Quality of life in implanted cardioverter defibrillator recipients: the impact of a device shock

Heart Lung. May-Jun 2005;34(3):169-78. doi: 10.1016/j.hrtlng.2004.10.002.

Abstract

Background: The success of the implanted cardioverter defibrillator (ICD) in prolonging the life of patients with arrhythmia suggests a need to assess quality of life (QOL), especially in those who receive an ICD shock.

Objectives: The purpose of this study was to compare QOL in a group who received an ICD shock with a group who did not receive an ICD shock during the first year.

Methods: Fifty-nine subjects, 42 men and 17 women with a mean age 63 years, completed the Medical Outcomes Study Short Form-36, Ferrans and Powers QOL Index, Profile of Mood States at implantation and 1 year, and the Brodsky ICD Questionnaire at 1 year.

Results: Thirty-seven percent received an ICD shock. Those in the shock group had worse mental health ( P < or = .04) and vitality scores ( P < or = .03) on the Short Form-36, increased anxiety ( P < or = .015), fatigue ( P < or = .005), and psychologic distress ( P < or = .02), as measured by Profile of Mood States, compared with the no shock group at 1 year.

Conclusions: Shocked ICD recipients demonstrate mental health concerns.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Affect
  • Aged
  • Aged, 80 and over
  • Arrhythmias, Cardiac / classification
  • Arrhythmias, Cardiac / etiology
  • Arrhythmias, Cardiac / therapy*
  • Defibrillators, Implantable / psychology*
  • Electric Countershock / psychology*
  • Female
  • Health Status
  • Humans
  • Male
  • Mental Health
  • Middle Aged
  • Quality of Life*
  • Risk Factors
  • Surveys and Questionnaires