Evidence map›Paper›PMID 26817929›Full record

Trial reportEuropean radiology2016

Randomized controlled trial of relaxation music to reduce heart rate in patients undergoing cardiac CT.

Ming Yen Ng, Yasser Karimzad, Ravi J Menezes, Bernd J Wintersperger, Qin Li, Julian Forero, Narinder S Paul, Elsie T Nguyen

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05399927 ("Effects of Music Intervention Nursing in Advanced Life Support Ambulances), which is not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05399927 nacompletednot on this map

"Effects of Music Intervention Nursing in Advanced Life Support Ambulances: a Randomised Trial"

TypeinterventionalSponsorUniversidad Miguel Hernandez de ElcheRan2015 to 2016Enrolled41ConditionsMusic Therapy, Cardiovascular Diseases, Critical Care, EmergenciesArmsMusic Intervention
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ming Yen NgDepartment of Medical Imaging, Toronto General Hospital, University of Toronto, Toronto, ON, Canada. myng2@hku.hk.
Yasser KarimzadDepartment of Medical Imaging, Toronto General Hospital, University of Toronto, Toronto, ON, Canada.
Ravi J MenezesDepartment of Medical Imaging, Toronto General Hospital, University of Toronto, Toronto, ON, Canada.
Bernd J WinterspergerDepartment of Medical Imaging, Toronto General Hospital, University of Toronto, Toronto, ON, Canada.
Qin LiDepartment of Medical Imaging, Toronto General Hospital, University of Toronto, Toronto, ON, Canada.
Julian ForeroDepartment of Medical Imaging, Toronto General Hospital, University of Toronto, Toronto, ON, Canada.
Narinder S PaulDepartment of Medical Imaging, Toronto General Hospital, University of Toronto, Toronto, ON, Canada.
Elsie T NguyenDepartment of Medical Imaging, Toronto General Hospital, University of Toronto, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the heart rate lowering effect of relaxation music in patients undergoing coronary CT angiography (CCTA), pulmonary vein CT (PVCT) and coronary calcium score CT (CCS).

methodsPatients were randomised to a control group (i.e. standard of care protocol) or to a relaxation music group (ie. standard of care protocol with music). The groups were compared for heart rate, radiation dose, image quality and dose of IV metoprolol. Both groups completed State-Trait Anxiety Inventory anxiety questionnaires to assess patient experience.

resultsOne hundred and ninety-seven patients were recruited (61.9 % males); mean age 56y (19-86 y); 127 CCTA, 17 PVCT, 53 CCS. No significant difference in heart rate, radiation dose, image quality, metoprolol dose and anxiety scores. 86 % of patients enjoyed the music. 90 % of patients in the music group expressed a strong preference to have music for future examinations. The patient cohort demonstrated low anxiety levels prior to CT.

conclusionRelaxation music in CCTA, PVCT and CCS does not reduce heart rate or IV metoprolol use. Patients showed low levels of anxiety indicating that anxiolytics may not have a significant role in lowering heart rate. Music can be used in cardiac CT to improve patient experience. KEY POINTS: • Relaxation music does not reduce heart rate in cardiac CT • Relaxation music does not reduce beta-blocker use in cardiac CT • Relaxation music has no effect on cardiac CT image quality • Low levels of anxiety are present in patients prior to cardiac CT • Patients enjoyed the relaxation music and this results in improved patient experience.

Indexed as

Adrenergic beta-1 Receptor AntagonistsAdultAgedAged, 80 and overAnxietyCoronary AngiographyDrug Administration ScheduleFemaleHeart RateHumansMaleMetoprololMiddle AgedMusic TherapyPulmonary VeinsRadiation DosageAdrenergic beta-1 Receptor AntagonistsMetoprololBeta-blockerCalcium scoreCoronary computed tomography angiographyHeart ratePulmonary vein CT

Identifiers

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.