Cardiac anxiety after sudden cardiac arrest: Severity, predictors and clinical implications

Rosman, Lindsey; Whited, Amanda; Lampert, Rachel; Mosesso, Vincent N.; Lawless, Christine E.; Sears, Samuel F.

doi:10.1016/j.ijcard.2014.11.115

Cited by 37 publications

(35 citation statements)

References 13 publications

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“…The current findings are in line with some, but not all studies, indicating that younger patients are more likely to experience anxiety symptoms. In addition, previous studies have shown that Type D personality is independently associated with PTSD at 3 and 18 months post‐ICD implantation and deterioration in psychological functioning at 12 months postimplantation .…”

Section: Discussionsupporting

confidence: 92%

Posttraumatic stress and anxiety in patients with an implantable cardioverter defibrillator: Trajectories and vulnerability factors

Habibović

Denollet

Pedersen

2017

Pacing Clinical Electrophis

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Comparable trajectories were found for symptoms of PTSD and anxiety over time. Patients with a younger age, increased depression score at baseline, and Type D personality were especially prone to experience PTSD and anxiety symptomatology at 12 months follow-up. Due to the negative association between PTSD, anxiety, and health outcomes, it is paramount to timely identify the subset of patients who are vulnerable to experience these symptoms and provide them with personalized support.

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Section: Discussionsupporting

confidence: 92%

Posttraumatic stress and anxiety in patients with an implantable cardioverter defibrillator: Trajectories and vulnerability factors

Habibović

Denollet

Pedersen

2017

Pacing Clinical Electrophis

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“…They suggested that a clinically relevant cut-off score could lie between the intermediate and the high scores. Another study exploring cardiac anxiety after sudden cardiac arrest used the scores in the upper quartile (CAQ ≥ 1.81) for severe anxiety and the lowest quartile (CAQ ≤ 0.73) for mild cardiac anxiety [42].…”

Section: Discussionmentioning

confidence: 99%

Depressive Symptoms, Cardiac Anxiety, and Fear of Body Sensations in Patients with Non-Cardiac Chest Pain, and Their Relation to Healthcare-Seeking Behavior: A Cross-Sectional Study

Mourad

Strömberg

Johansson

et al. 2015

Patient

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Results: About 26 % (n=141) of the study participants reported at least moderate depressive symptoms, 42 % (n=229) reported at least moderate cardiac anxiety, and 62 % (n=337) reported some degree of fear of body sensations. We found a strong positive relationship between depressive symptoms and cardiac anxiety (rs=0.49, p<.01), depressive symptoms and fear of body sensations (rs=0.50, p<.01), and cardiac anxiety and fear of body sensations (rs=0.56, p<.01). About 60 % of the participants sought care due to chest pain once, 26 % 2-3 times, and the rest more than 3 times. In a multivariable regression analysis, and after adjusting for multi-morbidity, cardiac anxiety was the only variable independently associated with healthcare seeking behaviour. Conclusions:Patients with NCCP and many healthcare consultations had high levels of depressive symptoms and cardiac anxiety, and moderate levels of fear of body sensations.Cardiac anxiety had the strongest relationship with healthcare seeking behaviour, and may 2 therefore be an important target for intervention to alleviate suffering and reduce healthcare use and costs. Key points for decision makers• Patients with non-cardiac chest pain and many healthcare consultations experience high levels of depressive symptoms and cardiac anxiety, and moderate levels of fear of body sensations.• Depressive symptoms, cardiac anxiety and fear of body sensations are strongly related to each other and to healthcare seeking behaviour.• Cardiac anxiety influence healthcare seeking behaviour the most and should therefore be targeted with interventions to improve patient outcomes and reduce healthcare costs.3

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“…[1][2][3] However, this mortal-ity benefit comes at a price: ICD shocks can cause significant negative psychological and quality of life effects even if the intervention is life-saving. 4,5 Therefore, the careful and appropriate selection of patients for a primary prevention ICD is critical, and yet, the criteria available for this selection-primarily guidelines from professional societies-are relatively broad. It is well-known that only some patients with a primary prevention ICD receive appropriate ICD shocks.…”

Section: Introductionmentioning

confidence: 99%

Predicting appropriate shocks in patients with heart failure: Patient level meta‐analysis from SCD‐HeFT and MADIT II

Zeitler

Al‐Khatib

Friedman

et al. 2017

Cardiovasc electrophysiol

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Background No precise tools exist to predict appropriate shocks in patients with a primary prevention ICD. We sought to identify characteristics predictive of appropriate shocks in patients with a primary prevention implantable cardioverter defibrillator (ICD). Methods Using patient-level data from the Multicenter Automatic Defibrillator Implantation Trial II (MADIT II) and the Sudden Cardiac Death in Heart Failure Trial (SCD-HeFT), we identified patients with any appropriate shock. Clinical and demographic variables were included in a logistic regression model to predict appropriate shocks. Results There were 1,463 patients randomized to an ICD, and 285 (19%) had ≥1 appropriate shock over a median follow-up of 2.59 years. Compared with patients without appropriate ICD shocks, patients who received any appropriate shock tended to have more severe heart failure. In a multiple logistic regression model, predictors of appropriate shocks included NYHA class (NYHA II vs I: OR 1.65, 95% CI 1.07-2.55; NYHA III vs I: OR 1.74, 95% CI 1.10-2.76), lower LVEF (per 1% change) (OR 1.04, 95% CI 1.02-1.06), absence of beta blocker therapy (OR 1.61, 95% CI 1.23-2.12), and single chamber ICD (OR 1.67, 95% CI 1.13-2.45). Conclusion In this meta-analysis of patient level data from MADIT-II and SCD-HeFT, higher NYHA class, lower LVEF, no beta blocker therapy, and single chamber ICD (versus dual chamber) were significant predictors of appropriate shocks.

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Cardiac anxiety after sudden cardiac arrest: Severity, predictors and clinical implications

Cited by 37 publications

References 13 publications

Posttraumatic stress and anxiety in patients with an implantable cardioverter defibrillator: Trajectories and vulnerability factors

Posttraumatic stress and anxiety in patients with an implantable cardioverter defibrillator: Trajectories and vulnerability factors

Depressive Symptoms, Cardiac Anxiety, and Fear of Body Sensations in Patients with Non-Cardiac Chest Pain, and Their Relation to Healthcare-Seeking Behavior: A Cross-Sectional Study

Predicting appropriate shocks in patients with heart failure: Patient level meta‐analysis from SCD‐HeFT and MADIT II

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