Quality of life and psychological status of patients with implantable cardioverter defibrillators.

  • Friedmann E
  • Thomas S
  • Inguito P
 et al. 
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INTRODUCTION: Implantable cardioverter defibrillators (ICDs) are effective
at reducing mortality in patients at high risk for sudden cardiac
death (SCD) but can cause psychological distress and reduce quality
of life (QOL). The full benefits of ICDs can only be achieved when
the patient's QOL and psychological status are maintained. We examined
psychological status and QOL post ICD implantation; the relationship
of psychological status to QOL; the relationship of time since implantation
to psychological status and QOL; and the relationship of time since
ICD implantation and age of patient to these variables. METHODS AND
RESULTS: A cross-sectional self-administered assessment of QOL, depression,
anxiety, demographic characteristics and cardiovascular health history
of patients (n = 48) who had received ICDs within the past 10 years
at an urban hospital. Patients who had ICDs for longer experienced
worse depression and QOL. Patients who were younger had worse depression,
anxiety, and QOL. The combination of anxiety, depression, age, and
time since ICD implant significantly predicted overall QOL and the
psychosocial and physical dimensions of QOL explaining 55.5, 54,
and 34.9% of the variance, respectively. CONCLUSION: Younger ICD
patients are at highest risk for psychological distress and poor
QOL. Longitudinal research would facilitate determination of the
trajectory of changes in psychological status and QOL over the duration
of the ICD experience.

Author-supplied keywords

  • 80 and over ; Anxiety/*epidemiology/psychology ;
  • Adult ; Aged ; Aged
  • Implantable/*psychology/*statistics & numerical d

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  • E Friedmann

  • S A Thomas

  • P Inguito

  • C W Kao

  • M Metcalf

  • F J Kelley

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