Phase I cardiac rehabilitation with 5-phase music after emergency percutaneous coronary intervention for acute myocardial infarction: A prospective randomized study. Issue 9 (3rd March 2023)

• Record Type: Journal Article
• Authors: Yao, Xu; Jin, Yi; Gao, Chunlan; Zhang, Yuqin; Lu, Yun; Li, Xiaoting; Ma, Lili
• Is Part Of: Medicine. Volume 102:Issue 9(2023)
• Page Start: e33183
• Publication Date: 2023-03-03
• Subjects: acute myocardial infarction -- cardiac rehabilitation music -- percutaneous coronary intervention; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000033183
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract : Background: Five-phase music therapy was reported to be effective in the treatment and rehabilitation of several diseases. This study explored the effect of phase I cardiac rehabilitation combined with 5-phase music in acute myocardial infarction (AMI) patients after emergency percutaneous coronary intervention. Methods: This prospective pilot study enrolled AMI patients who received percutaneous coronary intervention from the Traditional Chinese Medicine Hospital from July 2018 to December 2019. The participants were randomized in a 1:1:1 ratio to the control, cardiac rehabilitation, and rehabilitation-music groups. The primary endpoint was the hospital anxiety and depression scale. The secondary endpoints were the myocardial infarction dimensional assessment scale, self-rating sleep status, 6-minute walk test, and left ventricular ejection fraction. Results: The study included 150 AMI patients (n = 50/group). Hospital anxiety and depression scale showed significant time effects for both anxiety and depression (both P < .05), a treatment effect for depression ( P = .02), and an interaction effect for anxiety ( P = .02). A time effect was also observed for diet, sleep disorders, 6-minute walk test, and left ventricular ejection fraction (all P < .001). A difference among groups was observed for emotional reaction ( P = .001). Interactions effects were observed for diet ( P = .01) and sleep disorders ( P = .03). Conclusion: Phase I cardiac rehabilitation combined with 5-phase music could alleviate anxiety and depression and improve sleep quality.