What question did this study set out to answer?

To investigate the levels of anxiety in patients scheduled for elective coronary angiography.

January 10, 2026BMC Cardiovascular Disorders0 citationsOpen Access

Anxiety in patients referred for elective coronary angiography: a prospective cohort study

APAnja Kokalj PalandačićUniversity Psychiatric Hospital SUS. UcmanUniversity Psychiatric Hospital DKDragan KovačićCollege of Nursing in Celje

Key Result

Patients referred for elective coronary angiography exhibited significantly higher levels of anxiety compared to the general population.

Key Points

To investigate the levels of anxiety in patients scheduled for elective coronary angiography.
Conducted a prospective cohort study
Registered at ClinicalTrials.gov
Assessed anxiety levels before the procedure
Patients exhibited varying levels of anxiety
Anxiety potentially influencing procedural outcomes
Findings may inform pre-procedure care approaches

Structured PICO

Population

259 non-depressed patients referred for elective coronary angiography due to suspected CAD, heart failure, unexplained arrhythmia, or cardiomyopathy. Mean age 65, 32% female. Single-center in Slovenia. Excluded patients with depressive symptoms.

Intervention

Elective coronary angiography with psychological assessment (STAIT, STAIS, COPE questionnaires)

Outcome

Prevalence of anxiety, correlation with coping traits, and state anxiety trajectories at baseline, 2 hours prior, 24 hours post, and 1 month post-procedurepatient reported

More than one-third of non-depressed patients experience clinically significant anxiety before elective coronary angiography, and avoidance-oriented coping temporarily reduces state anxiety post-procedure but is associated with higher trait anxiety.

Main Result

Absolute Event Rate: 0% vs 0%

Abstract

The study was registered at ClinicalTrials.gov (NCT02804009).

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