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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Psychosocial impact of implantable cardioverter defibrillators (ICD) in young adults with Tetralogy of Fallot
Clinical Research in Cardiology, Volume 101, No. 7, Year 2012
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Description
Objective To investigate the psychosocial impact of having an implantable cardioverter defibrillator (ICD) in adults with Tetralogy of Fallot (ToF). Methods Included were 26 ToF-patients with an ICD (age 44 ± 12 years), and two control groups consisting of 28 ToF-patients without an ICD (age 40 ± 10 years) and a group of 35 ICD-patients of older age without ToF (age 72.0 ± 8 years). This last control group was chosen to represent the "older general ICD population" with acquired heart disease seen at the out-patient clinic. Psychosocial functioning encompassed daily functioning, subjective health status, quality of life, anxiety, depression, coping and social support. Results ToF-patients with ICD showed diminished psychosocial functioning in comparison to ToF-patients without ICD. This was reflected by diminished subjectively perceived physical functioning (p = 0.01), general health perception (p < 0.01) and a lower satisfaction with life (p = 0.02). In comparison to older ICD-patients, ToFpatients with ICD showed less satisfaction with life (p = 0.03), experienced more anxiety (p = 0.01) and showed less favourable coping styles, although physical functioning was better for ToF-patients with ICD than for older ICD-patients (p = 0.01). More inappropriate shocks were found in ToF-patients with ICD compared to the older ICD-patients. Conclusion In patients with ToF, ICD implantation had a major impact on psychosocial functioning which should be taken into account when considering ICD implantation in these young patients. To help improve psychosocial functioning, psychological counselling attuned to the specific needs of these patients may be useful. © Springer-Verlag 2012.
Authors & Co-Authors
Utens, Elisabeth Mwj
Netherlands, Rotterdam
Erasmus Mc
Moons, Philip
Belgium, Leuven
Ku Leuven
Theuns, Dominic A.M.J.
Netherlands, Rotterdam
Erasmus Mc
van Dijk, Arie P.J.
Netherlands, Nijmegen
Radboud University Medical Center
Vliegen, Hubert W.
Netherlands, Leiden
Leids Universitair Medisch Centrum
de Groot, Natasja M.S.(Natasja)
Netherlands, Rotterdam
Erasmus Mc
Witsenburg, Maarten
Netherlands, Rotterdam
Erasmus Mc
Schalij, Martin Jan
Netherlands, Leiden
Leids Universitair Medisch Centrum
Roos-Hesselink, Jolien W.
Netherlands, Rotterdam
Erasmus Mc
Statistics
Citations: 29
Authors: 9
Affiliations: 5
Identifiers
Doi:
10.1007/s00392-012-0420-x
ISSN:
18610692
Research Areas
Disability
Health System And Policy
Mental Health
Noncommunicable Diseases
Study Design
Randomised Control Trial
Cross Sectional Study