Prevalence and impact of scan-related anxiety during coronary CT angiography: A prospective cohort study of 366 patients |
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| Affiliation: | 1. Radiology Department, St Paul''s Hospital, St. Paul''s Hospital, 1081 Burrard St., Vancouver, British Columbia, V6Z 1Y6 Canada;2. Radiology Department, Nouvel Hôpital Civil, Strasbourg University Hospital, 1place de l’Hôpital, 67000 Strasbourg, France;3. ICUBE Laboratory, 300bd Sébastien Brant, CS 10413, 67412 Illkirch, France;1. Riverside Radiology and Interventional Associates, Columbus, Ohio;2. Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina;3. Seattle, Washington;4. Department of Radiology, Duke University Medical Center, Durham, North Carolina;5. Department of Surgery, Duke University Medical Center, Durham, North Carolina;1. Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, 110029, India;2. Department of Cardiology, All India Institute of Medical Sciences, New Delhi, 110029, India;1. Boston Children''s Hospital, Department of Pediatric Radiology, 300 Longwood Ave, Boston, MA, 02115, USA;2. Alpert Medical School of Brown University, Rhode Island Hospital, Department of Diagnostic Imaging, 593 Eddy St, Providence, RI, 02903, USA;11. Hiroshima University, Japan;12. Juntendo University, Japan;13. Tsuchiya General Hospital, Japan;14. Fujisawa City Hospital, Japan;15. Takase Clinic, Japan;p. Tokyo Medical University, Japan;q. Kokura Memorial Hospital, Japan;r. Hiroshima Atomic Bomb Casualty Council Health Management & Promotion Center (Present: Yasuda Women’s University), Japan;s. Hiroshima City Asa Hospital, Japan;t. Yokkaichi Hazu Medical Center, Japan;u. Uwajima City Hospital, Japan;v. Nihon University, Japan;w. Kyorin University, Japan;x. Shizuoka Prefecture General Hospital, Japan;y. Osaka Ekiseikai Hospital (KS: Present Kashibaseiki Hospital), Japan;z. Yamaguchi University Graduate School of Medicine, Japan;11. Mitsui Memorial Hospital, Japan;12. Ehime University, Japan;13. Morishita Clinic, Japan;14. Nihon University Hospital, Japan;15. Itabashi Chuo Medical Center, Japan;1. Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical & Health Sciences, 1-2-3 Kasumi Minami-ku, Hiroshima, 734-8551, Japan;2. Department of Internal Medicine, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital, 1-9-6 Sendamachi, Naka-ku, Hiroshima, 730-8619, Japan;3. Division of Cardiology, Kure Kyosai Hospital, 2-3-28 Nishi-chuo, Kure, 737-8508, Japan;4. Division of Cardiology, Department of Medicine, Faculty of Medicine, Kindai University, 377-2 Ohno-Higashi, Osakasayama, 589-8511, Japan;5. Cardiovascular Center, Shin-Koga Hospital, 120, Tenjin-cho, Kurume, 830-8577, Japan;6. Department of Cardiovascular Medicine, Juntendo University Graduate School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan;7. Division of Cardiology, JA Hiroshima General Hospital, 1-3-3 Jigozen, Hatsukaichi, 738-8503, Japan;8. Division of Cardiology, Megumino Hospital, 2-3-5 Megumino-nishi, Eniwa, 061-1395, Japan;9. Department of Cardiology, Tsuchiya General Hospital, 3-30 Nakajimacho, Naka-ku, Hiroshima, 730-8655, Japan;10. Department of Diagnostic Radiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan |
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| Abstract: | BackgroundScanxiety, the anxiety/stress associated with an imaging test, has never been evaluated in relation to coronary CT angiography (Coronary CTA). As it could impact heart rate and thereby affect image quality of Coronary CTA, we aimed to evaluate the prevalence, severity, and impact of scanxiety on quality and interpretability of Coronary CTA.Methods366 consecutive patients were prospectively presented with a clinical questionnaire comprising two tests to evaluate their scan-related anxiety: the Impact of Event IES-6 (6 questions, final score 0–24) and a visual stress-scale (1 question, score 1–10). Patient demographics, heart rate and final image quality scored by two readers were recorded. Potential independent correlations were sought between IES-6 scanxiety level and image quality, heart rate variability and demographics, using an ordinal logistic regression model.Results344 patients (59.9% men, 57.6 ± 10.7yo) completed the questionnaire. 74.1% (255 patients) reported some scan-related distress, with a mean IES-6 score of 4.1 ± 4.3 (range 0–18). There was no significant difference in terms of age, sex or indications for Coronary CTA between the non-anxious (IES-6 = 0) and the anxious (IES-6>0) patients. There was no significant independent correlation between image quality and IES-6 score (OR = 0.98, p = 0.62), nor between IES-6 score and heart rate variability (effect = −0.005, p = 0.97).ConclusionThe prevalence of scan-related anxiety – aka scanxiety – in Coronary CTA patients is high (74.1%) but does not appear to impact image quality and interpretability. |
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| Keywords: | Anxiety MDCT Cardiac imaging Coronary CT angiography Test anxiety scale BPM" },{" #name" :" keyword" ," $" :{" id" :" kwrd0040" }," $$" :[{" #name" :" text" ," _" :" beats per minute CAD" },{" #name" :" keyword" ," $" :{" id" :" kwrd0050" }," $$" :[{" #name" :" text" ," _" :" Coronary Artery Disease Coronary CTA" },{" #name" :" keyword" ," $" :{" id" :" kwrd0060" }," $$" :[{" #name" :" text" ," _" :" Coronary CT Angiography CT" },{" #name" :" keyword" ," $" :{" id" :" kwrd0070" }," $$" :[{" #name" :" text" ," _" :" Computed Tomography IES-6" },{" #name" :" keyword" ," $" :{" id" :" kwrd0080" }," $$" :[{" #name" :" text" ," _" :" Impact of Event 6 |
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