Related Experiment Video
Updated: Apr 30, 2026

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
Published on: February 28, 2012
The quality of life in implantable cardioverter defibrillator patients
Insights
Implantable cardioverter defibrillator (ICD) shocks negatively impact general health in patients. Patients receiving ICD shocks reported worse quality of life compared to those without shocks.
Area of Science:
- Cardiology
- Medical Devices
- Patient Outcomes
Background:
- Implantable cardioverter defibrillators (ICDs) reduce mortality in sudden cardiac death (SCD) patients.
- ICDs can negatively affect psychological status and quality of life (QOL), particularly after receiving shocks.
- This study investigated the impact of ICD shocks on patient QOL.
Purpose of the Study:
- To compare the quality of life (QOL) between patients who received an implantable cardioverter defibrillator (ICD) shock and those who did not.
- To assess the impact of ICD shocks on general health and mental well-being.
Main Methods:
- Prospective study enrolling 138 patients with ICDs at a device clinic.
- Quality of life assessed using the Medical Outcomes Study Short Form-36 Questionnaire (SF-36).
- Comparison of QOL scores between patients who received ICD shocks and those who did not.
Main Results:
- 48.55% of patients (67 out of 138) received at least one ICD shock.
- Patients experiencing ICD shocks reported significantly worse general health compared to those without shocks (p=0.011).
- No significant difference in mental health was observed between the shock and no-shock groups (p=0.63).
Conclusions:
- ICD shocks significantly impair general health in patients.
- While mental health was not significantly different, the impact on general health warrants attention.
Background:
Implantable cardioverter defibrillators (ICD) are effective for reducing mortality in patients at high risk for sudden cardiac death (SCD). The effects of the devices on psychological status and quality of life were poor especially in the patients who received ICD shocks. This study compared quality of life (QOL) in a group who received an ICD shock with a group who did not receive an ICD shock.
Material And Method:
A prospective study enrolled patients with implantable cardioverter defibrillator who came for followup at Siriraj's device clinic between June and December 2010. These patients completed the Medical Outcomes Study Short Form-36 Questionnaire (SF-36) to assess QOL.
Results:
There were 138 patients, 105 men and 33 women with a mean age of 59 completed the Medical Outcomes Study Short Form-36 Questionnaire. Sixty-seven (48.55%) patients received an ICD shock. Patients who received the shock had worse general health on the Short Form-36 Questionnaire compared with patients who had no shock (Mean 57.2 +/- 21 in shock group vs. 66.1 +/- 18 in non-shock group, p = 0.011). There was no statistically significant difference in mental health between two groups (p = 0.63). In shock group, there was no statistically significant difference in health status between appropriate, inappropriate, and appropriate-inappropriate shock groups.
Conclusion:
General health in patients who had ICD shock was significantly affected in a negative manner when compared to those who had no shock.
Related Concept Videos
Cardiomyopathy V: Interprofessional Care
Cardiomyopathy II: Dilated Cardiomyopathy
Pulse rhythm
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Heart Failure VI: Adjunct Therapies
Heart Failure V: Medical Management

