The Impact of Cardiac Devices on Patients’ Quality of Life—A Systematic Review and Meta-Analysis

Willy, Kevin; Ellermann, Christian; Reinke, Florian; Rath, Benjamin; Wolfes, Julian; Eckardt, Lars; Doldi, Florian; Wegner, Felix K.; Köbe, Julia; Morina, Nexhmedin

doi:10.3390/jcdd9080257

Cited by 8 publications

(13 citation statements)

References 85 publications

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“…However, pacemaker patients showed a significant favourable social functioning score (90.1 ± 17.7) compared to ICD patients (71.5 ± 19) (p=0.001). In line with our study findings, a previous systematic review assessed the quality of life linked to implantable cardiac devices [ 22 ]. This systematic review found that the increase in quality of life was significant for patients with pacemakers and life-threatening ventricular arrhythmias with shock deliveries to heart assist devices (left ventricular assist device (LVAD)).…”

Section: Discussionsupporting

confidence: 90%

“…The aim of this study was to evaluate the mental health status, specifically the conditions of depression and anxiety regarding implantable cardiac device patients. It is probable that cardiac device therapy will have an impact on various dimensions of patients' psychological well-being, including quality of life [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

“…This systematic review found that the increase in quality of life was significant for patients with pacemakers and life-threatening ventricular arrhythmias with shock deliveries to heart assist devices (left ventricular assist device (LVAD)). However, the improvement was less pronounced for patients with ICD [ 22 ]. An assist device effectively alleviates symptoms by efficiently assuming the heart pump function, despite the inherent risks and physical demands of the implantation procedure.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of Psychological Implications and Quality of Life After Different Cardiac Device Implantation in Saudi Arabia

Alshoaibi,

Aljazar,

Bushnag

et al. 2024

Cureus

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Background: Cardiac device therapy is likely to affect different aspects of patients' psychological well-being, such as their quality of life. The aim of this study was to examine the mental health status, specifically the conditions of depression and anxiety regarding implantable cardiac device patients. Methods: A cross-sectional retrospective study was conducted in January 2022. This study was conducted at King Abdul-Aziz University Hospital in Jeddah, Saudi Arabia. All patients aged more than 18 years old who underwent heart device implantation for six months or more formed the study population. A total of 30 implantable cardioverter defibrillator (ICD) subtypes were used in our patients (45.8%), including cardiac resynchronization therapy device (CRT-D) in seven patients (14.6%) and one subcutaneous ICD (2.1%). A pacemaker was used in 18 patients (37.5%). Binary logistic regression analysis was conducted to identify the association between type of cardiac implantation device and the likelihood of having abnormal depression and anxiety score. Results: A total of 48 patients participated in this study. Hypertension was the most frequently associated risk factor in our sample (64.6%; n=31). In comparison between ICD users and pacemaker users in terms of the SF-36 general health survey, a marginally significant difference was noted in the role of limitations due to emotional health (63 ± 28.6) for ICD patients compared to pacemaker patients (81.8 ± 28.1), (p=0.050). However, pacemaker patients showed a significant favourable social functioning score (90.1 ± 17.7) compared to ICD patients (71.5 ± 19), (p=0.001). There is no significant difference noted regarding the other domains. Binary logistic regression analysis identified that patients who are using ICD were seven times more likely to have abnormal anxiety score (odds ratio: 7.00 (95% confidence interval: 1.36-35.9) (p=0.020). Conclusion: This study identified a potential association between cardiac devices and the anxiety and quality of life of patients. Nonetheless, further investigation is warranted to assess the psychological and physiological effects of cardiac device therapy on patients, in addition to examining the effects of implantation and follow-up on cardiac function and cardiac symptoms.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Assessment of Psychological Implications and Quality of Life After Different Cardiac Device Implantation in Saudi Arabia

Alshoaibi,

Aljazar,

Bushnag

et al. 2024

Cureus

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“…Among non-disease-speci c PROM the EuroQol 5-Dimension (EQ-5D) and the Short-Form Health Survey (SF-36) are the most widely used. Trials on pacemakers' modality of pacing, ICD to treat possible life-threatening arrhythmias and CRT to improve survival and symptoms in heart failure patients, have also shown an improvement in HRQoL (2,3). Several factors of medical treatment may impact the patient's perception.…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life in in a large cohort of patients with cardiac implantable electronic devices – a registry based study

