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Does ICD indication affect quality of life and levels of distress?

Susanne S Pedersen1, Samuel F Sears, Matthew M Burg

  • 1Center of Research on Psychology in Somatic diseases, Tilburg University, The Netherlands. s.s.pedersen@uvt.nl

Pacing and Clinical Electrophysiology : PACE
|January 28, 2009
PubMed

Insights

Implantable cardioverter defibrillators (ICDs) for primary prevention do not negatively impact quality of life or distress. Patients receiving an ICD for primary prophylaxis report similar outcomes to those receiving it for secondary prevention.

Area of Science:

  • Cardiology
  • Medical Devices
  • Patient-Centered Outcomes Research

Background:

  • Implantable cardioverter defibrillators (ICDs) are crucial for managing life-threatening arrhythmias.
  • Recent expansion of ICD indications includes primary prophylaxis, raising questions about patient-centered outcomes.
  • Debate exists regarding the impact of ICD implantation on quality of life (QoL) and patient distress.

Purpose of the Study:

  • To examine the evidence on whether ICD indication (primary vs. secondary prophylaxis) affects patient-centered outcomes.
  • To assess the impact of ICD therapy indication on QoL, anxiety, and depression.

Main Methods:

  • A comprehensive literature search was performed on PubMed and Web of Science (2002-present).
  • Studies focused on ICD indication and patient-centered outcomes, including QoL and psychological distress.
  • Five studies (seven articles) meeting the criteria were identified and analyzed.

Main Results:

  • No significant effect of ICD indication on patient-centered outcomes was reported across the included studies.
  • No evidence suggests poorer QoL or increased distress in patients receiving ICDs for primary prophylaxis compared to secondary prophylaxis.
  • Study sample sizes ranged from 91-426 patients, with prospective designs and 2-12 month follow-up periods.

Conclusions:

  • Current evidence does not support a negative impact on QoL or distress based on ICD indication.
  • This finding can aid cardiologists in clinical decision-making and patient counseling regarding ICD implantation.
  • Further research may explore long-term effects and specific patient subgroups.

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