The Relationship of Anxiety with Perioperative Hemodynamic Parameters and Complications in Patients to Undergo Coronary Angiography
Yıl: 2020 Cilt: 32 Sayı: 1 Sayfa Aralığı: 14 - 19 Metin Dili: İngilizce DOI: 10.5336/cardiosci.2019-73178 İndeks Tarihi: 17-10-2020
The Relationship of Anxiety with Perioperative Hemodynamic Parameters and Complications in Patients to Undergo Coronary Angiography
Öz: Objective: The aim of this study was to examine the effectof preprocedural anxiety levels on developing complications andthe effect of anxiety on perioperative vital parameters in patients scheduledfor coronary angiography. Material and Methods: The study included150 patients who were admitted to the cardiology outpatientclinic with chest pain and/or any complaints and who were indicated forcoronary angiography for the first time as a result of examinations.Anxiety scores were evaluated using the Hamilton Anxiety RatingScale. Increased blood pressure (>180/100 mmHg), increased heart rate(<120/min), hemodynamic collapse, vagotonia, hemorrhage andhematoma during and after the procedure were evaluated as complications.The patients were divided into two groups as Group 1 including38 patients, the group with complications (27M; mean age 61.8±14.0years), and Group 2 including 112 patients, the group without complications(69M; mean age 61.2±12.1years), according to whether or notcomplications developed. Results: Hamilton anxiety scores and procedureperiods were significantly higher in Group 1 compared to Group2. Blood pressures before and during the procedure and heart rates afterthe procedure were significantly higher in Group 1 compared to Group2. Anxiety scores were significantly correlated with waiting periodsand procedure periods. Anxiety scores were also significantly correlatedwith heart rates before and after the procedure. Conclusion: Anxietyscores were significantly higher in patients with complications.Effective anxiety treatment in patients whose preprocedural anxietyscores higher should be determined.
Anahtar Kelime: Koroner Anjiyografi Uygulanacak Hastalarda Anksiyetenin Perioperatif Hemodinamik Parametreler ve Komplikasyonlar ile İlişkisi
Öz: 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 Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Koç Apaydın Z, Gencosman H, Karabag T (2020). The Relationship of Anxiety with Perioperative Hemodynamic Parameters and Complications in Patients to Undergo Coronary Angiography. , 14 - 19. 10.5336/cardiosci.2019-73178 |
| Chicago | Koç Apaydın Zuhal,Gencosman Havva,Karabag Turgut The Relationship of Anxiety with Perioperative Hemodynamic Parameters and Complications in Patients to Undergo Coronary Angiography. (2020): 14 - 19. 10.5336/cardiosci.2019-73178 |
| MLA | Koç Apaydın Zuhal,Gencosman Havva,Karabag Turgut The Relationship of Anxiety with Perioperative Hemodynamic Parameters and Complications in Patients to Undergo Coronary Angiography. , 2020, ss.14 - 19. 10.5336/cardiosci.2019-73178 |
| AMA | Koç Apaydın Z,Gencosman H,Karabag T The Relationship of Anxiety with Perioperative Hemodynamic Parameters and Complications in Patients to Undergo Coronary Angiography. . 2020; 14 - 19. 10.5336/cardiosci.2019-73178 |
| Vancouver | Koç Apaydın Z,Gencosman H,Karabag T The Relationship of Anxiety with Perioperative Hemodynamic Parameters and Complications in Patients to Undergo Coronary Angiography. . 2020; 14 - 19. 10.5336/cardiosci.2019-73178 |
| IEEE | Koç Apaydın Z,Gencosman H,Karabag T "The Relationship of Anxiety with Perioperative Hemodynamic Parameters and Complications in Patients to Undergo Coronary Angiography." , ss.14 - 19, 2020. 10.5336/cardiosci.2019-73178 |
| ISNAD | Koç Apaydın, Zuhal vd. "The Relationship of Anxiety with Perioperative Hemodynamic Parameters and Complications in Patients to Undergo Coronary Angiography". (2020), 14-19. https://doi.org/10.5336/cardiosci.2019-73178 |
| APA | Koç Apaydın Z, Gencosman H, Karabag T (2020). The Relationship of Anxiety with Perioperative Hemodynamic Parameters and Complications in Patients to Undergo Coronary Angiography. Türkiye Klinikleri Cardiovascular Sciences, 32(1), 14 - 19. 10.5336/cardiosci.2019-73178 |
| Chicago | Koç Apaydın Zuhal,Gencosman Havva,Karabag Turgut The Relationship of Anxiety with Perioperative Hemodynamic Parameters and Complications in Patients to Undergo Coronary Angiography. Türkiye Klinikleri Cardiovascular Sciences 32, no.1 (2020): 14 - 19. 10.5336/cardiosci.2019-73178 |
| MLA | Koç Apaydın Zuhal,Gencosman Havva,Karabag Turgut The Relationship of Anxiety with Perioperative Hemodynamic Parameters and Complications in Patients to Undergo Coronary Angiography. Türkiye Klinikleri Cardiovascular Sciences, vol.32, no.1, 2020, ss.14 - 19. 10.5336/cardiosci.2019-73178 |
| AMA | Koç Apaydın Z,Gencosman H,Karabag T The Relationship of Anxiety with Perioperative Hemodynamic Parameters and Complications in Patients to Undergo Coronary Angiography. Türkiye Klinikleri Cardiovascular Sciences. 2020; 32(1): 14 - 19. 10.5336/cardiosci.2019-73178 |
| Vancouver | Koç Apaydın Z,Gencosman H,Karabag T The Relationship of Anxiety with Perioperative Hemodynamic Parameters and Complications in Patients to Undergo Coronary Angiography. Türkiye Klinikleri Cardiovascular Sciences. 2020; 32(1): 14 - 19. 10.5336/cardiosci.2019-73178 |
| IEEE | Koç Apaydın Z,Gencosman H,Karabag T "The Relationship of Anxiety with Perioperative Hemodynamic Parameters and Complications in Patients to Undergo Coronary Angiography." Türkiye Klinikleri Cardiovascular Sciences, 32, ss.14 - 19, 2020. 10.5336/cardiosci.2019-73178 |
| ISNAD | Koç Apaydın, Zuhal vd. "The Relationship of Anxiety with Perioperative Hemodynamic Parameters and Complications in Patients to Undergo Coronary Angiography". Türkiye Klinikleri Cardiovascular Sciences 32/1 (2020), 14-19. https://doi.org/10.5336/cardiosci.2019-73178 |
