Effect of Music on Quality of Life in Stable Angina: A Randomized Controlled Trial


Introduction: Quality of life associated with coronary artery disease can be affected by number of factors. Even though standard treatment has improved survival of such patients, the quality of life may be less than ideal as the disease affects the physical, social, and emotional functioning of such individuals. Therefore improvement of the quality of life of the patients with coronary artery disease is vital. Though music has been identified having a potential benefit in improving quality of life for many years, researches conducted to recognize the effect of music on quality of life were sparse. Therefore the aim of this study was to determine the effect of frequent long term listening to Indian classical music on quality of life in chronic stable angina (SA) patients. Methodology: This single blind randomized clinical trial was conducted for one month. The intervention group of 30 patients listened to a music based on Indian classical system at home twice a day complementary to their regular treatment. The control group of 30 was only on their usual treatment. Both groups were assessed before and after the intervention for the quality of life by the Sinhala version of SF-36 questionnaire. Results: A statistically significant increase of scores for physical function by 16.17 (p < 0.01), for role-physical—40.83 (p < 0.01), for body pain—11.03 (p < 0.01), for general health—17.9 (p < 0.01), for vitality—17 (p < 0.01), for social functioning—15.37, for role emotional—37.87(p < 0.01), for mental health—16.66 (p < 0.01), overall physical health by 20.6 (p < 0.01), the overall mental health by 20.84 (p < 0.01) and the total score of quality of life by 21.6 (p < 0.01) was observed in the study group after the intervention; but not in the control group. Conclusion: Listening to the music based on Indian classical system significantly improved the quality of life of stable angina patients. Therefore music therapy has a potential benefit in considering for use as complementary to conventional treatment for stable angina in improving quality of life.

Share and Cite:

Siritunga, S. , Wijewardena, K. , Ekanayaka, R. and Mudunkotuwa, P. (2015) Effect of Music on Quality of Life in Stable Angina: A Randomized Controlled Trial. International Journal of Clinical Medicine, 6, 307-313. doi: 10.4236/ijcm.2015.65039.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Shipper, H. (1983) Why Measure Quality of Life? Canadian Medical Association Journal, 128, 1367-1370.
[2] Wenger, N.K., et al. (1984) Assessment of Quality of Life in Clinical Trials of Cardiovascular Therapies. The American Journal of Cardiology, 54, 908-913.
[3] Wiklund, I., Herlitz, J. and Hjalmarson, A. (1989) Quality of Life in Postmyocardial Infarction Patients in Relation to Drug Therapy. Scandinavian Journal of Primary Health Care, 7, 13-18.
[4] Ecochard, R., et al. (2001) Indicators of Myocardial Dysfunction and Quality of Life, One Year after Acute Infarction. European Journal of Heart Failure, 3, 561-568.
[5] De Vreede, J.J.M., et al. (1991) Did Prognosis after Acute Myocardial Infarction Change during the Past 30 Years? A Meta-Analysis. Journal of the American College of Cardiology, 18, 698-706.
[6] Schmidt, M., et al. (2012) 25 Year Trends in First Time Hospitalisation for Acute Myocardial Infarction, Subsequent Short and Long Term Mortality, and the Prognostic Impact of Sex and Comorbidity: A Danish Nationwide Cohort Study. BMJ, 2012, 344-356.
[7] Brown, N., et al. (1999) Quality of Life Four Years after Acute Myocardial Infarction: Short Form 36 Scores Compared with a Normal Population. Heart, 81, 352-358.
[8] ICBS Inc. Stress the Silent Killer.
[9] Yale Medical Group (2005) Art Therapy, Dance Therapy, Music Therapy, and Imagery. New Haven.
[10] Jyothi, A. (2004) Healing by Music Therapy-Ragas.
[11] Chiu, P. and Kumar, A. (2003) Music Therapy: Loud Noise or Soothing Notes? International Paediatrics, 18, 204-208.
[12] Kumar, P. and Clerk, M. (2001) Clinical Medicine: A Textbook for Medical Students and Doctors. 4th Edition, W.B. Saunders, Edinburgh.
[13] Iriarte Roteta, A. (2003) Music Therapy Effectiveness to Decrease Anxiety in Mechanically Ventilated Patients. Enfermería Intensiva, 14, 43-48.
[14] American Cancer Society (2008) Music Therapy. Find Support and Treatment.
[15] Luengo-Fernández, R., Leal, J., Gray, A., Petersen, S. and Rayner, M. (2006) Cost of Cardiovascular Diseases in the United Kingdom. Heart, 92, 1384-1389.
[16] Liu, J.L.Y., Maniadakis, N., Gray, A. and Rayner, M. (2002) The Economic Burden of Coronary Heart Disease in the UK. Heart, 88, 597-603.
[17] Ministry of Healthcare, Nutrition and Uva-Wellassa Development (2005) Economy and Health: Taking Sri Lanka towards the Global Best. Draft Commission Report, Ministry of Healthcare, Nutrition and Uva-Wellassa Development, Colombo.
[18] Siritunga, S., Wijewardena, K., Ekanayaka, R. and Mudunkotuwa, P. (2014) Effect of Music on State of Ischaemia in Stable Angina: A Randomized Controlled Trial. International Journal of Clinical Medicine, 5, 1173-1179.
[19] Siritunga, S., Wijewardena, K., Ekanayaka, R. and Mudunkotuwa, P. (2013) Can Music Improve the Symptoms of Stable Angina? A Randomized Controlled Trial. Health, 5, 1039-1044.
[20] Mudunkotuwa, P. (2006) Music Therapy. Siritunga TLSS, Kotta-wa.
[21] White, J.M. (1999) Effects of Relaxing Music on Cardiac Autonomic Balance and Anxiety after Acute Myocardial Infarction. American Journal of Critical Care, 8, 220-230.
[22] Elliott, D. (1994) The Effects of Music and Muscle Relaxation on Patient Anxiety in a Coronary Care Unit. Heart & Lung, 23, 27-35.
[23] Guzzetta, C.E. (1989) Effects of Relaxation and Music Therapy on Patients in a Coronary Care Unit with Presumptive Acute Myocardial Infarction. Heart & Lung, 18, 609-616.
[24] Cremona-Barbaro, A. (1983) Propranolol and Depression. The Lancet, 321, 185.
[25] Burnett, W.C. and Chahine, R.A. (1979) Sexual Dysfunction as a Complication of Propranolol Therapy in Men. Cardiovascular Medicine, 4, 811-815.
[26] Wiklund, I., Herlitz, J. and Hjalmarson, A. (1989) Quality of Life Five Years after Myocardial Infarction. European Heart Journal, 10, 464-472.
[27] Croog, S.H., Levine, S., Testa, M.A., Brown, B., Bulpitt, C.J., David Jenkins, C., et al. (1986) The Effects of Antihypertensive Therapy on the Quality of Life. New England Journal of Medicine, 314, 1657-1664.
[28] Szwed, H. (2000) The Place of Metabolic Treatment: Metabolic Approach in Heart Failure. American Heart Journal, 139, 5120-5123.
[29] O’Meara, E. and McMurray, J.J.V. (2005) Myocardial Metabolic Manipulation: A New Therapeutic Approach in Heart Failure? Heart & Lung, 91, 131-132.

Copyright © 2020 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.