154773.11986.39 15813154
     [Google Scholar]
  39. López-Cepero AndradaJ.M. Amaya VidalA. Castro Aguilar-TabladaT. Anxiety during the performance of colonoscopies: Modification using music therapy.Eur. J. Gastroenterol. Hepatol.200416121381138610.1097/00042737‑200412000‑00024 15618849
     [Google Scholar]
  40. KoS.Y. LeungD.Y. WongE.M. Effects of easy listening music intervention on satisfaction, anxiety, and pain in patients undergoing colonoscopy: a pilot randomized controlled trial.Clin. Interv. Aging20191497798610.2147/CIA.S207191
     [Google Scholar]
  41. BashiriM. AkçalıD. CoşkunD. CindorukM. DikmenA. Ucaner CifdalozB. Evaluation of pain and patient satisfaction by music therapy in patients with endoscopy/colonoscopy.Turk. J. Gastroenterol.201829557457910.5152/tjg.2018.18200 30260780
     [Google Scholar]
  42. SmolenD. ToppR. SingerL. The effect of self-selected music during colonoscopy on anxiety, heart rate, and blood pressure.Appl. Nurs. Res.200215312613610.1053/apnr.2002.34140 12173164
     [Google Scholar]
  43. LieberA.C. BoseJ. ZhangX. Effects of music therapy on anxiety and physiologic parameters in angiography: A systematic review and meta-analysis.J. Neurointerv. Surg.201911441642310.1136/neurintsurg‑2018‑014313 30415224
     [Google Scholar]
  44. BendayanS. The healing power of music: A promising new avenue for cardiovascular health.Front. Cardiovasc. Med.202310127705510.3389/fcvm.2023.1277055
     [Google Scholar]
  45. MetznerS. JarczokM.N. BöckelmannI. Improvement of pain experience and changes in heart rate variability through music-imaginative pain treatment.Front. Pain Res. 2022394336010.3389/fpain.2022.943360
     [Google Scholar]
  46. Kunikullaya UbrangalaK. KunnavilR. Sanjeeva VernekarM. Effect of Indian music as an auditory stimulus on physiological measures of stress, anxiety, cardiovascular and autonomic responses in humans-a randomized controlled trial.Eur. J. Investig. Health Psychol. Educ.2022121015351558
     [Google Scholar]
  47. JollyS.S. YusufS. CairnsJ. RIVAL trial group. Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): A randomized, parallel-group, multicenter trial.Lancet201137797751409142010.1016/S0140‑6736(11)60404‑2 21470671
     [Google Scholar]
  48. AminianA. LalmandJ. DolatabadiD. Prevention of radial artery spasm: Importance of a multifactorial approach.JACC Cardiovasc. Interv.2013611121410.1016/j.jcin.2013.04.026 24262624
     [Google Scholar]
  49. SandhuK. ButlerR. NolanJ. Expert opinion: Transradial coronary artery procedures: Tips for success.Interv. Cardiol.2017121182410.15420/icr.2017:2:2 29588725
     [Google Scholar]
  50. RaoS.V. BernatI. BertrandO.F. Remaining challenges and opportunities for improvement in percutaneous transradial coronary procedures.Eur. Heart J.201233202521252610.1093/eurheartj/ehs169 22815330
     [Google Scholar]
  51. DeftereosS. GiannopoulosG. RaisakisK. Moderate procedural sedation and opioid analgesia during transradial coronary interventions to prevent spasm: A prospective randomized study.JACC Cardiovasc. Interv.20136326727310.1016/j.jcin.2012.11.005 23517838
     [Google Scholar]
  52. HetheringtonS.L. AdamZ. MorleyR. Primary percutaneous coronary intervention for acute ST-segment elevation myocardial infarction: Changing patterns of vascular access, radial versus femoral artery.Heart200995191612161810.1136/hrt.2009.170233 19596690
     [Google Scholar]
  53. EichhöferJ. HorlickE. IvanovJ. Decreased complication rates using the transradial compared to the transfemoral approach in percutaneous coronary intervention in the era of routine stenting and glycoprotein platelet IIb/IIIa inhibitor use: A large single-center experience.Am. Heart J.2008156586487010.1016/j.ahj.2008.06.044 19061699
     [Google Scholar]
  54. JollyS.S. AmlaniS. HamonM. YusufS. MehtaS.R. Radial versus femoral access for coronary angiography or intervention and the impact on major bleeding and ischemic events: A systematic review and meta-analysis of randomized trials.Am. Heart J.2009157113214010.1016/j.ahj.2008.08.023 19081409
     [Google Scholar]
  55. KiemeneijF. LaarmanG.J. OdekerkenD. SlagboomT. van der WiekenR. A randomized comparison of percutaneous transluminal coronary angioplasty by the radial, brachial and femoral approaches: the access study.J. Am. Coll. Cardiol.19972961269127510.1016/S0735‑1097(97)00064‑8 9137223
     [Google Scholar]
  56. ZusA.S. CrișanS. LucaS. Radial artery spasm—a review on incidence, prevention and treatment.Diagnostics 20241417189710.3390/diagnostics14171897 39272682
