Pre implantation psychological functioning preserved in majority of implantable cardioverter defibrillator patients 12months post implantation

Pedersen, Susanne S.; Hoogwegt, Madelein T.; Jordaens, Luc; Theuns, Dominic

doi:10.1016/j.ijcard.2011.10.092

Cited by 68 publications

(53 citation statements)

References 36 publications

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“…Studies on the prognostic value of personality in patients with ICD have highlighted the significant role of personality type D. Studies show the prognostic importance of Type-D personality on ICD mortality [16,17], poorer health status [18][19][20][39][40][41], psychiatric symptoms [21,22] and ventricular arrhythmia [23]. These results lead to the hypothesis as the Type-D personality has an important role in fostering inappropriate shocks.…”

Section: Discussionmentioning

confidence: 99%

“…An episode's termination was defined by the ICD redetecting sinus rhythm and thus could include more than 1 shock and/or ATP bursts. Any ICD therapy not delivered for VT or VF was deemed inappropriate, and the rhythm triggering therapy categorized as: atrial fibrillation or atrial flutter (AF), supraventricular (including sinus) tachycardia (SVT), or inappropriate sensing using published criteria (9,19). An inappropriate shock episode was defined as an episode during which one or more inappropriate shocks occur.…”

Section: Case Reportmentioning

confidence: 99%

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Post-traumatic stress disorder, emotional processing and Inappropriate Implantable Cardioverter-Defibrillator Shocks: clinical consideration by a single case report

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Callus

et al. 2015

Monaldi Arch Chest Dis

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IntroductionAn overwhelming amount of evidence from prospective randomized controlled trials supports the clinical efficacy and safety of the implantable cardioverter defibrillator (ICD). Although ICD devices are an effective life-saving treatment, however, inappropriate shocks for atrial arrhythmias with rapid ventricular conduction [1,2] or for abnormal sensing [3][4][5] Presentation. In this study we present the case of a 59-year-old woman who was admitted to hospital for ICD implantation with a past medical history that was positive for non-ischemic dilated cardiomyopathy, congestive heart failure (NYHA class III), atrial fibrillation, essential hypertension and a recent episode of syncope. Since in the 18 months follow-up the patient suffered many inappropriate shocks, we investigated the association of the presence of a PTSD (PostTraumatic-Stress-Disorder) prior to implantation and a specific profile of cognitive processing emotions, with the effectiveness of the ICD. Emotional distress states and cognitive thoughts preceding ICD shock inappropriate episode were recorded by structured mobile diary (eMotional-ICDiary©). We outlined how the presence of a highly traumatic event which had occurred 6 years previously was related to a recurrence of a combination of moderate distress and cognitive thoughts, associated with episodes of Inappropriate Shock. A psycho-diagnostic examination and the administration of the Emotional Processing Scale (EPS-25) and Emotional Regulation Questionnaire (ERQ) outlined that the patient presented a profile of cognitive processing of emotions characterized by elevated levels of unprocessed emotions, low appraisal and high suppression emotional regulation strategy.Conclusion. The observations gathered in this single case are a good starting point for further research in order to check if the post-traumatic stress disorder and a specific cognitive profile connected to the processing of emotions are associated with the presence of inappropriate ICD shocks. Further larger sample studies are required in this area.

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Section: Discussionmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

Post-traumatic stress disorder, emotional processing and Inappropriate Implantable Cardioverter-Defibrillator Shocks: clinical consideration by a single case report

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Forno

Callus

et al. 2015

Monaldi Arch Chest Dis

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“…This has often led to social isolation, avoidance of physical activity, including sexual activity and mood disturbances [16][17][18][19][20][21] . Some patients are at risk of poor psychological adaptation attributable to their personality profile [22] . Furthermore negative emotions might be the cause rather than the result of arrhythmia, and that psychological stress and distress can increase the risk of shock [23,24] .…”

Section: Living With An Icdmentioning

confidence: 99%

“…Whether age has a meaning for how patients react to the life with an ICD has been the focus for many studies [17,19,22,43,44] , none of these studies reports a difference according to the experience of psychological distress right after the implantation of the ICD. In those studies that found a difference according to age, this difference was observed a while after the implantation.…”

