Risk perception and implantable cardioverter defibrillators

Sadarmin, Praveen P.; Betts, Timothy R.

doi:10.1093/europace/eur357

Cited by 2 publications

(7 citation statements)

References 16 publications

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“…Several studies have investigated the doctor–patient communication gaps after a patient had received an ICD [ 9 , 14 , 19 , 21 , 22 ]. Agad et al observed that none of the patients in their study were given information about alternative treatment options or the estimated risk of a fatal arrhythmia.…”

Section: Discussionmentioning

confidence: 99%

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Perceived Benefits of Implantable Cardioverter Defibrillator Implantation among Heart Failure Patients and Its Relation to Quality of Life: A Cross-Sectional Study

Balcı

Akboğa

et al. 2015

Cardiol Ther

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IntroductionPatients with heart failure (HF) and implantable cardioverter defibrillators (ICDs) may misunderstand the indication of ICDs due to unsatisfactory information. The goal of this study is to evaluate the patient perspective of ICD indication and its relation to quality of life, as well as to identify probable communication gaps between doctors and ICD receivers.MethodsA total of 119 patients with HF who were implanted with a single-chamber ICD were evaluated in outpatient clinics. Patients with cardiac resynchronization therapy-defibrillators were not included in the study. In a questionnaire, patients were asked about the indication of the ICD procedure and classified according to the perceived benefits.ResultsThis study showed that most of the patients (n = 92, 77.3%) believed that ICD was implanted for improvement of heart dysfunction or for symptom relief. According to the perceived benefit groups, physical function, general health, vitality, and role physical scores were significantly lower in the symptom relief group (p < 0.05).ConclusionPatients with HF and ICD mostly believed that the cardioverter defibrillator implanted for improving heart function or symptom relief. Doctors play a significant role when a patient is first referred for ICD because less-informed patients are more prone to misunderstand the procedure’s benefits. Moreover, unfulfilled expectations may lead to loss of confidence in applied therapies and result in poor health outcomes.Electronic supplementary materialThe online version of this article (doi:10.1007/s40119-015-0049-8) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

“…Therefore, education level-based information may improve health outcomes [ 10 ]. Moreover, explaining risks and benefits in an understandable way allows patients to participate in the decision-making process by making informed choices [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Perceived Benefits of Implantable Cardioverter Defibrillator Implantation among Heart Failure Patients and Its Relation to Quality of Life: A Cross-Sectional Study

Balcı

Akboğa

et al. 2015

Cardiol Ther

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“…If cardiologists believe that embedding an ICD device is not very beneficial, they will not propose an ICD for the patient. 18 …”

Section: Introductionmentioning

confidence: 99%

“…Physicians must inform patients in a meaningful way and help them understand the purpose, risks and benefits of their treatment and reach an informed choice. 18 But using this device may be challenging for patients and their families. 19 The ICD affects some aspects of people's lives, including social and family relationships, physical activity, psychological state, lifestyle, and QoL.…”

Section: Introductionmentioning

confidence: 99%

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Patients' knowledge and concerns about using the implantable cardioverter defibrillator for the primary prevention of sudden cardiac death and its correlates: A cross‐sectional study

Zakeri

Sedri

Bazmandegan

et al. 2022

Health Science Reports

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Background and Aims Sudden cardiac death (SCD) is one of the most common causes of mortality in heart failure (HF) patients with reduced ejection fraction. Patients have concerns about the disease and use the implantable cardioverter defibrillator (ICD) to reduce the effects of HF disease. The current study aims to evaluate the barriers and factors affecting the implantation of the ICD for primary prevention. Methods One hundred‐forty‐seven patients with HF were studied in public hospitals in southern Iran by using a cross‐sectional design from April 2018 to June 2019. Demographic, researcher‐made questionnaire, World Health Organization Quality of life‐BREF (WHOQOL‐BREF), general self‐efficacy questionnaires, and Multidimensional Scale of Perceived Social Support (MSPSS) were measured for investigating the barriers and impact factors in patent HF. Results Most participants were male (56.5%), married (88.4%), illiterate (54.1%), and unemployed (72.6%). 62.6% ( n = 92) of the participants did not know about HF and ICD. The total score of patients' concerns about using ICD was 47.11 ± 11.26, which showed a moderate level. The scores of knowledge about HF and ICD had a significant positive poor correlation with self‐efficacy, perceived social support and QoL. Also, the score of concerns about the ICD had a significant negative poor correlation with perceived social support. Conclusion Understanding HF patients' issues and obstacles can help us prevent sudden death. Doctors' advice has a significant impact on patients' acceptance. Poor knowledge is the most important reason for nonparticipation. Intervention is necessary to inform patients to understand the advantages and disadvantages.

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Risk perception and implantable cardioverter defibrillators

Cited by 2 publications

References 16 publications

Perceived Benefits of Implantable Cardioverter Defibrillator Implantation among Heart Failure Patients and Its Relation to Quality of Life: A Cross-Sectional Study

Perceived Benefits of Implantable Cardioverter Defibrillator Implantation among Heart Failure Patients and Its Relation to Quality of Life: A Cross-Sectional Study

Patients' knowledge and concerns about using the implantable cardioverter defibrillator for the primary prevention of sudden cardiac death and its correlates: A cross‐sectional study

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