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Primary Completion
March 2026
Estimated (date passed)
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Study Completion
March 2026
Estimated (date passed)
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Brief Summary
Coronary artery bypass graft surgery (CABG) involves bypassing a blocked artery with a healthy blood vessel elsewhere from body allowing the blood flow to be restored to heart. Most patients after CABG surgery have hemodynamic instability such as elevated blood pressure (BP) and low heart rate variability (HRV). High BP could be due pain, stress, and withdrawal of BP medications, which patient used to take preoperatively. BP progressively increases within 24 hours, postoperatively, and daytime systolic and diastolic BP may remain elevated for =14 weeks after CABG, while lower HRV may take 6 months to recover after CABG. In addition, these patients suffer from anxiety and depression which is associated with poor mental health that can create significant challenges and barriers for patients in making and sustaining important behavioral and lifestyle modifications. Non-pharmacological interventions such as music therapy (MT) and mindfulness meditation (MM) have been successfully used to manage anxiety and depression among patients undergone various surgeries, but there is scarcity in the current literature with regards to investigating the combined effect of MT and MM on anxiety and depression in CABG patients. Furthermore, the cumulative effect of these 2 interventions on hemodynamic variables is not well established. Therefore, this study aims to bridge these gaps and develop an interventional protocol that can improve the hemodynamic stability and mental health of CABG patients.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
withdrawn
Actual enrollment (reported)
0 participants
Study completion date
March 2026
Estimated (date passed)
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Listed locations
0 countries · 0 sites
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
First Submitted
October 4, 2024
Actual (reported)
First Posted
October 8, 2024
Actual (reported)
Study Start
July 2025
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Primary Completion
March 2026
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
March 2026
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Coronary Artery Bypass Graft PatientsHemodynamic VariablesMental HealthMusic TherapyMindfulness MeditationAnxietyDepressionQuality of life
Outcome Measures
Primary Outcomes (5)
Systolic blood pressure will be measured using a calibrated digital BP measuring monitor among 48 participants after CABG.
At baseline before beggining intervention and post-intervention at the end of1-week.
Diastolic blood pressure will be measured using a calibrated digital BP measuring monitor among 48 participants after CABG.
At baseline before beggining intervention and post-intervention at the end of 1-week.
Heart rate variability will be measured using a standard portable 12 lead ECG machine among 48 participants after CABG.
At baseline before beggining intervention and post-intervention at the end of 1-week.
Anxiety will be measured utilizing Beck Anxiety Inventory (BAI), which consists of 21 self-reported items to assess the intensity of physical and cognitive anxiety symptoms during the past week among 48 participants after CABG.
At baseline before beggining intervention and post-intervention at the end of 1-week.
Secondary Outcomes (1)
Quality of life will be measured using Short Form 12 Health Survey (SF-12), which consisted of 12 short from items measuring the extent to which physical or emotional problems interfere with social activities among 48 participants after CABG.
At baseline before beggining intervention and post-intervention at the end of 1-week.
Study Arms (4)
Music therapy
EXPERIMENTAL
Other: Music therapy
Mindfulness meditation
EXPERIMENTAL
Other: Mindfulness meditation
Combination of music therapy and mindfulness meditation
EXPERIMENTAL
Other: Music therapy and mindfulness meditation
Conventional phase-1 cardaic rehabilitation
Interventions
Music therapyOther
Participants in the music therapy group (MTG) will be comfortably lying on the bed in a reclined position of 30-45 degrees. Using a headphone, participants will be instructed to select a volume that is comfortable to their ears and listen to the music titled as "The Best Relaxing Piano and Flute Music Ever" which will be played for 30-minutes every day for 1-week. Patients will be encouraged to focus on the music and let it fill their senses.
Depression will be measured utilizing Beck Depression Inventory (BDI), which consists of 21 self-reported items to assess the characteristic attitudes and symptoms of depression during the past week among 48 participants after CABG.
At baseline before beggining intervention and post-intervention at the end of 1-week.
ACTIVE COMPARATOR
Other: Cardiac rehabilitation
Mindfulness meditation group (MGT)will be listening to audio of Guided Mindfulness Meditation Series 1 by Jon Kabat-Zinn. Similar to MTG, participants in MMG will be lying on the bed in a reclined position of 30-45 degrees. A headphone to listen to the audio of guided MM will be provided to all the participants. Participants will begin with relaxation technique by focusing on deep breathing to help calm their body and mind. This will be followed by focusing on the present moment, letting go of any thoughts or distractions that come up. Participants can focus on their breath, bodily sensations, or a specific object in their environment. Finally, the session will end by expressing a gratitude for their body and mind and setting an intention to carry the feelings of relaxation and mindfulness with them throughout the day. Similar to MTG, MMG will engage in 30-minutes of MM every day for 1-week.
Mindfulness meditation
Music therapy and mindfulness meditationOther
Music therapy and mindfulness meditation group will be receiving both music therapy and mindfulness meditation in the same body position as MTG and MMG. Firstly, participants will listen to MT for 30-minutes followed by MM for another 30-minutes. In between the 2 interventions, a 15-minute of break will be provided to all participants. Intervention will be carried out every day for 1-week.
Combination of music therapy and mindfulness meditation
Cardiac rehabilitationOther
Control Group will not receive any other therapy except the conventional post-operative cardiac rehabilitation. Other 3 intervention groups will also be participating in the usual cardiac rehabilitation program. Cardiac rehabilitation will be conducted during phase I, where rehabilitation will focus on early mobilization and ambulation of participants with a target heart rate of resting heart rate + 30 beats, with the non-strenuous exercises in the bed or at the bedside, focusing on a range of motion and limiting hospital deconditioning.
Conventional phase-1 cardaic rehabilitation
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Ejection fraction ≥ 50%
Hemodynamically stable
Willing to participate in this study
You may not qualify if:
Participants with atrial fibrillation
Hearing abnormalities
Cardiovascular diseases other than coronary artery disease, respiratory diseases, and any neurological/musculoskeletal problems that will restrict eligible participants to participate in the study.
Contact the study team to confirm eligibility.
Rehabilitation
Aftercare
Continuity of Patient Care
Patient Care
Psychotherapy
Behavioral Disciplines and Activities
Cognitive Behavioral Therapy
Behavior Therapy
Health Services
Health Care Facilities Workforce and Services
Primary Completion
March 2026
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
March 2026
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Last Updated
May 19, 2026
Record last verified: 2026-05
Data Sharing
IPD Sharing
Will not share
Source record
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