Clinical Value of Using Heart Rate Variability Biofeedback Before Elective CT Coronary Angiography to Reduce Heart Rate and the Need for Beta-Blockers.
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| Title: | Clinical Value of Using Heart Rate Variability Biofeedback Before Elective CT Coronary Angiography to Reduce Heart Rate and the Need for Beta-Blockers. |
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| Authors: | Langguth, Patrick (AUTHOR), Wolf, Carmen (AUTHOR), Sedaghat, Sam (AUTHOR), Huhndorf, Monika (AUTHOR), Frank, Johanne (AUTHOR), Both, Marcus (AUTHOR), Jansen, Olav (AUTHOR), Salehi Ravesh, Mona (AUTHOR), Lebenatus, Annett (AUTHOR) |
| Source: | Applied Psychophysiology & Biofeedback. Dec2023, Vol. 48 Issue 4, p393-401. 9p. |
| Abstract: | The value of biofeedback before elective coronary computed tomography angiography (CCTA) to reduce patients' heart rates (HR) was investigated in the current work. Sixty patients who received CCTA to exclude coronary artery disease were included in our study and separated into two groups: with biofeedback (W-BF) and without biofeedback (WO-BF). The W-BF group used a biofeedback device for 15 min before CCTA. HR was determined in each patient at four measurement time points (MTP): during the pre-examination interview (MTP1), positioning on the CT patient table before CCTA (MTP2), during CCTA image acquisition (MTP3), and after completing CCTA (MTP4). If necessary, beta-blockers were administered in both groups after MTP2 until a HR of less than 65 bpm was achieved. Two board-certified radiologists subsequently assessed the image quality and analyzed the findings. Overall, the need for beta-blockers was significantly lower in patients in the W-BF group than the WO-BF group (p = 0.032). In patients with a HR of 81–90, beta-blockers were not required in four of six cases in the W-BF group, whereas in the WO-BF group all patients needed beta-blockers (p = 0.03). The amount of HR reduction between MTP1 and MTP2 was significantly higher in the W-BF compared to the WO-BF group (p = 0.028). There was no significant difference between the W-BF and WO-BF groups regarding image quality (p = 0.179). By using biofeedback prior to elective CCTA, beta-blocker use could be decreased without compromising CT image quality and analysis, especially in patients with an initial HR of 81–90 bpm. [ABSTRACT FROM AUTHOR] |
| Copyright of Applied Psychophysiology & Biofeedback is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 173036723 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Clinical Value of Using Heart Rate Variability Biofeedback Before Elective CT Coronary Angiography to Reduce Heart Rate and the Need for Beta-Blockers. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Langguth%2C+Patrick%22">Langguth, Patrick</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wolf%2C+Carmen%22">Wolf, Carmen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sedaghat%2C+Sam%22">Sedaghat, Sam</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Huhndorf%2C+Monika%22">Huhndorf, Monika</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Frank%2C+Johanne%22">Frank, Johanne</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Both%2C+Marcus%22">Both, Marcus</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jansen%2C+Olav%22">Jansen, Olav</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Salehi+Ravesh%2C+Mona%22">Salehi Ravesh, Mona</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lebenatus%2C+Annett%22">Lebenatus, Annett</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Applied+Psychophysiology+%26+Biofeedback%22">Applied Psychophysiology & Biofeedback</searchLink>. Dec2023, Vol. 48 Issue 4, p393-401. 9p. – Name: Abstract Label: Abstract Group: Ab Data: The value of biofeedback before elective coronary computed tomography angiography (CCTA) to reduce patients' heart rates (HR) was investigated in the current work. Sixty patients who received CCTA to exclude coronary artery disease were included in our study and separated into two groups: with biofeedback (W-BF) and without biofeedback (WO-BF). The W-BF group used a biofeedback device for 15 min before CCTA. HR was determined in each patient at four measurement time points (MTP): during the pre-examination interview (MTP1), positioning on the CT patient table before CCTA (MTP2), during CCTA image acquisition (MTP3), and after completing CCTA (MTP4). If necessary, beta-blockers were administered in both groups after MTP2 until a HR of less than 65 bpm was achieved. Two board-certified radiologists subsequently assessed the image quality and analyzed the findings. Overall, the need for beta-blockers was significantly lower in patients in the W-BF group than the WO-BF group (p = 0.032). In patients with a HR of 81–90, beta-blockers were not required in four of six cases in the W-BF group, whereas in the WO-BF group all patients needed beta-blockers (p = 0.03). The amount of HR reduction between MTP1 and MTP2 was significantly higher in the W-BF compared to the WO-BF group (p = 0.028). There was no significant difference between the W-BF and WO-BF groups regarding image quality (p = 0.179). By using biofeedback prior to elective CCTA, beta-blocker use could be decreased without compromising CT image quality and analysis, especially in patients with an initial HR of 81–90 bpm. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Applied Psychophysiology & Biofeedback is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s10484-023-09590-6 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 393 Titles: – TitleFull: Clinical Value of Using Heart Rate Variability Biofeedback Before Elective CT Coronary Angiography to Reduce Heart Rate and the Need for Beta-Blockers. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Langguth, Patrick – PersonEntity: Name: NameFull: Wolf, Carmen – PersonEntity: Name: NameFull: Sedaghat, Sam – PersonEntity: Name: NameFull: Huhndorf, Monika – PersonEntity: Name: NameFull: Frank, Johanne – PersonEntity: Name: NameFull: Both, Marcus – PersonEntity: Name: NameFull: Jansen, Olav – PersonEntity: Name: NameFull: Salehi Ravesh, Mona – PersonEntity: Name: NameFull: Lebenatus, Annett IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: Dec2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 10900586 Numbering: – Type: volume Value: 48 – Type: issue Value: 4 Titles: – TitleFull: Applied Psychophysiology & Biofeedback Type: main |
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