Psychosocial concerns in patients living with an implantable cardioverter defibrillator

Abstract

Despite the unquestionable mortality advantages of implantable cardioverter defibrillators [ICDs], some patients with ICDs will experience psychosocial concerns after implantation, including symptoms of anxiety, depression, and post traumatic stress disorder, as well as ICD-related distress. Factors that can influence the impact of these psychological disorders include socio-demographic variables, variables related to the ICD and psychosocial variables. Unfortunately, it is uncommon for patients to seek help for their anxiety and depression. It is therefore of paramount importance that the healthcare professionals actively ask their patients about their psychological state during follow-up of the device. By discussing concerns and common reactions to the ICD, potential anxiety or depression can be prevented or alleviated.