• Yiru Wang, Jing Wei, Xinzhu Guan, Yifan Zhang, Yiyi Zhang, Na Zhang, Meijiao Mao, Wenting Du, Yajuan Ren, Hong Shen, and Ping Liu.
• Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
• Pain Med. 2020 Nov 1; 21 (11): 3055-3065.

BackgroundNumerous meta-analyses have been conducted on music and pain, but no studies have investigated music and cardiac procedural pain.ObjectiveTo assess the effects of music intervention on pain in cardiac procedures in the published randomized controlled trials.MethodsThis study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. All the included randomized controlled studies were published between 1999 and 2016. Studies were obtained from electronic databases or by hand-searching of related journals and reference lists. The main outcome was pain intensity, and the secondary outcomes were vital signs such as heart rate, respiration rate, systolic blood pressure, and diastolic blood pressure. Risk of bias of the included studies was evaluated according to the Cochrane Collaboration guidelines.ResultsAnalysis of 14 studies indicated that music interventions had statistically significant effects on decreasing pain scales (mean deviation [MD] = -1.84), heart rate (MD = -2.62), respiration rate (MD = -2.57), systolic blood pressure (MD = -5.11), and diastolic blood pressure (MD = 0.44). The subgroup analysis method was used in all five outcomes.ConclusionsConsidering all the possible benefits, music intervention may provide an effective complement for the relief of cardiac procedural pain.© The Author(s) 2020. Published by Oxford University Press on behalf of the American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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