Section: Icd Indicationmentioning

confidence: 99%

Intensity of primary emotions in patients after implantation of an implantable cardioverter defibrillator

Støier

Pedersen²,

Berg

2013

JNEP

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Background: Experienced emotions can affect the outcome of, and adherence to a cardiac rehabilitation program, and patients coping with an illness. With more awareness of the expressed emotions, health professionals might be better able to understand the reactions of patients and to improve the support needed for coping. Living with an Implantable Cardioverter Defibrillator can lead to anxiety and depression. Focus on the intensity of the primary emotions might be a potential to prevent development of these psychological states.Objectives: The aim of this paper are 1) to describe the intensity of primary emotions in patients after implantation of an Implantable Cardioverter Defibrillator and 2) to compare them with both the intensity of primary emotions in patients with a recent Myocardial Infarction and with a healthy population. Method:The intensity of primary emotions in patients receiving an Implantable Cardioverter Defibrillator was measured by a survey using the Emotions and Health Scale. The survey was carried out as part of a randomized clinical trial the COPE-ICD trial (ID: NCT00569478) and is regarded as post-hoc explorative analysis. All data were collected from October 2007-November 2009. A total number of 154 patients were needed in the trial. The data collected were compared with secondary data from patients who had recently suffered a Myocardial Infarction and from a healthy population. SPSS version 18.0 was used to analyze the data using t-test, chisquare and F-test. Results:One hundred and ninety-six patients were invited to fill in the questionnaire. It was completed by 182, a response rate of 93 %. Patients with a newly implanted Implantable Cardioverter Defibrillator experienced an increased intensity of joy, sadness, disgust, anticipation, anger, fear and surprise. No difference was found regarding the intensity of the primary emotions when the group of patients was divided according to occupation or age. A significant increase in the negative emotions sadness, disgust, anger and surprise was observed in women and in patients who receive the Implantable Cardioverter Defibrillator as a secondary prevention. The combination of increased senses of fear and surprise is unique to patients receiving an Implantable Cardioverter Defibrillator. The intensity of the primary emotions in patients with a newly implanted Cardioverter Defibrillator was comparable to the intensity in patients with a myocardial infarction, but the experience of anticipation and fear was markedly increased in patients with an Implantable Cardioverter Defibrillator. Conclusion:Women and patients who receive an Implantable Cardioverter Defibrillator as secondary prevention experience a significant increase in the negative emotions sadness, disgust, anger and surprise.

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“…5 Furthermore, a minority of patients suffer from psychological distress postimplant, 4,5 although there is evidence to suggest that the postimplantantion level remains similar to the preimplantation level in around 80% of patients. 6 Anxiety symptoms are experienced in 13-46% of ICD patients and 24-46% report depressive symptoms. 6 ICD shocks, 7,8 heart failure, 9 and a type D personality (the tendency to experience increased levels of anxiety, irritation, and depressed mood across situations and time, while not sharing these emotions with others because of fear of disapproval), 10,11 have been identified as important correlates of psychological distress and poor health-related quality of life (HQOL).…”

Section: Introductionmentioning

confidence: 99%

Psychological Indices as Predictors for Phantom Shocks in Implantable Cardioverter Defibrillator Recipients

Starrenburg

Kraaier

Pedersen

et al. 2014

Pacing Clinical Electrophis

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Pre implantation psychological functioning preserved in majority of implantable cardioverter defibrillator patients 12months post implantation

Cited by 68 publications

References 36 publications

Post-traumatic stress disorder, emotional processing and Inappropriate Implantable Cardioverter-Defibrillator Shocks: clinical consideration by a single case report

Post-traumatic stress disorder, emotional processing and Inappropriate Implantable Cardioverter-Defibrillator Shocks: clinical consideration by a single case report

Intensity of primary emotions in patients after implantation of an implantable cardioverter defibrillator

Psychological Indices as Predictors for Phantom Shocks in Implantable Cardioverter Defibrillator Recipients

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