International Health Sciences Journal
Anxiety Levels in Acute Coronary Syndrome (ACS) Patients Before Percutaneous Coronary Intervention (PCI)
By Desak Putu Meiwulan Ratnasari, Ni Kadek Yuni Lestari and Ni Nyoman Ayuningsih.
Abstract
Acute Coronary Syndrome (ACS) patients scheduled for Percutaneous Coronary Intervention (PCI) may experience anxiety because of uncertainty about the procedure and its outcomes. This study aimed to describe anxiety levels among ACS patients prior to PCI in an emergency department. A quantitative descriptive study with a cross-sectional approach was conducted among 55 ACS patients scheduled for PCI. Participants were recruited consecutively during the data-collection period from 14 May to 15 June 2026. Anxiety was assessed using the Amsterdam Preoperative Anxiety and Information Scale (APAIS), and data were analyzed descriptively using frequency and percentage distributions. Most respondents were aged 56–65 years (40.0%), male (89.1%), had senior high school education (41.8%), and had no previous PCI history (94.5%). Moderate anxiety was the most common category (61.8%), followed by severe anxiety (20.0%), very severe anxiety/panic (10.9%), and mild anxiety (7.3%). These findings indicate that moderate anxiety was common among ACS patients before PCI. Routine anxiety screening, clear pre-PCI education, and therapeutic communication should be considered as part of nursing care to support patient preparedness before the procedure.







