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. 2024 Jul 4;76(1):82.
doi: 10.1186/s43044-024-00513-2.

The effect of right ventricle septal pacing versus apical pacing in dual-chamber pacemakers on patients' anxiety and depression: a one-year follow-up study

Hassan El-Shirbiny  1 , Reda Biomy  2 , Wael Anwar Haseeb  2 , Islam Saboukh  2
Affiliations

The effect of right ventricle septal pacing versus apical pacing in dual-chamber pacemakers on patients' anxiety and depression: a one-year follow-up study

Hassan El-Shirbiny et al. Egypt Heart J. .

Abstract

Background: Anxiety and depression are potentially harmful outcomes of permanent cardiac pacemakers. Dual-chamber P.P.M. is frequently used to treat life threatening bradycardia. The study aims to estimate the effect of the right ventricular PM lead position on recipients' anxiety and depression before, 6 months, and 1 year after implantation.

Results: A statistically significant correlation was discovered between the studied groups regarding HADS depression score after 6 months (p 0.013) and 1 year (p 0.013). A statistically non-significant difference was found among the studied groups at any point of time regarding baseline (p 0.063), after 6 months (p 0.054), or after 1 year (p 0.099). Significance was found between HADS anxiety score (p 0.015) or depression score after 1 year and the incidence of complications (p 0.001).

Conclusions: A strong relationship was found between the level of depression and the R.V. site of implantation, as patients with the apical group had higher levels of depression post-implantation. The septal position has less stress and depression on the patient's well-being than the apical one.

Keywords: Anxiety; Depression; Dual chamber; Pacemaker; Pacing; Psychological effect; R.V. lead.

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Conflict of interest statement

There is no conflict of interest.

Figures

Fig. 1
Fig. 1
A PRISMA chart illustrating the flow of included participants all over the study
Fig. 2
Fig. 2
Multiple line graph comparing groups regarding HADS depression score over time
Fig. 3
Fig. 3
Multiple line graph comparing groups regarding HADS anxiety score over time
See this image and copyright information in PMC

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