open access

Vol 13, No 3 (2018)
Cardiology Investigation
Published online: 2018-07-15
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Why should depression be diagnosed among patients with implantable cardiac electronic device?

Grzegorz Karczmarewicz, Yuliia Ziavina, Joanna Michalik, Andrzej Cacko, Gabriela Parol
DOI: 10.5603/FC.2018.0053
·
Folia Cardiologica 2018;13(3):274-278.

open access

Vol 13, No 3 (2018)
Cardiology Investigation
Published online: 2018-07-15

Abstract

Introduction. Depressive disorders are one of the most common mental disorders and have significant influence on
patients’ quality of life. Indeed, patients with cardiac implantable electronic devices (CIED) are especially vulnerable to
the depression. However, there is no routine screening for mental disorders among those patients. The aim of the study
was to assess the prevalence of depressive disorders among patients with CIED in Poland.

Material and methods. Patients with pacemaker (PM) as well as patients with implantable cardioverter-defibrillator
(ICD) were recruited into the study. They were under routine ambulatory care in reference cardiology hospital in Mazovia
district (Central Poland). All of the patients were examined using Beck Depression Inventory anonymously before the
ambulatory visit.

Results. One hundred patients were included into the study: 38 females, mean age 72.8 ± 9.5 years (54 with PM devices and 46 with ICD devices). Depressive disorders were diagnosed in 49 patients (28 [51.9%] with PM devices and 21 [45.7%] with ICD devices, p = 0.7). Device was implanted significantly longer among patients with depressive disorders (7.1 vs 4.4 years, p = 0.01).

Conclusions. Depressive disorders were common among patients with CIED, and correlated with the time period after the device implantation. The observation confirms the necessity of routine patients’ mental assessment among the patients with CIED.

Abstract

Introduction. Depressive disorders are one of the most common mental disorders and have significant influence on
patients’ quality of life. Indeed, patients with cardiac implantable electronic devices (CIED) are especially vulnerable to
the depression. However, there is no routine screening for mental disorders among those patients. The aim of the study
was to assess the prevalence of depressive disorders among patients with CIED in Poland.

Material and methods. Patients with pacemaker (PM) as well as patients with implantable cardioverter-defibrillator
(ICD) were recruited into the study. They were under routine ambulatory care in reference cardiology hospital in Mazovia
district (Central Poland). All of the patients were examined using Beck Depression Inventory anonymously before the
ambulatory visit.

Results. One hundred patients were included into the study: 38 females, mean age 72.8 ± 9.5 years (54 with PM devices and 46 with ICD devices). Depressive disorders were diagnosed in 49 patients (28 [51.9%] with PM devices and 21 [45.7%] with ICD devices, p = 0.7). Device was implanted significantly longer among patients with depressive disorders (7.1 vs 4.4 years, p = 0.01).

Conclusions. Depressive disorders were common among patients with CIED, and correlated with the time period after the device implantation. The observation confirms the necessity of routine patients’ mental assessment among the patients with CIED.

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Keywords

depressive disorders, pacemaker, implantable cardioverter-defibrillator

About this article
Title

Why should depression be diagnosed among patients with implantable cardiac electronic device?

Journal

Folia Cardiologica

Issue

Vol 13, No 3 (2018)

Pages

274-278

Published online

2018-07-15

DOI

10.5603/FC.2018.0053

Bibliographic record

Folia Cardiologica 2018;13(3):274-278.

Keywords

depressive disorders
pacemaker
implantable cardioverter-defibrillator

Authors

Grzegorz Karczmarewicz
Yuliia Ziavina
Joanna Michalik
Andrzej Cacko
Gabriela Parol

References (14)
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