title: [Psychologic status comparison in patients treated with transradial or transfermoral approach coronary catheterizations].
abstract: OBJECTIVE
  We previously showed that factorial score of somatization, which was obtained by the examination of symptom checklist-90 (SCL-90), was higher in patients received transfemoral coronary catheterization than norm. The aim of the present study was to compare the patient's psychologic status between transradial approach and transfemoral approach percutaneous coronary catheterizations.
  
  
  METHODS
  A total of 198 inpatients (105 transfemoral, 93 transradial) underwent scheduled first time coronary catheterizations were enrolled. All patients were studied by symptom SCL-90 on present psychologic status 24 hours before and 24-48 hours after coronary catheterizations.
  
  
  RESULTS
  Age, sex, weight, smokers, employment, educational background, marriage status, family relations, family history of cardiovascular disease, income and medical insurance status were similar between the two groups. There was also no difference in diabetes, hypertension history as well as coronary heart disease confirmed by coronary catheterization between the 2 groups. Compared with the status before the procedure, factorial scores of somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, global severity index and total positive symptoms were significantly reduced after percutaneous coronary catheterizations (1.50 +/- 0.51 vs. 1.64 +/- 0.53, 1.50 +/- 0.48 vs. 1.67 +/- 0.55, 1.28 +/- 0.41 vs. 1.38 +/- 0.49, 1.42 +/- 0.43 vs. 1.55 +/- 0.53, 1.38 +/- 0.41 vs. 1.58 +/- 0.54, 1.32 +/- 0.35 vs. 1.44 +/- 0.41, 1.38 +/- 0.34 vs. 1.49 +/- 0.42, and 23.08 +/- 17.30 vs. 27.72 +/- 18.79, respectively, P all < 0.05). Scores on somatization, depression and positive symptom severity index were significantly lower in patients received transradial coronary catheterizations than those received transfemoral coronary catheterization approach (1.52 +/- 0.51 vs. 1.62 +/- 0.53, 1.43 +/- 0.54 vs. 1.54 +/- 0.43 and 2.36 +/- 0.66 vs. 2.50 +/- 0.43, respectively, P all < 0.05).
  
  
  CONCLUSIONS
  Patients' psychologic status improved significantly after percutaneous coronary catheterizations. Improvement on psychologic status is significantly better in patients underwent transradial coronary catheterizations than that underwent transfemoral coronary catheterizations.
authors.affiliation: Department of Cardiology, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China.
authors.forename: Yao
authors.initials: Y
authors.lastname: Chen
authors.forename: Yuan-gang
authors.initials: YG
authors.lastname: Qiu
authors.forename: Jian-hua
authors.initials: JH
authors.lastname: Zhu
authors.forename: Ping
authors.initials: P
authors.lastname: Zheng
authors.forename: Jun-zhu
authors.initials: JZ
authors.lastname: Chen
authors.forename: Fu-rong
authors.initials: FR
authors.lastname: Zhang
authors.forename: Li-li
authors.initials: LL
authors.lastname: Zhao
authors.forename: Qian-min
authors.initials: QM
authors.lastname: Tao
authors.forename: Liang-rong
authors.initials: LR
authors.lastname: Zheng
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000379:methods / Q000523:psychology*; D017023:Coronary Angiography / Q000523:psychology; D003327:Coronary Disease / Q000523:psychology* / Q000628:therapy; D005263:Femoral Artery; D006801:Humans; D008875:Middle Aged; D017534:Radial Artery; D012647:Self-Assessment