The Relationship of Anxiety with Perioperative Hemodynamic Parameters and Complications in Patients to Undergo Coronary Angiography.

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. [ABSTRACT FROM AUTHOR]