000 03203cam a2200349 a 4500
003 EG-GiCUC
005 20250223032635.0
008 201123s2020 ua dh f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.04.M.Sc.2020.Ah.E
100 0 _aAhmed Ibrahim Kamel Matar Salah
245 1 0 _aEffect of anxiety level on procedural outcome in patients undergoing elective coronary angioplasty /
_cAhmed Ibrahim Kamel Matar Salah ; Supervised Mohamed Mahmoud Abdelghany , Sherif Mostafa Gohar , Ahmed Adel Elamragy
246 1 5 _aتأثير مستوى القلق علي المريض خلال القسطرة الاختياررية لتوسيع الشرايين التاجية
260 _aCairo :
_bAhmed Ibrahim Kamel Matar Salah ,
_c2020
300 _a76 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Cardiology
520 _aBackground: High levels of anxiety are associated with worse outcomes in coronary artery disease patients. However little is known about anxiety levels in patients undergoing coronary procedures. Objective : The aim of this study was to assess the anxiety level of patients undergoing elective coronary angiography/angioplasty for the first time and observe it's effect on the procedural outcomes. Subjects and Methods: This sample study included 102 patients presenting to the Catheterization lab of Cardiovascular Department in Cairo University hospital between the time period from 15th June 2019 and 2nd December 2019. All patients were assessed by Hamilton anxiety (HAM-A) and general healthy questionnaire 12 (GHQ12) screening tools. Results: Mean age of the study population was 55 ±7.22 years. The prevalence of mild and moderate-severe levels of anxiety was 55.9% and 44.1% respectively. Moderate/severe anxiety was more common in females (0.003). Moderate/severe anxiety was significantly associated with hypertension, diabetes mellitus and unemployed patients P= 0.001, 0.005, 0.011 respectively. The highest anxiety levels was not associated with procedural success, duration of procedure, change in vascular access and associated complications. The highest anxiety levels were significantly correlated with intra-operative SBP, DBP and pulse P= 0.006 , 0.022, 0.004 respectively. Female sex, hypertension and GHQ12 were an independent predictors for moderate/severe anxiety P= 0.031, 0.003 and 0.003 respectively. Conclusion: hemodynamic derangement (SPB, DBP and pulse) are associated with high anxiety levels. Detailed pre procedural assessment together with psychological and pharmacological plans could decrease anxiety level and improve the outcomes in these patients
530 _aIssued also as CD
653 4 _aAnxiety
653 4 _aCoronary angioplasty
653 4 _aProcedural outcomes
700 0 _aAhmed Adel Elamragy ,
_eSupervsor
700 0 _aMohamed Mahmoud Abdelghany ,
_eSupervsor
700 0 _aSherif Mostafa Gohar ,
_eSupervsor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c78943
_d78943