Concerns about the implantable cardioverter defibrillator: a determinant of anxiety and depressive symptoms independent of experienced shocks

Susanne S. Pedersen, Ron T van Domburg, Dominic A M J Theuns, Luc Jordaens, Ruud A M Erdman

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Patients with an implantable cardioverter defibrillator (ICD) are at increased risk of anxiety disorders. In turn, anxiety has been identified as a precipitant of ventricular arrhythmias. Anxiety may in part be attributed to concerns about the ICD firing, but the relationship between ICD concerns, psychological morbidity, and shocks has not been systematically investigated. We examined the relative importance of experienced shocks versus subjective concerns about the ICD as determinants of anxiety and depressive symptoms in ICD patients.
Original languageEnglish
JournalAmerican Heart Journal
Volume149
Issue number4
Pages (from-to)664-9
Number of pages6
ISSN0002-8703
DOIs
Publication statusPublished - Apr 2005

Keywords

  • Adult
  • Aged
  • Anti-Arrhythmia Agents
  • Anxiety Disorders
  • Arrhythmias, Cardiac
  • Combined Modality Therapy
  • Defibrillators, Implantable
  • Depressive Disorder
  • Electric Countershock
  • Equipment Failure
  • Fear
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Netherlands
  • Questionnaires
  • Severity of Illness Index
  • Socioeconomic Factors

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