{"id":8274,"date":"2026-11-10T01:36:17","date_gmt":"2026-11-10T01:36:17","guid":{"rendered":"https:\/\/cosmos.isd.kcl.ac.uk\/?p=8274"},"modified":"2026-11-14T01:49:20","modified_gmt":"2026-11-14T01:49:20","slug":"mia-turakhia-presents-e-poster-on-effect-of-pre-procedure-recorded-music-exposure-at-american-heart-association-scientific-sessions","status":"publish","type":"post","link":"https:\/\/cosmos.isd.kcl.ac.uk\/?p=8274","title":{"rendered":"Mia Turakhia presents e-poster on Effect of Pre-Procedure Recorded Music Exposure at American Heart Association Scientific Sessions"},"content":{"rendered":"\n
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Mia Turakhia<\/strong> attends the American Heart Association (AHA) Scientific Sessions 2026 in Chicago, November 7-9, and presents a digital poster on the Effect of Pre-Procedure Recorded Music Exposure on Biomarkers of Anxiety and Stress: A Systematic Review and Meta-Analysis of Randomized Controlled Trials<\/p>\n<\/div><\/div>\n\n\n\n

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Navigating Serious Illness: Palliative and Supportive Care in Cardiovascular Disease
Monday, Nov 09, 9:15am – 10:10am (Central)
Moderated Digital Poster 5\u201a Clinical Science Zone 1<\/p>\n\n\n\n

Effect of Pre-Procedure Recorded Music Exposure on Biomarkers of Anxiety and Stress: A Systematic Review and Meta-Analysis of Randomized Controlled Trials<\/strong><\/p>\n\n\n\n

Mia Turakhia<\/strong>, The Nueva Sch, Hillsborough, CA; Elaine Chew, King’s Coll London, London, United Kingdom<\/p>\n\n\n\n

Background.<\/strong> Procedural anxiety, including for cardiovascular procedures, affects 40-80% of patients and is associated with physiological stress, autonomic dysregulation, and adverse outcomes. Passive listening of recorded (receptive) music may modulate stress and autonomic function in patients undergoing procedures. <\/p>\n\n\n\n

Purpose.<\/strong> To quantify the effects of perioperative receptive music engagement in patients on autonomic and cardiovascular stress biomarkers, including heart rate variability (HRV), blood pressure, cortisol, and anxiety. <\/p>\n\n\n\n

Methods.<\/strong> We conducted a systematic review and meta-analysis of randomized clinical trials (RCTs) comparing music with no-music control on stress biomarkers and self-reported anxiety. PubMed, Embase, CENTRAL, PsycINFO, and Web of Science were searched with pre-defined search strings for studies published between January 2008 and April 2026. Outcomes included HRV, cardiovascular biomarkers, cortisol, and anxiety using validated instruments. Music stimuli were assigned a Music Reporting Quality Score (MRQS, 0-3) based on eight Pedagogical Elements of Music criteria. We used Random-effects models with pooled Hedges\u2019 g and Fisher\u2019s exact test to assess stimulus-outcome associations. <\/p>\n\n\n\n

Results.<\/strong> Nineteen RCTs (N=1,463 participants; 12 countries; 2009-2026) met eligibility criteria; eight provided sufficient data for meta-analysis (N=497). 15\/18 studies measuring anxiety and 13\/17 measuring HRV showed improvements; cortisol was reduced in 3\/3 studies. Across HRV trials reporting between-arm post-intervention means and SDs (k=5; RMSSD or sign-flipped LF\/HF), pooled effect was g=\u22120.75 (95% CI \u22121.19 to \u22120.31; I\u00b2=71%), favoring music. Cortisol declined faster with music in two trials (g=\u22120.59; 95% CI \u22120.97, \u22120.21; k=2; I\u00b2=0%). Systolic BP fell 5-11 mmHg more with music in two cardiovascular trials. The pooled self-reported anxiety effect was Hedges\u2019 g=\u22121.14 (95% CI: \u22121.74 to \u22120.53; p<0.001), indicating reduction of anxiety with music, although heterogeneity was considerable (I\u00b2=91.4%; \u03c4\u00b2=0.69; prediction interval: \u22122.87 to +0.60). MRQS was the strongest predictor: none of the three MRQS=1 studies showed a significant effect, versus 81% of MRQS \u22652 studies (p=0.003). Studies of researcher-selected music outperformed self-selected music (91% vs. 25%; p=0.009). Slow tempo (\u226480 BPM), where reported, was beneficial in 10\/11 of studies. Intraoperative music under anesthesia was consistently ineffective; pre-operative and laboratory settings produced the largest effects. <\/p>\n\n\n\n

Conclusions<\/strong>. Preoperative music exposure produces clinically meaningful reductions in anxiety and physiological stress and modulated by music tempo, music selection, and MRQS. Autonomic biomarkers were more consistent than self-reported anxiety ratings. These findings may inform future clinical outcomes trials.<\/p>\n\n\n\n

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