Embodying a New Meaning of Being At Risk: Living With an Implantable Cardioverter Defibrillator for Arrhythmogenic

April Manuel1, Fern Brunger1

  • 1Memorial University, St. John's, Newfoundland and Labrador, Canada.

Insights

Living with an implantable cardioverter defibrillator (ICD) for Arrhythmogenic Right Ventricular Cardiomyopathy/Dysplasia (ARVC/D) requires accepting the device, understanding its function, and integrating it into one's personal risk narrative. Effective coping involves support systems and managing daily life challenges.

Area of Science:

  • Cardiology
  • Genetics
  • Psychology

Background:

  • Arrhythmogenic Right Ventricular Cardiomyopathy/Dysplasia (ARVC/D) is a genetic heart condition associated with life-threatening arrhythmias.
  • Implantable cardioverter defibrillators (ICDs) are a critical treatment for patients with ARVC/D, aiming to prevent sudden cardiac death.

Purpose of the Study:

  • To explore the lived experiences of individuals with ARVC/D who have an ICD.
  • To identify factors influencing psychosocial adjustment and coping mechanisms in this patient population.

Main Methods:

  • Grounded theory approach.
  • Qualitative study involving in-depth interviews with 15 individuals diagnosed with ARVC/D and fitted with an ICD.

Main Results:

  • Successful coping with an ICD is linked to device acceptance, functional understanding, social support, and daily life management.
  • Patients need to reframe their understanding of personal risk and how the ICD impacts their life narrative.
  • Psychosocial distress may stem more from the ICD itself than the underlying ARVC/D condition.

Conclusions:

  • Healthcare providers, particularly nurses, require specialized training to support the unique psychosocial needs of ARVC/D patients with ICDs.
  • Further research is needed to understand the specific factors contributing to distress in this population.
  • Interventions should focus on enhancing patient understanding, acceptance, and integration of the ICD into their lives.

Related Concept Videos

Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
551
Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
677
Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
578
Cardiomyopathy IV: Restrictive Cardiomyopathy01:29

Cardiomyopathy IV: Restrictive Cardiomyopathy

Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
658
Disturbances in Heart Rhythm01:29

Disturbances in Heart Rhythm

Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
3.4K
Dysrhythmias VI: Management of Dysrhythmias01:25

Dysrhythmias VI: Management of Dysrhythmias

Dysrhythmia management involves a multifaceted approach, incorporating pharmacological treatments, medical procedures, surgical interventions, lifestyle modifications, and patient education.Pharmacological ManagementAntiarrhythmic Drugs:Class I (Sodium Channel Blockers): This class includes quinidine and procainamide, which reduce the speed of impulse conduction in the heart, stabilize the cardiac membrane, and control arrhythmias. Quinidine and procainamide are Class IA agents that prolong the...
547