open access

Vol 10, No 5 (2015)
Review Papers
Published online: 2015-10-28
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Psychological problems of patients after implantation of a cardioverter-defibrillator

Beata Mańkowska-Załuska, Anna Nowek, Ewa Topolska, Andrzej Oszczygieł, Michał Chudzik, Jerzy Krzysztof Wranicz
DOI: 10.5603/FC.2015.0065
·
Folia Cardiologica 2015;10(5):342-347.

open access

Vol 10, No 5 (2015)
Review Papers
Published online: 2015-10-28

Abstract

The implantable cardioverter-defibrillators (ICD) have become the method of choice for the prevention of sudden cardiac death (SCD) since its approval by the Food and Drug Administration in 1985. Studies have shown that the use of ICD significantly increases the effectiveness of preventing SCD and reduces side effects compared with pharmacotherapy. In connection with the extension of the indications for implantation ICD in primary prevention by the European Society of Cardiology in 2001, significantly increased the number of people with this device. The lives of patients with ICD are changing and many people (up to 87%) feel the anxiety associated with the working of the device. Studies have shown that predisposing factors for mental disorders occurring after implantation of the ICD are: patients younger than 50 years, female sex, lack of social and family support and numerous discharge devices. Patients should be aware of the working of ICD and participate in the therapies and support groups to help them control negative emotions, i.e. fear, anxiety and stress associated with the implanted device. Keep in mind that full therapeutic success after ICD implantation also depends on the patient’s psychological well-being.

Abstract

The implantable cardioverter-defibrillators (ICD) have become the method of choice for the prevention of sudden cardiac death (SCD) since its approval by the Food and Drug Administration in 1985. Studies have shown that the use of ICD significantly increases the effectiveness of preventing SCD and reduces side effects compared with pharmacotherapy. In connection with the extension of the indications for implantation ICD in primary prevention by the European Society of Cardiology in 2001, significantly increased the number of people with this device. The lives of patients with ICD are changing and many people (up to 87%) feel the anxiety associated with the working of the device. Studies have shown that predisposing factors for mental disorders occurring after implantation of the ICD are: patients younger than 50 years, female sex, lack of social and family support and numerous discharge devices. Patients should be aware of the working of ICD and participate in the therapies and support groups to help them control negative emotions, i.e. fear, anxiety and stress associated with the implanted device. Keep in mind that full therapeutic success after ICD implantation also depends on the patient’s psychological well-being.

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Keywords

implantable cardioverter-defibrillator, anxiety, mental disorders, ICD discharge, stress

About this article
Title

Psychological problems of patients after implantation of a cardioverter-defibrillator

Journal

Folia Cardiologica

Issue

Vol 10, No 5 (2015)

Pages

342-347

Published online

2015-10-28

DOI

10.5603/FC.2015.0065

Bibliographic record

Folia Cardiologica 2015;10(5):342-347.

Keywords

implantable cardioverter-defibrillator
anxiety
mental disorders
ICD discharge
stress

Authors

Beata Mańkowska-Załuska
Anna Nowek
Ewa Topolska
Andrzej Oszczygieł
Michał Chudzik
Jerzy Krzysztof Wranicz

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