TY - JOUR
T1 - Acceptance of noninvasive computed tomography coronary angiography
T2 - For a patient-friendly medicine
AU - La Grutta, Ludovico
AU - La Grutta, Sabina
AU - Galia, Massimo
AU - Lo Piccolo, Giuseppe
AU - Gentile, Giovanni
AU - La Tona, Giuseppe
AU - Epifanio, Maria Stella
AU - Maffei, Erica
AU - Cademartiri, Filippo
AU - Lo Baido, Rosa
AU - Lagalla, Roberto
AU - Midiri, Massimo
PY - 2014
Y1 - 2014
N2 - Purpose: This study was done to evaluate the psychological state and anxiety of patients undergoing computed tomography coronary angiography (CTCA), and assess their acceptance and satisfaction compared to invasive conventional coronary angiography (CCA). Materials and methods: A total of 442 consecutive patients (282 male; mean age 57.7 ± 9.5 years) who underwent CTCA for suspected or known coronary artery disease were evaluated with the Endler Multimodality Anxiety Scales (EMAS) before and after the scan, and a questionnaire administered after the scan. Among the 442 patients, 181 had a history of CCA. Two radiologists assessed the image quality of CTCA. Results: Anxiety was more intense prior to the scan (EMAS score 51.7 vs. 46.7, p <0.01) and in patients with a history of CCA (EMAS score 55.5 vs. 49.1, p <0.01). Women presented more intense anxiety (EMAS score 59.5 vs. 47.3, p <0.01), higher mean heart rate (63.5 ± 7.6 vs. 60.7 ± 7.3 beats per minute, p <0.01) and a lower image quality than men (p <0.0001). CTCA proved to be more acceptable than CCA because of accurate preparation, lower concern prior to the examination, negligible pain, higher comfort, and greater overall satisfaction (p <0.0001). Conclusions: Computed tomography coronary angiography is a patient-friendly imaging method because of the minimal perceived discomfort. Anxiety may affect CTCA image quality in women.
AB - Purpose: This study was done to evaluate the psychological state and anxiety of patients undergoing computed tomography coronary angiography (CTCA), and assess their acceptance and satisfaction compared to invasive conventional coronary angiography (CCA). Materials and methods: A total of 442 consecutive patients (282 male; mean age 57.7 ± 9.5 years) who underwent CTCA for suspected or known coronary artery disease were evaluated with the Endler Multimodality Anxiety Scales (EMAS) before and after the scan, and a questionnaire administered after the scan. Among the 442 patients, 181 had a history of CCA. Two radiologists assessed the image quality of CTCA. Results: Anxiety was more intense prior to the scan (EMAS score 51.7 vs. 46.7, p <0.01) and in patients with a history of CCA (EMAS score 55.5 vs. 49.1, p <0.01). Women presented more intense anxiety (EMAS score 59.5 vs. 47.3, p <0.01), higher mean heart rate (63.5 ± 7.6 vs. 60.7 ± 7.3 beats per minute, p <0.01) and a lower image quality than men (p <0.0001). CTCA proved to be more acceptable than CCA because of accurate preparation, lower concern prior to the examination, negligible pain, higher comfort, and greater overall satisfaction (p <0.0001). Conclusions: Computed tomography coronary angiography is a patient-friendly imaging method because of the minimal perceived discomfort. Anxiety may affect CTCA image quality in women.
KW - Anxiety
KW - Conventional coronary angiography
KW - Coronary artery disease
KW - CT coronary angiography
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U2 - 10.1007/s11547-013-0319-2
DO - 10.1007/s11547-013-0319-2
M3 - Article
C2 - 24277506
AN - SCOPUS:84898043430
SN - 0033-8362
VL - 119
SP - 128
EP - 134
JO - Radiologia Medica
JF - Radiologia Medica
IS - 2
ER -