Psychosocial impact of implantable cardioverter defibrillators (ICD) in young adults with Tetralogy of Fallot

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...

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Bibliographic Details
Published in:Clinical research in cardiology 2012-07, Vol.101 (7), p.509-519
Main Authors: Opić, Petra, Utens, Elisabeth M. W. J., Moons, Philip, Theuns, Dominic A. M. J., van Dijk, Arie P. J., Hoendermis, Elke S., Vliegen, Hubert W., de Groot, Natasja M. S., Witsenburg, Maarten, Schalij, Martin, Roos-Hesselink, Jolien W.
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adaptation, Psychological
Adult
Age Factors
Aged
Aged, 80 and over
Anxiety - etiology
Belgium
Cardiology
Case-Control Studies
Chi-Square Distribution
Cross-Sectional Studies
Defibrillators, Implantable - adverse effects
Defibrillators, Implantable - psychology
Depression - etiology
Electric Countershock - adverse effects
Electric Countershock - instrumentation
Electric Countershock - psychology
Equipment Failure
Female
Health Status
Humans
Male
Medicine
Medicine & Public Health
Mental Health
Middle Aged
Netherlands
Original Paper
Quality of Life
Registries
Regression Analysis
Social Support
Tetralogy of Fallot - psychology
Tetralogy of Fallot - therapy
Treatment Outcome
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Summary: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  
ISSN:1861-0684
1861-0692
DOI:10.1007/s00392-012-0420-x