Music Therapy as an Adjunct in CIED Lead Extraction Procedures (MATH)

Music Therapy as an Adjunct in Cardiac Implantable Electronic Device (CIED) Lead Extraction Procedures

The study will investigate possible effects of music therapy as an adjunct in an invasive cardiac procedure where infected or broken pacemaker leads, or leads from implantable cardioverter-defibrillators are removed from inside the heart through the vein. The procedure is performed in local anaesthesia with the patient awake. Analgesic and anxiolytic drugs are given at the start of the procedure, and repeated if needed. In spite of the drugs, most patients will experience som degree of pain and/or anxiety and increased stress during the procedure. The music therapy intervention contains individually facilitated music listening and coping techniques, aiming to regulate stress responses. The music listening and guidance is provided by a certified music therapist before, during and after the invasive procedure.

The patient gets a preparatory session with the music therapist one day before the invasive procedure, where individual assessment is made based on a biopsychosocial approach. Sequences of facilitated Music listening is provided during the pre-, peri and postoperative phase, and a closing dialog performed postoperatively. Patient-preferred music is chosen from a limited set of playlists provided on the app The Music Star.

10-point visual numeric scale, previously used in comparable studies. One represented very dissatisfied and 10 very satisfied

Inclusion Criteria: Planned pacemaker or intracardiac defibrillator (ICD) lead extraction performed in local anaesthesia. Lead implanted > 12 months ago Able to speak and read Norwegian Willing to participate All inclusion criteria must be fulfilled. Exclusion Criteria: Significant hearing impairment Previous and/or acute psychiatric diagnosis Cognitive and mental deficits or impaired functioning