Effects of Music on Pain and Anxiety During Atrial Fibrillation Ablation Under Conscious Sedation: A Randomized Controlled Trial

What this Trial Is About

Atrial fibrillation is a common heart rhythm disorder often treated with radiofrequency catheter ablation, a minimally invasive procedure performed under light sedation. Many patients experience anxiety during this procedure due to pain, unfamiliar surroundings, and concerns about risks. This anxiety can increase pain sensitivity and affect breathing and surgical precision. Researchers are evaluating whether listening to music during the procedure can reduce anxiety and pain, stabilize breathing, and improve satisfaction and efficiency compared to no music. Participants are randomly assigned to either a music group or a control group. The music group selects preferred genres played at a moderate volume during the ablation, while the control group receives no music. The ablation is performed under conscious sedation with fentanyl and midazolam as needed. Patients with paroxysmal atrial fibrillation receive pulmonary vein isolation, and those with persistent atrial fibrillation may have additional heart wall ablation. The study includes 120 patients aged 18 to 80 undergoing their first catheter ablation. During the study, researchers collect patient information, health history, atrial fibrillation details, and test results. They measure pain using a face-based scale immediately after ablation and anxiety before and after the procedure with a questionnaire. They also monitor breathing stability, procedure duration, x-ray time, success rates, complications, drug use, patient and doctor satisfaction, and doctor fatigue. The trial follows a randomized controlled design to assess the impact of music on these outcomes.

Effects of Music During Atrial Fibrillation Ablation Under Conscious Sedation