Patients’ Attitudes and Perceptions of Implantable Cardioverter‐Defibrillators: Potential Barriers to Appropriate Primary Prophylaxis

Yuhas, B S Jennifer; Mattocks, Kristin M.; Gravelin, Laura M.; Remetz, Michael S.; Foley, John J.; Fazio, Richard M.; Lampert, Rachel

doi:10.1111/j.1540-8159.2012.03497.x

Cited by 43 publications

(50 citation statements)

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“…(18) However, to our knowledge, no prior study has replicated these findings in a healthcare setting similar to that in Singapore, which has a unique patient population. As such, the present study, which was conducted in a large-volume centre in Singapore, aimed to determine if demographic and social factors had any correlation with a patients' decision to decline the ICD implant.…”

Section: Introductionmentioning

confidence: 66%

“…A previous study reported that demographic and social factors were significantly correlated with ICD implantation rates; however, it was conducted in the United States and had a very different population base from that encountered in the authors' local practice. (18) To our knowledge, this was the first attempt to replicate the study in a large-volume centre in Singapore.…”

Section: Discussionmentioning

confidence: 94%

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Patient barriers to implantable cardioverter defi brillator implantation for the primary prevention of sudden cardiac death in patients with heart failure and reduced ejection fraction

Chan

Lim

Aung³

et al. 2016

smedj

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Section: Introductionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 94%

Patient barriers to implantable cardioverter defi brillator implantation for the primary prevention of sudden cardiac death in patients with heart failure and reduced ejection fraction

Chan

Lim

Aung³

et al. 2016

smedj

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“…Factors involved in refusal include perceived strength of recommendation by the treating physician, fears about malfunction, and unwillingness to have invasive life-prolonging procedures. 28 Provider practice patterns and type of hospital have also been associated with rates of primary ICD implantation. A single-center study showed that ICD implantation rates were higher when a cardiologist or a heart failure specialist was involved in the care of the patient.…”

Section: Discussionmentioning

confidence: 99%

Frequency and Determinants of Implantable Cardioverter Defibrillator Deployment Among Primary Prevention Candidates With Subsequent Sudden Cardiac Arrest in the Community

et al. 2013

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Background-The prevalence rates and influencing factors for deployment of primary prevention implantable cardioverter defibrillators (ICDs) among subjects who eventually experience sudden cardiac arrest in the general population have not been evaluated. Methods and Results-Cases of adult sudden cardiac arrest with echocardiographic evaluation before the event were identified from the ongoing Oregon Sudden Unexpected Death Study (population approximately 1 million). Eligibility for primary ICD implantation was determined from medical records based on established guidelines. The frequency of prior primary ICD implantation in eligible subjects was evaluated, and ICD nonrecipients were characterized. Of 2093 cases (2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012), 448 had appropriate pre-sudden cardiac arrest left ventricular ejection fraction information available. Of these, 92 (20.5%) were eligible for primary ICD implantation, 304 (67.9%) were ineligible because of left ventricular ejection fraction >35%, and the remainder (52, 11.6%) had left ventricular ejection fraction ≤35% but were ineligible on the basis of clinical guideline criteria. Among eligible subjects, only 12 (13.0%; 95% confidence interval, 6.1%-19.9%) received a primary ICD. Compared with recipients, primary ICD nonrecipients were older (age at ejection fraction assessment, 67.1±13.6 versus 58.5±14.8 years, P=0.05), with 20% aged ≥80 years (versus 0% among recipients, P=0.11). Additionally, a subgroup (26%) had either a clinical history of dementia or were undergoing chronic dialysis. Conclusions-Only one fifth of the sudden cardiac arrest cases in the community were eligible for a primary prevention ICD before the event, but among these, a small proportion (13%) were actually implanted. Although older age and comorbidity may explain nondeployment in a subgroup of these cases, other determinants such as socioeconomic factors, health insurance, patient preference, and clinical practice patterns warrant further detailed investigation. Key Words: death, sudden ◼ epidemiology ◼ heart arrest ◼ implantable defibrillators ◼ population ◼ utilization © 2013 American Heart Association, Inc.Circulation is available at http://circ.ahajournals.org DOI: 10.1161/CIRCULATIONAHA.113.002539Continuing medical education (CME) credit is available for this article. Go to http://cme.ahajournals.org to take the quiz. Received March 11, 2013; accepted August 21, 2013. From The Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA (K.N., K.R., A.U.-E., C.T., H.C., E.M., S.S.C.); and Departments of Pathology (K.G.) and Emergency Medicine (J.J.), Oregon Health and Science University, Portland, OR.Correspondence to Sumeet S. Chugh, MD, Cedars-Sinai Medical Center, The Heart Institute, AHSP Suite A3100, 127 S. San Vicente Blvd., Los Angeles, CA 90048, Los Angeles, CA 90048. E-mail sumeet.chugh@cshs.org be significantly underused in the community for both primary and secondary prevention. [13][14][15] However, the extent of deployment of the primary ICD amon...

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“…, Yuhas et al . ). In addition, recipients can perceive the ICD as frightening and that it restricts everyday life, which may influence acceptance (Sears et al .…”

Section: Introductionmentioning

confidence: 97%

Perceptions of healthcare professionals’ support, shock anxiety and device acceptance among implantable cardioverter defibrillator recipients

Morken

Norekvål

Bru

et al. 2014

Journal of Advanced Nursing

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Patients’ Attitudes and Perceptions of Implantable Cardioverter‐Defibrillators: Potential Barriers to Appropriate Primary Prophylaxis

Cited by 43 publications

References 36 publications

Patient barriers to implantable cardioverter defi brillator implantation for the primary prevention of sudden cardiac death in patients with heart failure and reduced ejection fraction

Patient barriers to implantable cardioverter defi brillator implantation for the primary prevention of sudden cardiac death in patients with heart failure and reduced ejection fraction

Frequency and Determinants of Implantable Cardioverter Defibrillator Deployment Among Primary Prevention Candidates With Subsequent Sudden Cardiac Arrest in the Community

Perceptions of healthcare professionals’ support, shock anxiety and device acceptance among implantable cardioverter defibrillator recipients

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