Author + information
- Süleyman Ercan1,
- Ahmet Unal2,
- Gokhan Altunbas3,
- Hilal Kaya2,
- Vedat Davutoglu1,
- Murat Yuce1 and
- Orhan Ozer1
Radial artery approach is an increasingly used technique. The most frequent complication of this approach is arm pain due to vasospasm. Studies about role of anxiety level on vasopasm are lacking, thus we sought to determine the role of anxiety level on radial artery spasm.
A total of 82 patients who had an indication for coronary angiography were enrolled to study. Radial artery vasospasm was determined according to addressing five signs as follows: persistent forearm pain, pain response to catheter manipulation, pain response to sheath withdrawal, difficult catheter manipulation after being “trapped” by radial artery and considerable resistance on withdrawal of the sheath. Patients who had at least 2 of the 5 signs were diagnosed with clinical radial artery spasm. All patients were evaluated with Hamilton Anxiety Scale questionnaire in order to evaluate level of anxiety.
The ratio of male to female was 45/36. Vasospasm was observed 19.1% of the patient population. The rate of vasospasm was 4.4% for men and 38.4% for women. Mean anxiety score of the whole study population was 14.0±7.9. The score was 17.6±7.3 for women and 11.1±7.2 for men. Anxiety score was significantly higher in women (p<0.001). Vasospasm was strongly correlated with female sex (p<0.001, R=0.43) and anxiety score (p=0.007, R=0.29). Female sex was associated with higher anxiety scores (p<0.001, R=0.43). However, age was associated with neither anxiety score nor vasospasm (p>0.05).
Higher anxiety scores and female sex are risk factors for radial artery vasospasm.
|Male (n = 45)||Female (n = 36)||P value|
|Age (years)||55.9 ± 12||55.9 ± 10||NS|
|Anxiety score||11.1 ± 7.2||17.6 ± 7.3||<0.001|
|Height (cm)||172.1 ± 7.4||162.5 ± 6.5||<0.001|
|Weight (kg)||87.2 ± 13.6||79.8 ± 14.4||NS|
|Body mass index (kg/m2)||29.4 ± 4.3||30.2 ± 5.3||NS|
Comparison of male and female patients who underwent radial coronary angiography