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Comparative Study
. 2011 Sep;22(3):174-9.
doi: 10.1007/s00399-011-0144-z.

[Changes in depression, anxiety, and vital exhaustion in patients after ICD implantation. Comparison of clinical subgroups]

[Article in German]
M Tavenaux  1 , D M Ginzburg, A Boukacem, J Sperzel, C Hamm, J Jordan
Affiliations
Comparative Study

[Changes in depression, anxiety, and vital exhaustion in patients after ICD implantation. Comparison of clinical subgroups]

[Article in German]
M Tavenaux et al. Herzschrittmacherther Elektrophysiol. 2011 Sep.

Abstract

Background: The psychological strain of an implantable cardioverter-defibrillator (ICD) is infrequently explored in prospective studies, which have until now generally focused on the dimensions anxiety and depression. Furthermore, vital exhaustion (VE; ICD10 F 48.0) is known as a very good predictor for negative outcome in patients with coronary heart disease. The influence of VE on patients with an ICD is presented and analyzed in a prospective study.

Methods: A total of 249 patients with an ICD completed a set of questionnaires (HADS, EQ-5D, VE) at baseline and at the 1-year follow-up.

Results: The patients with high levels of depression, anxiety, and VE after ICD implantation did not show spontaneous remission after 1 year.

Discussion: As expected, the implanatation of an ICD is associated with high acceptance and increased life quality in about 3/4 of patients. However, there is a subgroup of patients (20-30%) who have difficulties and the measured dimensions remain at elevated levels after implantation, thus, indicating that these patients probably need competent psychological help.

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References

    1. Scand Cardiovasc J. 2004 Mar;38(1):28-32 - PubMed
    1. Heart. 2001 Apr;85(4):375-9 - PubMed
    1. Pacing Clin Electrophysiol. 2009 Feb;32(2):153-6 - PubMed
    1. Psychosom Med. 1998 Nov-Dec;60(6):752-8 - PubMed
    1. Pacing Clin Electrophysiol. 2009 May;32(5):614-21 - PubMed

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