PMID- 17100681
OWN - NLM
STAT- MEDLINE
DCOM- 20070222
LR  - 20061114
IS  - 0147-8389 (Print)
IS  - 0147-8389 (Linking)
VI  - 29
IP  - 11
DP  - 2006 Nov
TI  - Psychological distress in patients with ICD recall.
PG  - 1261-5
AB  - BACKGROUND: Multiple clinical trials have shown that a properly functioning 
      implantable cardioverter-defibrillator (ICD) is capable of interrupting sudden 
      death caused by ventricular tachyarrhythmias. However, ICDs are complex medical 
      devices, and they do not always perform as expected or they may fail completely. 
      Exposure of ICD recipients to professional or media reports that their specific 
      device type is potentially malfunctioning could negatively influence their 
      psychological status. METHODS: This study aimed to evaluate and quantify 
      psychological distress in patients implanted with an ICD-recall device. Thirty 
      patients implanted with ICD-recall devices (ICD-recall group) and 25 patients 
      with unaffected ICD devices (ICD-control group) were interviewed using the Brief 
      Symptom Inventory (a psychological self-report symptom scale). RESULTS: Mean 
      values of all primary psychiatric distress symptom dimensions and global indices 
      were within the normal range for both the ICD-recall and the ICD-control group. 
      New York Heart Association (NYHA)class was a predictor of higher distress 
      symptoms in all categories, independently of the ICD group. NYHA II group 
      patients tended toward higher stress levels than the NYHA I group, but only 
      somatization was significantly different. An upward, but not significant, trend 
      in 7 of the 12 scales was associated with symptomatic shock experience. 
      CONCLUSION: This study demonstrates that psychological distress was not 
      significantly increased in patients recently informed about a potential 
      malfunction of their device.
FAU - Cuculi, Florim
AU  - Cuculi F
AD  - Department of Cardiology, Kantonsspital Luzern, Switzerland.
FAU - Herzig, Werner
AU  - Herzig W
FAU - Kobza, Richard
AU  - Kobza R
FAU - Erne, Paul
AU  - Erne P
LA  - eng
PT  - Controlled Clinical Trial
PT  - Journal Article
PL  - United States
TA  - Pacing Clin Electrophysiol
JT  - Pacing and clinical electrophysiology : PACE
JID - 7803944
SB  - IM
MH  - Defibrillators, Implantable/*psychology/*statistics & numerical data
MH  - Equipment Failure/*statistics & numerical data
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prevalence
MH  - Product Surveillance, Postmarketing/*statistics & numerical data
MH  - Risk Assessment/*methods
MH  - Risk Factors
MH  - Stress, Psychological/diagnosis/*epidemiology
MH  - Switzerland/epidemiology
EDAT- 2006/11/15 09:00
MHDA- 2007/02/23 09:00
CRDT- 2006/11/15 09:00
PHST- 2006/11/15 09:00 [pubmed]
PHST- 2007/02/23 09:00 [medline]
PHST- 2006/11/15 09:00 [entrez]
AID - PACE523 [pii]
AID - 10.1111/j.1540-8159.2006.00523.x [doi]
PST - ppublish
SO  - Pacing Clin Electrophysiol. 2006 Nov;29(11):1261-5. doi: 
      10.1111/j.1540-8159.2006.00523.x.