P43 MUSIC THERAPY IN HAEMODYNAMICS: PRELIMINARY STUDY OF THE CHANGE IN VITAL PARAMETERS IN PATIENTS UNDERGOING INTERVENTIONAL PROCEDURES

Abstract

Abstract Introduction Patients undergoing invasive procedures may have abnormal emotional reactivity that can lead to impaired vital signs. Music has been shown to modify physiological responses, but there is insufficient data in the literature to demonstrate the relationship between the improvement in vital signs and listening to music during interventional procedures. The aim of this study is to investigate how listening to music modifies vital signs in patients undergoing coronary angiography. Methods Patients admitted to the Campus Bio–Medico University Hospital of Rome for diagnostic coronary angiography were included in the study. During the procedures, patients listened to music selected by an experienced music therapist. The songs belonged to 6 musical genres and were also evaluated for agogic, tempo, and tonality. 7 phases were defined for the collection of vital signs (from the arrival in the waiting room to the stay in the "recovery room"). The results were compared with a homogeneous group of patients undergoing the same procedures. Results During phase 3 (insertion of the introducer), the mean systolic blood pressure was lower in the music therapy group than in the control group (139.9+–23.9 vs 145+–25.5 mmHg; p=0.529). During phase 2 (entering the room), mean oxygen saturation was higher in the music therapy group than in the control group (96 1.5% vs 95.4 1.8%; p=0.212). In all phases, the mean heart rate was lower in the music therapy group than in the control group (70.7+–10.8 vs 75+–18.1 bpm; p=0.33). The lowest mean systolic blood pressure and heart rate were recorded while listening to the Adagio and with 2/4 tempo tracks (mean systolic blood pressure 143,3+–26,9 mmHg; mean heart rate 69,7+–9,3 bpm). Conclusions This study was the first one to focus on changes in vital signs during music therapy in patients undergoing interventional cardiology procedures. Patients receiving music therapy showed a reduction in heart rate in all phases, a reduction in systolic blood pressure in phase 3, and an improvement in oxygen saturation in phase 2 compared with the control group. This approach may reduce the need for drug sedation and its side effects. The results are preliminary and require further analysis with a larger sample size.