PMID- 27092190 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160419 LR - 20220321 IS - 1880-4276 (Print) IS - 1883-2148 (Electronic) IS - 1880-4276 (Linking) VI - 32 IP - 2 DP - 2016 Apr TI - Influence of primary and secondary prevention indications on anxiety about the implantable cardioverter-defibrillator. PG - 102-7 LID - 10.1016/j.joa.2015.10.002 [doi] AB - BACKGROUND: Implantable cardioverter-defibrillators (ICDs) have been established for primary and secondary prevention of fatal arrhythmias. However, little is known about the influence of ICD indications on quality of life (QOL) and psychological disturbances. This study aimed to examine whether there were differences in QOL and psychological distress in patients that have an ICD for primary or secondary prevention of fatal arrhythmias. METHODS: A multicenter survey of 179 consecutive outpatients (29.1% primary prevention) with ICD implantations completed the Short Form-8 (SF-8), Beck Depression Inventory (BDI), Impact of Event Scale-Revised (IES-R), State-Trait Anxiety Inventory (STAI), and Worries about ICD (WAICD). RESULTS: Patients with an ICD for primary prevention had a higher trait anxiety score and worries about ICD score than patients with an ICD for secondary prevention (41.7+/-12.4 vs. 34.7+/-12.3, p=0.001 and 39.6+/-18.0 vs. 30.0+/-18.9, p=0.002, respectively), even after adjusting for demographic and clinical characteristics. In multivariable analysis of variance, primary prevention ICD recipients reported a poorer QOL on the vitality subscale of the SF-8. CONCLUSIONS: In our study population, which mostly consisted of New York Heart Association (NYHA) class I and II subjects, primary prevention ICD recipients were more prone to experience worries about their ICD, anxiety, and a poorer QOL compared to secondary prevention ICD recipients. In clinical practice, primary prevention ICD patients should be closely monitored. If warranted, they should be offered psychological intervention, as anxiety and low QOL were predictors of mortality. FAU - Rahmawati, Anita AU - Rahmawati A AD - Department of Cardiovascular Medicine, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan. FAU - Chishaki, Akiko AU - Chishaki A AD - Department of Health Sciences, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan. FAU - Ohkusa, Tomoko AU - Ohkusa T AD - Kirameki Project Carrier Support Center, Kyushu University Hospital, Fukuoka, Japan. FAU - Sawatari, Hiroyuki AU - Sawatari H AD - Department of Health Sciences, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan. FAU - Tsuchihashi-Makaya, Miyuki AU - Tsuchihashi-Makaya M AD - School of Nursing, Kitasato University, Kanagawa, Japan. FAU - Ohtsuka, Yuko AU - Ohtsuka Y AD - Tokyo Metropolitan Health and Medical Treatment Corporation Ookubo Hospital, Tokyo, Japan. FAU - Nakai, Mori AU - Nakai M AD - Tokyo Metropolitan Health and Medical Treatment Corporation Ookubo Hospital, Tokyo, Japan. FAU - Miyazono, Mami AU - Miyazono M AD - School of Nursing, Fukuoka Prefectural University, Fukuoka, Japan. FAU - Hashiguchi, Nobuko AU - Hashiguchi N AD - Department of Health Sciences, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan. FAU - Sakurada, Harumizu AU - Sakurada H AD - Tokyo Metropolitan Health and Medical Treatment Corporation Ookubo Hospital, Tokyo, Japan. FAU - Takemoto, Masao AU - Takemoto M AD - Department of Cardiovascular Medicine, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan. FAU - Mukai, Yasushi AU - Mukai Y AD - Department of Cardiovascular Medicine, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan. FAU - Inoue, Shujirou AU - Inoue S AD - Department of Cardiovascular Medicine, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan. FAU - Sunagawa, Kenji AU - Sunagawa K AD - Department of Cardiovascular Medicine, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan. FAU - Chishaki, Hiroaki AU - Chishaki H AD - Department of Healthcare Management, College of Healthcare Management, Fukuoka, Japan. LA - eng PT - Journal Article DEP - 20151119 PL - Japan TA - J Arrhythm JT - Journal of arrhythmia JID - 101263026 PMC - PMC4823574 OTO - NOTNLM OT - Anxiety OT - Implantable cardioverter-defibrillator OT - Primary prevention OT - Quality of life OT - Secondary prevention EDAT- 2016/04/20 06:00 MHDA- 2016/04/20 06:01 PMCR- 2015/11/19 CRDT- 2016/04/20 06:00 PHST- 2015/08/28 00:00 [received] PHST- 2015/09/29 00:00 [revised] PHST- 2015/10/05 00:00 [accepted] PHST- 2016/04/20 06:00 [entrez] PHST- 2016/04/20 06:00 [pubmed] PHST- 2016/04/20 06:01 [medline] PHST- 2015/11/19 00:00 [pmc-release] AID - S1880-4276(15)00140-4 [pii] AID - 10.1016/j.joa.2015.10.002 [doi] PST - ppublish SO - J Arrhythm. 2016 Apr;32(2):102-7. doi: 10.1016/j.joa.2015.10.002. Epub 2015 Nov 19.