Effect of guidance during cardiac catheterization on emotional, cognitive and behavioral outcomes

Shoshana Shiloh, Arie Steinvil, Erga Drori, Shira Peleg, Yigal Abramowitz, Shmuel Banai, Ariel Finkelstein*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


AIMS: Percutaneous coronary intervention (PCI) may be perceived as a frightening experience. Some psychological factors are known correlates of recovery and rehabilitation of cardiac patients. Our objective was to investigate the emotional, cognitive and behavioral effects of patient guidance during their cardiac catheterization. METHODS: We performed a randomized trial comparing a patient group that was instructed while watching the monitor screen during their PCI (study group) and another group that was not (controls). Replies to questionnaires measuring emotional, cognitive and behavioral variables known to be associated with cardiac patients' health status, rehabilitation and quality of life were collected 1 day and 1 month after the procedure. RESULTS: The study group included 57 patients and the control group included 51 patients. Most patients (∼87%) were men at the mean age of 60. They were well matched for reasons for referral to PCI. The study group reported less pain, a more positive affect, greater self-efficacy and stronger intentions to change health-related behaviors than the control group. At 1 month following the procedure, the study group evaluated their general health as significantly better, and reported a less negative affect, less cardiac anxiety, greater functional self-efficacy and more positive outcome expectancies regarding diet, and quitting smoking than the controls. CONCLUSION: A simple adjustment in the standard PCI protocol can become a highly beneficial psychological intervention for enhancing patient outcomes.

Original languageEnglish
Pages (from-to)336-342
Number of pages7
JournalJournal of Cardiovascular Medicine
Issue number4
StatePublished - Apr 2014


  • cardiac rehabilitation
  • health behaviors
  • percutaneous coronary intervention
  • psychological outcomes


Dive into the research topics of 'Effect of guidance during cardiac catheterization on emotional, cognitive and behavioral outcomes'. Together they form a unique fingerprint.

Cite this