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Öğe Music Therapy may Decrease Radial Artery Spasm Rates and Increase Satisfaction during Coronary Angiography(Bentham Science Publishers Ltd., 2025-02-04) Muzaffer Aslan; Doğaç Okşen; Yunus Emre Yavuz; Çağdaş KaynakIntroduction: With the widespread use of the radial artery in catheterization procedures, radial artery spasm (RAS) is frequently considered an undesirable event. It is known that anxiety increases RAS, and listening to music helps individuals control anxiety during the procedure. This study aimed to investigate the effects of music concerts on RAS. Methods: In this prospective study, imaging and interventional coronary catheterization procedures using the radial artery were included. One group listened to a musical recital during the procedure, while the other group was treated in a quiet environment. The demographics, procedural parameters, and complications of both groups were compared. Results: The study included a total of 147 patients, with an average age of 51.6 ± 11.1 years. Of these, 78 patients (53%) listened to music, while 69 patients (46.9%) underwent catheterization in a quiet environment. The impact of music therapy on the RAS was found to be significant (11.5% vs. 20.3%; p=0.035). While music therapy showed a potential to reduce RAS rates, its effect was not statistically significant in multivariate analysis (p=0.055). Conclusion: Music is a feasible, simple, and inexpensive method for reducing anxiety levels in patients. Listening to music during catheterization can reduce procedural discomfort and the frequency of undesirable events by helping people control their anxiety.Öğe Do current indices predict cardioversion success in patients with atrial fibrillation? A retrospective observational study(Walter de Gruyter GmbH, 2024) Sefa Tatar; Yunus Emre Yavuz; Emirhan Feyzullahoglu; Ahmet Lütfi Sertdemir; Abdullah Icli; Hakan AkilliObjective: Atrial fibrillation (AF) is one of the leading arrhythmias that causes serious complications. Our aim is to investigate the factors predicting the success of cardioversion in patients who underwent the procedure due to AF. Methods: A total of 107 patients who underwent cardioversion were included in the study. Patients were divided into groups based on cardioversion success. Demographic, echocardiographic, and laboratory characteristics were compared between the groups. Results: Hypertension and diabetes mellitus were more frequent in patients with successful cardioversion, but no statistically significant difference was found between the groups (p > 0.05). The pre-procedure leukoglycemic index (LGI) was found to be higher in the successful cardioversion group. However, this difference was not statistically significant between the groups (p > 0.05). Although the fibrosis-4 (FIB-4) index and systemic immune-inflammation index (SII) were numerically higher in the group with unsuccessful cardioversion, no statistically significant difference was observed between the groups (p > 0.05). Echocardiographic parameters such as left atrial diameter and mitral regurgitation rate were higher in patients with successful cardioversion, but no significant difference was detected between the groups (p > 0.05). Conclusion: AF is a significant arrhythmia that may lead to high mortality and morbidity. Various scoring systems have been developed to predict cardioversion success. The LGI, FIB-4 index, and SII are potential predictors of cardioversion success. However, these parameters alone are insufficient to predict cardioversion success. Further large-scale randomized studies are needed to clarify the effectiveness of these parameters.
