Coronary Angiography, Sedative Premedication
Conditions
Keywords
coronary angiography, premedication, pain, anxiety
Brief summary
Evaluation of the possible positive effect of sedative premedication prior to coronary angiography in regards to pain and anxiety.
Detailed description
Coronary angiography is an invasive procedure that can cause patient discomfort. Sedative premedication before coronary angiography could be used to reduce anxiety and pain, but evidence is lacking. Previous trials were predominantly conducted in men and in coronary interventions with femoral access. Recently, radial access has become the preferred route for performing coronary angiograms (RIVAL trial) In this setting, sedative premedication could be of interest to reduce radial spasms, patient anxiety and pain.
Interventions
receive alprazolam prior to angio
receive placebo prior to angio
Sponsors
Study design
Intervention model description
placebo controlled, double blind
Eligibility
Inclusion criteria
* elective coronary angiography
Exclusion criteria
* planned PCI * use of sedative medication at home * use of alcohol
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| preprocedural anxiety: visual analogue scale | Assessed before the coronary angiography | anxiety prior to coronary angiography. Assessed before the procedure through a visual analogue scale for anxiety (VAS-A). The VAS is a visual scale ranging from 0 to 100 with 0 begin no anxiety at all and 100 begin extreme anxiety. |
| periprocedural pain: visual analogue scale | Assessed after the coronary angiography, within 4 hours. | pain during to coronary angiography. Assessed after the procedure through a visual analogue scale for pain. The VAS scale is a visual scale ranging from 0 (no pain) to 100 (extreme pain). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| radial spasm | during procedure | spasm of the radial artery as experienced by operator. There is no precise measurement up until today. |
| vascular site access complication | during procedure | need to switch to femoral access, assessed by the operator. |
Countries
Belgium