     [Google Scholar]
  57. SchäufeleT. Nobre MenezesM. Schulte SteinbergB. Effects of radial artery spasm prophylaxis on intracoronary vasomotor responses during acetylcholine spasm provocation testing.Int. J. Cardiol.202541913270310.1016/j.ijcard.2024.132703 39491593
     [Google Scholar]
  58. DeftereosS. GiannopoulosG. KossyvakisC. Radial artery flow‐mediated dilation predicts arterial spasm during transradial coronary interventions.Catheter. Cardiovasc. Interv.201177564965410.1002/ccd.22688 20549693
     [Google Scholar]
  59. CaussinC. GharbiM. DurierC. Reduction in spasm with a long hydrophylic transradial sheath.Catheter. Cardiovasc. Interv.201076566867210.1002/ccd.22552 20690154
     [Google Scholar]
  60. MengS. GuoQ. TongG. Development and validation of a nomogram for predicting radial artery spasm during coronary angiography.Angiology202374324225110.1177/00033197221098278 35574924
     [Google Scholar]
  61. DangoisseV. GuédèsA. GabrielL. Full conversion from transfemoral to transradial approach for percutaneous coronary interventions results in a similar success rate and a rapid reduction of in-hospital cardiac and vascular major events.EuroIntervention20139334535210.4244/EIJV9I3A56 23872649
     [Google Scholar]
  62. SiudakZ. ZawislakB. DziewierzA. Transradial approach in patients with ST-elevation myocardial infarction treated with abciximab results in fewer bleeding complications: Data from EUROTRANSFER registry.Coron. Artery Dis.201021529229710.1097/MCA.0b013e32833aa6d1 20453640
     [Google Scholar]
  63. ErcanS. UnalA. AltunbasG. Anxiety score as a risk factor for radial artery vasospasm during radial interventions: A pilot study.Angiology2014651677010.1177/0003319713488931 23657175
     [Google Scholar]
  64. ErcanS. DavutogluV. YuceM. Anxiety score as a risk factor for radial artery spasm during transradial procedures.JACC Cardiovasc. Interv.20136111214121510.1016/j.jcin.2013.04.025 24262623
     [Google Scholar]
  65. TrillaM. FreixaX. RegueiroA. Impact of aging on radial spasm during coronary catheterization.J. Invasive Cardiol.20152712E303E307 26630646
     [Google Scholar]
  66. AbdelaalE. Brousseau-ProvencherC. MontminyS. Risk score, causes, and clinical impact of failure of transradial approach for percutaneous coronary interventions.JACC Cardiovasc. Interv.20136111129113710.1016/j.jcin.2013.05.019 24139933
     [Google Scholar]
  67. KiemeneijF. VajifdarB.U. EccleshallS.C. LaarmanG. SlagboomT. WiekenR. Evaluation of a spasmolytic cocktail to prevent radial artery spasm during coronary procedures.Catheter. Cardiovasc. Interv.200358328128410.1002/ccd.10445 12594687
     [Google Scholar]
  68. JiaD.A. ZhouY.J. ShiD.M. Incidence and predictors of radial artery spasm during transradial coronary angiography and intervention.Chin. Med. J. 20101237843847 20497675
     [Google Scholar]
  69. GorguluS. NorgazT. KaraahmetT. DagdelenS. Incidence and predictors of radial artery spasm at the beginning of a transradial coronary procedure.J. Interv. Cardiol.201326220821310.1111/joic.12000 23190016
     [Google Scholar]
  70. VarenneO. JégouA. CohenR. Prevention of arterial spasm during percutaneous coronary interventions through radial artery: The SPASM study.Catheter. Cardiovasc. Interv.200668223123510.1002/ccd.20812 16819768
     [Google Scholar]
  71. ChenC.W. LinC.L. LinT.K. LinC.D. A simple and effective regimen for prevention of radial artery spasm during coronary catheterization.Cardiology20061051434710.1159/000089246 16254422
     [Google Scholar]
  72. KimS.H. KimE.J. CheonW.S. Comparative study of nicorandil and a spasmolytic cocktail in preventing radial artery spasm during transradial coronary angiography.Int. J. Cardiol.2007120332533010.1016/j.ijcard.2006.10.008 17196682
     [Google Scholar]
/content/journals/cvp/10.2174/0115701611322882250127051550
Loading
Music Therapy may Decrease Radial Artery Spasm Rates and Increase Satisfaction during Coronary Angiography
Curr. Vasc. Pharmacol. 23, 367 (2025); https://doi.org/10.2174/0115701611322882250127051550
/content/journals/cvp/10.2174/0115701611322882250127051550
/content/journals/cvp/10.2174/0115701611322882250127051550
Loading

Data & Media loading...


  • Article Type:     Research Article
Keyword(s): anxiety; coronary angiography; music therapy; preventive cardiology; Radial access; vasospasm

Most Cited Most Cited RSS feed

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test