Patients with an implantable cardioverter defibrillator at risk of poorer psychological health during 24 months of follow-up (results from the Danish national DEFIB-WOMEN study)

Pedersen, Susanne; Wehberg, Sonja; Nielsen, Jens Cosedis; Riahi, Sam; Larroudé, Charlotte Ellen; Philbert, Berit Thornvig; Johansen, Jens Brock

doi:10.1016/j.genhosppsych.2022.12.006

Cited by 1 publication

(1 citation statement)

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“… 330 In a recent subanalysis from the Danish Trial, shocks during follow-up were associated with depression, anxiety, and ICD concerns. 331 Depression and anxiety are associated with increased mortality in HF patients, 332 and anxiety was associated with an increased risk of VAs in ICD patients. 333 As a consequence, psychological counselling is advised as part of the multi-disciplinary care for ES patients.…”

Section: Psychological Counsellingmentioning

confidence: 99%

Management of patients with an electrical storm or clustered ventricular arrhythmias: a clinical consensus statement of the European Heart Rhythm Association of the ESC—endorsed by the Asia-Pacific Heart Rhythm Society, Heart Rhythm Society, and Latin-American Heart Rhythm Society

Lenarczyk,

Zeppenfeld,

Tfelt-Hansen

et al. 2024

Europace

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Electrical storm (ES) is a state of electrical instability, manifesting as recurrent ventricular arrhythmias (VAs) over a short period of time (three or more episodes of sustained VA within 24 h, separated by at least 5 min, requiring termination by an intervention). The clinical presentation can vary, but ES is usually a cardiac emergency. Electrical storm mainly affects patients with structural or primary electrical heart disease, often with an implantable cardioverter-defibrillator (ICD). Management of ES requires a multi-faceted approach and the involvement of multi-disciplinary teams, but despite advanced treatment and often invasive procedures, it is associated with high morbidity and mortality. With an ageing population, longer survival of heart failure patients, and an increasing number of patients with ICD, the incidence of ES is expected to increase. This European Heart Rhythm Association clinical consensus statement focuses on pathophysiology, clinical presentation, diagnostic evaluation, and acute and long-term management of patients presenting with ES or clustered VA.

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