Correlations between preprocedure mood and clinical outcome in patients undergoing coronary angioplasty.

Journal Article (Journal Article)

We studied the relationship between mood and mood shift immediately before percutaneous coronary intervention (PCI) and 3 end points: total ischemic burden during PCI, adverse cardiac end points (ACE) after PCI, and death by 6-month follow up. Patients (n = 119) with unstable angina or myocardial infarction completed a visual analog scale (VAS) twice before PCI; before and after a session of stress relaxation, imagery, or touch; or approximately 30 minutes apart for patients assigned to prayer or to standard care. VAS included happiness, satisfaction, calm, hope, worry, shortness of breath, fear, and sadness. We observed a significant correlation between higher hope score before PCI and lower ischemic burden. Patients who experienced ACE had significantly lower hope and happiness scores than those who did not. Patients who survived to 6 months had significantly greater increases in worry and in hope. Our data suggest correlations between simple mood assessments before PCI and clinical outcomes during and after the procedure. More study is needed to understand whether attempts to alter patient mood can affect clinical outcomes.

Full Text

Duke Authors

Cited Authors

  • Grunberg, GE; Crater, SW; Green, CL; Seskevich, J; Lane, JD; Koenig, HG; Bashore, TM; Morris, KG; Mark, DB; Krucoff, MW

Published Date

  • November 2003

Published In

Volume / Issue

  • 11 / 6

Start / End Page

  • 309 - 317

PubMed ID

  • 14580299

International Standard Serial Number (ISSN)

  • 1061-5377

Digital Object Identifier (DOI)

  • 10.1097/01.crd.0000089947.20354.d5


  • eng

Conference Location

  • United States