Heart-focused anxiety in patients with chronic heart failure before implantation of an implantable cardioverter defibrillator: baseline findings of the anxiety-CHF study
Abstract
Aims We analysed heart-focused anxiety (HFA) and its predictors in patients with heart failure before implantation of an implantable cardioverter defibrillator (ICD). Herein, we report the baseline data of the Anxiety-CHF Study which investigates HFA before and after ICD implantation.Methods and results HFA, general anxiety and depression, perceived quality of life (QoL) and type D personality were measured with validated psychological instruments. Clinical parameters such as severity of heart failure measured by NYHA class and left ventricular ejection fraction (EF) were determined. One hundred and ten patients were interrogated before ICD implantation (70 % male, mean age = 60.5 ± 14.9 years, mean EF = 31 % ± 9 %, 91 % NYHA II-III, 92 % primary prevention). HFA was present in 53 patients (48.6 %); 37 participants (33.9 %) showed increased levels of general anxiety and 33 patients (30.3 %) showed increased levels of depression with clinical significant levels in 16 subjects (14.7 %) for general anxiety and 13 subjects (11.9 %) for depression. Poor QoL was reported in 30 patients (27.5 %). HFA was correlated with QoL, general anxiety, depression, type D personality, myocardial infarction (MI), and systolic blood pressure. QoL, general anxiety and former MI were significant predictors of HFA (R (2) = 0.453).Conclusion Heart-focused anxiety is highly prevalent in heart failure patients prior to ICD implantation. Measures of disease severity such as EF or NYHA class do not predict HFA, neither does Type D personality. HFA is predicted by a history of MI and psychological parameters such as general anxiety and impaired QoL. CLINICALTRIALS.Gov identifier NCT02226770.
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Anxiety in CVD is associated with poorer quality of life, poorer performance of self-care, and drop-out from cardiac rehabilitation.
“it is associated with poorer quality of life, 10-12 poorer performance of self-care 13 and drop-out from cardiac rehabilitation, 11”
Bunz et al. stated that cardiac anxiety should be seen as separate from GAD.
“Bunz et al. 12 stated that cardiac anxiety should be seen as separate from GAD.”
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Hodnocení úzkosti u nemocných s implantabilním kardioverterem – defibrilátorem
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- Authors
- Bunz, M., Lenski, D., Wedegärtner, S., Ukena, C., Karbach, J., Böhm, M., & Kindermann, I.
- Affiliations
- Universitätsklinikum des Saarlandes (DE)
- Goethe University Frankfurt (DE)
- Corresponding author
- Bunz, Maxie
- Kindermann, Ingrid
- Venue
- Clinical Research in Cardiology
- Published
- 2015-10-19
- Volume
- 105
- Issue
- 3
- Pages
- 216-224
- ISSN
- 1861-0684 (ISSN-L)
- 1861-0692
- OpenAlex
- W1786191343
- Cited by
- 33
- References
- 36
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 1 · 2022: 6 · 2021: 5 · 2020: 3 · 2019: 4 · 2018: 2 · 2017: 5 · 2016: 3
- FWCI
- 2.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Clinical Research in Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Friede Springer Herz Stiftung
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- chronic heart failure, implantable cardioverter-defibrillator, general anxiety, depression, quality of life, Type D personality, myocardial infarction, predictors of anxiety
- MeSH terms
- Aged, Anxiety, Chronic Disease, Cross-Sectional Studies, Electric Countershock, Female, Germany, Heart Failure, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Quality of Life, Surveys and Questionnaires, Risk Factors, Severity of Illness Index, Comorbidity, Incidence, Prevalence, Treatment Outcome, Defibrillators, Implantable, Cost of Illness, Type D Personality
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