Health-related quality of life in patients with implantable cardioverter defibrillators in Sweden: a cross-sectional observational trial

Magnusson, Peter; Mattsson, Gustav; Wallhagen, Marita; Karlsson, Jan

doi:10.1136/bmjopen-2020-047053

Cited by 5 publications

(2 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Secondary prevention for ICD CRT-D has a strong indication due to the impact on the prognosis but differences between primary and secondary prevention on HRQoL are controversial (23,24). Our study showed a signi cant improvement in HRQoL that was not replicated the primary prevention indication.…”

Section: Resultscontrasting

confidence: 58%

Health-related quality of life in in a large cohort of patients with cardiac implantable electronic devices – a registry based study

Gatti,

Nymark,

Gadler

2024

Preprint

View full text Add to dashboard Cite

Aim The association of cardiac implantable electronic devices (CIED), namely pacemaker (PM), implantable cardioverter-defibrillator (ICD) and cardiac resynchronization therapy with (CRT-D) or without defibrillator (CRT-P), on health-related quality of life (HRQoL) is lacking. Methods and results Data from the Swedish Pacemaker and ICD Registry together with the European Quality of Life-5 Dimension questionnaire (EQ-5D) administered before and after one year the CIED implant from January 2019 to February 2022 were used to analyze the HRQoL with the EQ-5D visual analogue scale (EQ-VAS) and the EQ-5D index. Of 1,479 who completed the EQ-5D, 80% had a PM, 10% an ICD, 5% a CRT-P and 6% a CRT-D. The median age was 77 years with a prevalence of females ranging from 38% in the PM group to 17% in the ICD group. The EQ-VAS and the EQ-5D index significantly increased in patients with PM and CRT-P (EQ-VAS +2.8, standard deviations (SD) 23 and +5.8, SD 24.9; EQ-5D index +0.019, SD 0.114 and +0.051, SD 0.125) while only the EQ-5D index increased in patients with ICD (+0.002, SD 0.104 ). After adjusting for age, sex and HRQoL at baseline, the presence of defibrillator was associated with lower EQ-VAS (-3.4, 95% confidence intervals (CI) -6.7; -0.1 and -4.8, 95% CI -8.8;-0.7) and EQ-5D index (-0.018, 95% CI -0.035; -0.0003 and -0.025 95% CI 0.046;0.004) at follow-up compared to PM. Conclusion These findings, showing the HRQoL associated with CIED, are important to support physicians' and pacemaker nurses' care after device implantation by embracing the patients’ perspectives.

show abstract

Section: Resultscontrasting

confidence: 58%

Health-related quality of life in in a large cohort of patients with cardiac implantable electronic devices – a registry based study

Gatti,

Nymark,

Gadler

2024

Preprint

View full text Add to dashboard Cite

show abstract

“…health-related quality of life (HRQoL). Some studies indicate that health-related quality of life in ICD patients is lower than in healthy individuals (Magnusson, Mattsson, Wallhagen & Karlsson, 2021;Noyes et al, 2007). Health-related quality of life in children and adolescents was also found to be reduced and similar to that of cardiac patients (Pyngottu, Werner, Lehmann, & Balmer, 2019).…”

Section: Quality Of Lifementioning

confidence: 93%

New old life of patients after implantation of implantable cardioverter-defibrillator

Paleczna

2023

FetR

View full text Add to dashboard Cite

The aim of this article is to provide a detailed description of patients' lives after implantation of an implantable cardioverter defibrillator (ICD). First, the basic function and mechanism of the device as well as the types of experienced shocks, including phantom shocks, are described. Then, the three most important dilemmas faced by patients are discussed: ICD implantation, battery replacement and device deactivation. Subsequently, the scientific literature on psychopathological symptoms in patients is reviewed. The latest results of research on anxiety and depression in patients with ICD are presented, and the relationship between anxiety and depression and experienced shocks is discussed in detail. The results of a few studies on the occurrence of stress and post-traumatic stress disorder in patients are also presented. In addition, the focus was on the perception of the implantation of a cardioverter defibrillator as a traumatic event. The aim of this article was also to discuss the quality of life of patients with a cardioverter defibrillator. The results of studies that indicate a deterioration, improvement or maintenance of the level of quality of life of patients comparable to those of healthy people are presented. In addition, a specific, important from the perspective of people with ICD aspect of the quality of life, which is the health-related quality of life, was discussed. The results of research in this area are also not unambiguous. In addition, predictors of health-related quality of life were indicated. The article also addresses the issue of changing the identity of patients after implantation of a cardioverter defibrillator. The results of research conducted in this field, which were most often of a qualitative nature, were discussed. In the discussion on the identity of people with ICD, changes in self-image were emphasized, but this issue was not a frequent subject of psychological research. Finally, the challenges faced by partners of patients with an implanted cardioverter defibrillator were characterized. Also in this area, most of the research was qualitative, and the data come from interviews with relatives of cardiac patients.

show abstract

Using electronic health record data to improve understanding of the risk of mental disorders in patients diagnosed with hypertrophic cardiomyopathy

Jin

2022

European Journal of Preventive Cardiology

View full text Add to dashboard Cite

Health-related quality of life in patients with implantable cardioverter defibrillators in Sweden: a cross-sectional observational trial

Cited by 5 publications

References 34 publications

Health-related quality of life in in a large cohort of patients with cardiac implantable electronic devices – a registry based study

Health-related quality of life in in a large cohort of patients with cardiac implantable electronic devices – a registry based study

New old life of patients after implantation of implantable cardioverter-defibrillator

Using electronic health record data to improve understanding of the risk of mental disorders in patients diagnosed with hypertrophic cardiomyopathy

Contact Info

Product

Resources

About