Meta-Analysis
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Jan 26, 2025; 17(1): 97406
Published online Jan 26, 2025. doi: 10.4330/wjc.v17.i1.97406
Therapeutic use of music listening in patients undergoing invasive coronary procedures: A meta-analysis
Ahmed Kamal Siddiqi, Aimen Shafiq, Mushood Ahmed, Anusha Anwer, Muhammad Talha Maniya, Aymen Ahmed, Muhammad Azhar Chachar, Md Al Hasibuzzaman
Ahmed Kamal Siddiqi, Division of Cardiothoracic Imaging, Department of Radiology and Imaging Sciences, Emory University, Atlanta, GA 30322, United States
Aimen Shafiq, Aymen Ahmed, Department of Medicine, Dow University of Health Sciences, Karachi 74200, Pakistan
Mushood Ahmed, Department of Internal Medicine, Rawalpindi Medical University, Rawalpindi 74200, Pakistan
Anusha Anwer, Department of Internal Medicine, Dow Medical College, Dow University of Health Sciences, Karachi 74200, Pakistan
Muhammad Talha Maniya, Muhammad Azhar Chachar, Department of Medicine, Ziauddin Medical University, Karachi 74200, Pakistan
Md Al Hasibuzzaman, Department of Medicine, Niramoy Hospital, Panchagarh 5010, Bangladesh
Md Al Hasibuzzaman, Department of Medicine, The First Affiliated Hospital of Ningbo University, Ningbo 315211, Zhejiang Province, China
Author contributions: Siddiqi AK, Shafiq A, Ahmed M, Maniya MT, Ahmed A, and Hasibuzzaman MA designed the research study; Siddiqi AK, Shafiq A, Ahmed M, and Anwer A performed the research; Maniya MT, Ahmed A, and Hasibuzzaman MA analyzed the data; Siddiqi AK, Shafiq A, and Anwer A wrote the manuscript; all authors reviewed and approved the final version of the manuscript.
Conflict-of-interest statement: All authors declare no conflict of interest in publishing the manuscript.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Md Al Hasibuzzaman, MBBS, Doctor, Researcher, Department of Medicine, Niramoy Hospital, Boda, Panchagarh 5010, Bangladesh. al.hasibuzzaman.hasib@gmail.com
Received: May 29, 2024
Revised: September 20, 2024
Accepted: November 27, 2024
Published online: January 26, 2025
Processing time: 236 Days and 18 Hours
Abstract
BACKGROUND

Listening to music has been shown to reduce pain and anxiety before, during, and after invasive coronary procedures.

AIM

To perform a systematic review and meta-analysis to explore the effect of therapeutic use of music on both, perioperative and postoperative outcomes of invasive coronary procedures.

METHODS

An exhaustive literature search of 3 electronic databases (MEDLINE, Scopus, Cochrane CENTRAL) was conducted from inception until 10th December 2023. The results of our analyses are presented as standard mean difference (SMD) or weighted mean difference, with 95%CI and pooled using a random effects model. A P value < 0.05 was considered significant in all cases.

RESULTS

From 21 studies, 2141 participants were included in our analysis. The pooled analysis demonstrated that music listening significantly improves post-procedural pain (SMD = -0.78, 95%CI: -1.34 to -0.23; P = 0.006), anxiety (SMD = -0.86, 95%CI: -1.43 to -0.29; P = 0.003), heart rate [mean difference (MD) = -3.38, 95%CI: -5.51 to -1.25; P = 0.002], and systolic blood pressure (MD = -5.89, 95%CI: -9.75 to -2.02; P = 0.003). There was no significant improvement in diastolic blood pressure (MD = -3.22, 95%CI: -6.58 to 0.14; P = 0.06) or respiratory rate (MD = -0.97, 95%CI: -1.98 to 0.03; P = 0.06).

CONCLUSION

Music listening can be used in healthcare settings for patients undergoing invasive coronary procedures to reduce anxiety levels and improve their physiological parameters.

Keywords: Music; Music therapy; Percutaneous coronary intervention; Coronary artery bypass grafting; Angiography; Anxiety; Pain management

Core Tip: This meta-analysis evaluated the therapeutic effects of music listening on patients undergoing invasive coronary procedures such as percutaneous coronary intervention and coronary artery bypass grafting. The study demonstrated that music therapy significantly reduces post-procedural anxiety, heart rate, systolic blood pressure and pain levels. These findings highlight the potential use of music as a non-pharmacological intervention to improve patient outcomes and well-being in healthcare settings, making it a valuable complementary treatment for managing the psychological and physiological stress associated with invasive cardiac procedures.