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Determinants of the quality of life (QoL) in patients with an implantable cardioverter/defibrillator (ICD)
Abstract
Objectives In high-risk cardiac patients the treatment of life-threatening arrhythmias with an implantable cardioverter/defibrillator (ICD) extends survival. Other important outcome criteria are treatment side effects especially the quality of life (QoL). Knowledge of the variables that influence QoL is important for therapy decisions in ICD patients. Methods Ninety-three ICD patients evaluated their QoL by the SF-36 after 1-6 years of ICD implantation. The QoL was studied in relation to cardiac function (severity of heart failure, ejection fraction), treatment course (number of shocks), coping styles and psychiatric syndromes. Results About 30% of the somatic QoL (physical role function, pain) is determined by the patients' somatization tendency, i.e. the extent to which they suffer from non-specific symptoms (sweating, weakness in the legs, nausea). The severity of heart failure had little influence on the physical QoL. The emotional QoL is primarily determined by phobic anxiety of ICD patients. Conclusions Psychiatric symptoms are the most important factors to determine the QoL in ICD patients. Behavioural treatment procedures of phobic anxieties and somatization could improve QoL in ICD patients.
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Individuals prone to somatization have more difficulties after ICD.
“as do individuals prone to somatization 11”
From Managing with pacemakers and implantable cardioverter defibrillators (2013) · cites this paper as [11]
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Dougherty, C. M., Sears, S. F., Carroll, D. L., Goldstein, N. E., Mark, D. B., McDaniel, G. M., Pressler, S. J., Schron, E. P., Wang, P. J., & Zeigler, V. L. (2012)
Knoepke, C. E. (2015) · Digital Commons - DU (University of Denver)
Cesarino, C. B., Beccária, L. M., Aroni, M. M., Correa, L. C., & Pacheco, S. D. S. (2011)
Burazor, I., Marić, M., & Nedeljković, I. (2023) · Srce i krvni sudovi · doi:10.5937/siks2301020b
Metadata
- Authors
- Godemann, F., Butter, C., Lampe, F., Linden, M., Werner, S., & Behrens, S.
- Affiliations
- Freie Universität Berlin (DE)
- Deutsches Herzzentrum der Charité (DE)
- Corresponding author
- Godemann, F.
- Venue
- Quality of Life Research
- Published
- 2004-03
- Volume
- 13
- Issue
- 2
- Pages
- 411-416
- ISSN
- 0962-9343 (ISSN-L)
- 1573-2649
- OpenAlex
- W2015108591
- Cited by
- 81
- References
- 24
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 5 · 2021: 1 · 2020: 6 · 2019: 3 · 2018: 1 · 2017: 3 · 2016: 6 · 2015: 3 · 2014: 2 · 2013: 5 · 2012: 8
- FWCI
- 2.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Quality of Life Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- implantable cardioverter-defibrillator, quality of life, somatization, phobic anxiety, heart failure, ejection fraction, ICD shocks, coping styles, psychiatric symptoms, SF-36, malignant arrhythmias
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Anxiety, Arrhythmias, Cardiac, Berlin, Female, Humans, Male, Middle Aged, Quality of Life, Self-Assessment, Somatoform Disorders, Logistic Models, Defibrillators, Implantable, Sickness Impact Profile
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