Clinical and psychological impact of prophylactic implantable cardioverter-defibrillators in a community heart failure population.

Hdl Handle:
http://hdl.handle.net/10147/207684
Title:
Clinical and psychological impact of prophylactic implantable cardioverter-defibrillators in a community heart failure population.
Authors:
Arnous, S; Murphy, N F; Pyne-Daly, P; Nawoor, Z; Keane, D; Ledwidge, M; McDonald, K
Affiliation:
Heart Failure Unit, Department of Cardiology, St Vincent's University Hospital,, Dublin 4, Ireland. samer_arnous@yahoo.co.uk
Citation:
Ir J Med Sci. 2011 Jun;180(2):369-74. Epub 2010 Dec 14.
Journal:
Irish journal of medical science
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207684
DOI:
10.1007/s11845-010-0659-z
PubMed ID:
21153928
Abstract:
AIMS: ICD implantation for primary prevention of sudden cardiac death in patients with left ventricular systolic dysfunction (ejection fraction </= 35%) has increased since the publication of the SCD-HEFT and MADIT-II data. The aim of this study is to examine the effectiveness and safety of prophylactic ICD use in a community heart failure population and to assess the impact on patient's quality of life. METHODS AND RESULTS: Seventy-one ICDs were inserted between the years 2002 and 2006. The mean follow-up from time of insertion was 24 +/- 11 months. Eighteen patients (25%) had potentially life-saving therapy. Seven (10%) patients received inappropriate shocks. Complications were encountered in five patients (7%). CONCLUSION: In a community heart failure population, prophylactic ICD implantation is associated with a high incidence of life-saving therapy, a low complication rate and a high level of tolerability. These data indicate translation of clinical trial benefits to the general heart failure population.
Language:
eng
MeSH:
Adult; Aged; Anxiety/psychology; Death, Sudden, Cardiac/prevention & control; Defibrillators, Implantable/adverse effects/*psychology; Depression/psychology; Exercise/psychology; Fear/psychology; Female; Heart Failure/prevention & control/*psychology; Humans; Male; Middle Aged; Quality of Life/*psychology; Retrospective Studies; Ventricular Dysfunction, Left/*prevention & control
ISSN:
1863-4362 (Electronic); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorArnous, Sen_GB
dc.contributor.authorMurphy, N Fen_GB
dc.contributor.authorPyne-Daly, Pen_GB
dc.contributor.authorNawoor, Zen_GB
dc.contributor.authorKeane, Den_GB
dc.contributor.authorLedwidge, Men_GB
dc.contributor.authorMcDonald, Ken_GB
dc.date.accessioned2012-02-01T10:34:53Z-
dc.date.available2012-02-01T10:34:53Z-
dc.date.issued2012-02-01T10:34:53Z-
dc.identifier.citationIr J Med Sci. 2011 Jun;180(2):369-74. Epub 2010 Dec 14.en_GB
dc.identifier.issn1863-4362 (Electronic)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid21153928en_GB
dc.identifier.doi10.1007/s11845-010-0659-zen_GB
dc.identifier.urihttp://hdl.handle.net/10147/207684-
dc.description.abstractAIMS: ICD implantation for primary prevention of sudden cardiac death in patients with left ventricular systolic dysfunction (ejection fraction </= 35%) has increased since the publication of the SCD-HEFT and MADIT-II data. The aim of this study is to examine the effectiveness and safety of prophylactic ICD use in a community heart failure population and to assess the impact on patient's quality of life. METHODS AND RESULTS: Seventy-one ICDs were inserted between the years 2002 and 2006. The mean follow-up from time of insertion was 24 +/- 11 months. Eighteen patients (25%) had potentially life-saving therapy. Seven (10%) patients received inappropriate shocks. Complications were encountered in five patients (7%). CONCLUSION: In a community heart failure population, prophylactic ICD implantation is associated with a high incidence of life-saving therapy, a low complication rate and a high level of tolerability. These data indicate translation of clinical trial benefits to the general heart failure population.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshAnxiety/psychologyen_GB
dc.subject.meshDeath, Sudden, Cardiac/prevention & controlen_GB
dc.subject.meshDefibrillators, Implantable/adverse effects/*psychologyen_GB
dc.subject.meshDepression/psychologyen_GB
dc.subject.meshExercise/psychologyen_GB
dc.subject.meshFear/psychologyen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHeart Failure/prevention & control/*psychologyen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshQuality of Life/*psychologyen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshVentricular Dysfunction, Left/*prevention & controlen_GB
dc.titleClinical and psychological impact of prophylactic implantable cardioverter-defibrillators in a community heart failure population.en_GB
dc.contributor.departmentHeart Failure Unit, Department of Cardiology, St Vincent's University Hospital,, Dublin 4, Ireland. samer_arnous@yahoo.co.uken_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceLeinster-
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