Acceptance and psychological impact of implantable defibrillators amongst adults with congenital heart disease

Body image concerns in patients with an implantable cardioverter defibrillator: A scoping review

“…Age across studies ranged from 13 to 98 years; however, age range was not reported in all studies . The reported mean age ranged from 21.2 to 78 years, although the mean age was not reported in two studies .…”

“…There was a trend for gender differences, with women reporting more body image concerns than men; however, one study found no gender differences . Younger age was associated with more body image concerns .…”

“…One study reported that patients scoring high on Type D personality were more likely to report body image concerns while another study did not find an association . Some studies did not observe body image concerns in their group comparisons, e.g., ICD‐Congenital versus ICD‐non‐Congenital . One study's main focus was development of a questionnaire, the “IDAS,” and did not report results on body image concerns .…”

Inappropriate ICD Shocks in Pediatric and Congenital Heart Disease Patients

“…[18][19][20][21] An increased number of shocks has also been associated with increased anxiety, depression, and psychological stress. [22][23][24] Additionally, the delivery of shocks has a detrimental effect on device battery longevity; an increased number of shocks delivered means a quicker reduction in total battery life, potentially necessitating device replacement at an earlier point in time.…”

“…11,15 In particular, pediatric and CHD ICD patients experience inappropriate ICD shocks at a rate much higher than that in other patient groups, with most studies indicating that at least 20% of pediatric and CHD patients experience this phenomenon, 14 a rate nearly double that observed in some large studies involving adult patients. 18 This review discusses the importance of addressing inappropriate shocks in pediatric and CHD populations, and presents potential management options for reducing their frequency.…”