Gatti,

Nymark,

Gadler

2024

Preprint

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Aim The association of cardiac implantable electronic devices (CIED), namely pacemaker (PM), implantable cardioverter-defibrillator (ICD) and cardiac resynchronization therapy with (CRT-D) or without defibrillator (CRT-P), on health-related quality of life (HRQoL) is lacking. Methods and results Data from the Swedish Pacemaker and ICD Registry together with the European Quality of Life-5 Dimension questionnaire (EQ-5D) administered before and after one year the CIED implant from January 2019 to February 2022 were used to analyze the HRQoL with the EQ-5D visual analogue scale (EQ-VAS) and the EQ-5D index. Of 1,479 who completed the EQ-5D, 80% had a PM, 10% an ICD, 5% a CRT-P and 6% a CRT-D. The median age was 77 years with a prevalence of females ranging from 38% in the PM group to 17% in the ICD group. The EQ-VAS and the EQ-5D index significantly increased in patients with PM and CRT-P (EQ-VAS +2.8, standard deviations (SD) 23 and +5.8, SD 24.9; EQ-5D index +0.019, SD 0.114 and +0.051, SD 0.125) while only the EQ-5D index increased in patients with ICD (+0.002, SD 0.104 ). After adjusting for age, sex and HRQoL at baseline, the presence of defibrillator was associated with lower EQ-VAS (-3.4, 95% confidence intervals (CI) -6.7; -0.1 and -4.8, 95% CI -8.8;-0.7) and EQ-5D index (-0.018, 95% CI -0.035; -0.0003 and -0.025 95% CI 0.046;0.004) at follow-up compared to PM. Conclusion These findings, showing the HRQoL associated with CIED, are important to support physicians' and pacemaker nurses' care after device implantation by embracing the patients’ perspectives.

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“…According to 2017 data provided by the National Health Fund, approximately 30,000 pacemakers and 10,000 cardioverter-defibrillators have been implanted in Poland, whereby pacemaker implantation improves patients’ quality of life, which we can observe in the literature review. Despite this, there is still a lack of research in the area of quality of life after pacemaker implantation [ 1 , 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

The Occurrence of Stress, Illness Acceptance and the Quality of Life of Patients after Pacemaker Implantation

Sikora

Wawryniuk

Łuczyk

et al. 2022

IJERPH

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Pacemaker implantation improves the quality of life of most patients, especially in the initial period after implantation. It is necessary to measure the long-term quality of life and factors that can affect it—stress and illness acceptance. The aim of the study was to assess the impact of stress and illness acceptance on the quality of life of patients after pacemaker implantation. To obtain final conclusions, we performed a survey on a group of 100 patients with implanted pacemakers. Our survey consists of standardized research tools to check the quality of life (WHOQOL-BREF), perceived stress and ways to cope with it (PSS-10, mini-COPE) and acceptance of illness (AIS). The results of the study were summarized in a statistical analysis. At least a good quality of life was declared by more than half of the respondents [Me = 4; 95% PU (4, 4)]. The average result obtained by the respondents when converted to the STEN scale was six. The respondents were characterized by a moderate level of stress compared to the PSS-10 norms and it was related to the quality of life. Similar, statistically significant correlations were presented as mini-COPE and AIS results. Respondents were most likely to use acceptance strategies, active coping methods, when dealing with something else and planning. The rarest strategies were doing nothing and taking pharmaceuticals. The average score on the acceptance of illness scale was (M = 22.14; SD = 6.05), which is more than the result obtained by patients from the AIS normalization group. It shows that assessed patients after pacemaker implantation declare the general quality of life as good or higher. Additionally, this quality of life is closely related to stress levels, coping strategies and acceptance of illness, which shows us the importance of research in this area.

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The Impact of Cardiac Devices on Patients’ Quality of Life—A Systematic Review and Meta-Analysis

Cited by 8 publications

References 85 publications

Assessment of Psychological Implications and Quality of Life After Different Cardiac Device Implantation in Saudi Arabia

Assessment of Psychological Implications and Quality of Life After Different Cardiac Device Implantation in Saudi Arabia

Health-related quality of life in in a large cohort of patients with cardiac implantable electronic devices – a registry based study

The Occurrence of Stress, Illness Acceptance and the Quality of Life of Patients after Pacemaker Implantation

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