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Patients' attitudes toward implanted defibrillator shocks.

M Ahmad1, L Bloomstein, M Roelke

  • 1Department of Surgery, Newark Beth Israel Medical Center, New Jersey 07112, USA.

Pacing and Clinical Electrophysiology : PACE
|July 6, 2000
PubMed
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Implanted cardioverter defibrillators (ICDs) significantly impact patient quality of life. While shocks are uncomfortable, most patients tolerate them due to the life-saving benefits of the ICD device.

Area of Science:

  • Cardiology
  • Medical Devices
  • Patient Psychology

Background:

  • Implanted cardioverter defibrillators (ICDs) improve patient survival but affect quality of life.
  • Understanding patient experiences with ICDs is crucial for effective management.

Purpose of the Study:

  • To assess the physical, social, and psychological impact of ICD shocks and the device itself.
  • To understand patient responses to ICD therapy.

Main Methods:

  • Retrospective survey and concurrent interviews with 119 ICD patients.
  • Assessed patient perceptions of shock severity, emotional responses, and behavioral actions post-shock.

Main Results:

  • Most patients found ICD shocks uncomfortable (79% rated 3-5/5) but tolerated them as life-saving.

Related Experiment Videos

  • Responses varied: 50% contacted physicians, 30% sought emergency care, 65% had no warning signs.
  • Patient interest in pre-shock warnings was divided (54% wanted warnings, 31% did not).

    • Conclusions:

    • ICD shocks are perceived as moderately uncomfortable but are accepted for their life-saving function.
    • Patient management strategies should consider the varied psychological and behavioral responses to ICD therapy.