PATIENT ACCEPTANCE OF THE IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR IN VENTRICULAR TACHYARRHYTHMIAS

被引:107
作者
LUDERITZ, B [1 ]
JUNG, W [1 ]
DEISTER, A [1 ]
MARNEROS, A [1 ]
MANZ, M [1 ]
机构
[1] UNIV BONN,DEPT MED PSYCHOL & GEN PSYCHOPATHOL,W-5300 BONN,GERMANY
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 1993年 / 16卷 / 09期
关键词
IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (ICD); PATIENT ACCEPTANCE; ICD PSYCHOLOGICAL AND SOCIAL ASPECTS;
D O I
10.1111/j.1540-8159.1993.tb01816.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Besides surgical problems, recipients of implantable cardioverter defibrillators (ICDs) are faced with psychological and social adjustments. Successful ICD therapy is influenced by the patients' perceived concerns regarding device, discharge, changes in life style, and complications. In order to assess patients' acceptance of the ICD, the psychological profile of 57 consecutive patients was evaluated using a specifically designed questionnaire and the State Trait Anxiety Inventory (STAI). The results showed that 20 patients stated fear of ICD discharge, 12 patients revealed physical discomfort due to the device, and limited quality-of-life occurred in 8 patients. Fifty-five of 57 patients answered that it was worth having an ICD device implanted, 30 (53%) patients returned to active life, and 56 (98%) would advise another patient to undergo implantation if necessary. Overall, there was only a slight, but insignificant, decrease in the level of anxiety within the total patient population after ICD implantation. However, a comparison of two subgroups indicated that the state of anxiety was significantly higher in patients < 50 years of age as well as in patients having received > 5 shocks versus those > 50 years of age and having experienced < 5 shocks. In general, the acceptance of the ICD as a tool in managing life-threatening ventricular tachyarrhythmias is high. Besides the increased survival rate, quality-of-life and patient acceptance are important criteria for successful ICD therapy.
引用
收藏
页码:1815 / 1821
页数:7
相关论文
共 27 条
[1]  
ANGERMANN CE, 1992, Z KARDIOL, V81, P411
[2]  
BADGER JM, 1989, HEART LUNG, V18, P238
[3]  
BLACHER RS, 1970, ARCH GEN PSYCHIAT, V22, P319
[4]  
BUNZEL B, 1991, HERZ, V16, P257
[5]   PSYCHOSOCIAL FACTORS IN ADJUSTMENT OF PATIENTS WITH PERMANENTLY IMPLANTED CARDIAC PACEMAKERS [J].
GREENE, WA ;
MOSS, AJ .
ANNALS OF INTERNAL MEDICINE, 1969, 70 (05) :897-+
[6]   MEETING PSYCHOSOCIAL NEEDS OF PACEMAKER PATIENTS [J].
HESSE, KAF .
INTERNATIONAL JOURNAL OF PSYCHIATRY IN MEDICINE, 1975, 6 (03) :359-372
[7]   EFFECTS OF CHRONIC AMIODARONE THERAPY ON DEFIBRILLATION THRESHOLD [J].
JUNG, W ;
MANZ, M ;
PIZZULLI, L ;
PFEIFFER, D ;
LUDERITZ, B .
AMERICAN JOURNAL OF CARDIOLOGY, 1992, 70 (11) :1023-1027
[8]   FAILURE OF AN IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR TO REDETECT VENTRICULAR-FIBRILLATION IN PATIENTS WITH A NONTHORACOTOMY LEAD SYSTEM [J].
JUNG, W ;
MANZ, M ;
MOOSDORF, R ;
LUDERITZ, B .
CIRCULATION, 1992, 86 (04) :1217-1222
[9]   REEMPLOYMENT FOLLOWING IMPLANTATION OF THE AUTOMATIC CARDIOVERTER DEFIBRILLATOR [J].
KALBFLEISCH, KR ;
LEHMANN, MH ;
STEINMAN, RT ;
JACKSON, K ;
AXTELL, K ;
SCHUGER, CD ;
TCHOU, PJ .
AMERICAN JOURNAL OF CARDIOLOGY, 1989, 64 (03) :199-202
[10]   THE AUTOMATIC IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR - EFFICACY, COMPLICATIONS AND SURVIVAL IN PATIENTS WITH MALIGNANT VENTRICULAR ARRHYTHMIAS [J].
KELLY, PA ;
CANNOM, DS ;
GARAN, H ;
MIRABAL, GS ;
HARTHORNE, JW ;
HURVITZ, RJ ;
VLAHAKES, GJ ;
JACOBS, ML ;
ILVENTO, JP ;
BUCKLEY, MJ ;
RUSKIN, JN .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1988, 11 (06) :1278-1286