PMID- 32078717
OWN - NLM
STAT- MEDLINE
DCOM- 20200303
LR  - 20200303
IS  - 1435-1544 (Electronic)
IS  - 0938-7412 (Linking)
VI  - 31
IP  - 1
DP  - 2020 Mar
TI  - Decision regret in implantable cardioverter-defibrillator recipients : A 
      cross-sectional analysis on patients that regret their decision after ICD 
      implantation.
PG  - 77-83
LID - 10.1007/s00399-020-00675-x [doi]
AB  - BACKGROUND: Implantable cardioverter-defibrillators (ICDs) are designed to 
      deliver therapy in the event of malignant ventricular arrhythmias. Despite their 
      benefits, some ICD recipients regret their decision on device implantation. 
      OBJECTIVES: The aim of this study was to evaluate the incidence, predictors, and 
      consequences of recipients that regretted their decision after implantation. 
      METHODS: A questionnaire-based cross-sectional survey of consecutive ICD 
      recipients examined during a routine outpatient follow-up visit was conducted. 
      Their level of depression and anxiety was assessed with the hospital anxiety and 
      depression scale (HADS). Quality of life (QOL) was assessed using the Minnesota 
      living with heart failure questionnaire. RESULTS: Of 434 ICD recipients invited 
      to the study, 423 (97.5%) agreed and completed the survey, 349 (83%) had a 
      primary prevention indication, and 339 (80%) ischemic cardiomyopathy. A total of 
      41 recipients (9.7%) regretted their decision to undergo ICD implantation. These 
      patients were: (1) younger (63 versus 69 years), (2) more frequently in New York 
      Heart Association (NYHA) >/=2 functional class (63% versus 22%), (3) had higher 
      education levels (more than high-school: 76% versus 60%), (4) felt that 
      preoperative information was lacking (22% versus 4%), (5) had more complications 
      in the perioperative period (15% versus 3%), (6) felt less safe after ICD 
      implantation (54% versus 5%), and (7) considered more frequently ICD deactivation 
      during near end-of-life situations (54% versus 29%). Mean QOL and HADS scores 
      were significantly worse in these patients (36 versus 30 and 12 versus 
      8.8 points, respectively; p < 0.01 for all). CONCLUSION: Almost 10% of ICD 
      recipients regretted their decision after implantation. Predictors included 
      younger age, higher education levels, complicated perioperative period, and lack 
      of preoperative information.
FAU - Varghese, Swaroop
AU  - Varghese S
AD  - Division of Cardiology, Ameosklinikum Halberstadt, Halberstadt, Germany.
FAU - Geller, J Christoph
AU  - Geller JC
AD  - Division of Invasive and Interventional Electrophysiology, Zentralklinik, Bad 
      Berka, Germany.
FAU - Ohlow, Marc-Alexander
AU  - Ohlow MA
AD  - Division of Cardiology, Zentralklinik, Robert-Koch-Allee 9, 99438, Bad Berka, 
      Germany. marc.ohlow@zentralklinik.de.
LA  - eng
PT  - Journal Article
TT  - Bedauern der Entscheidung bei Patienten mit implantierbarem 
      Kardioverter-Defibrillator : Eine Querschnittanalyse des Bereuens der 
      Implantationsentscheidung.
DEP - 20200220
PL  - Germany
TA  - Herzschrittmacherther Elektrophysiol
JT  - Herzschrittmachertherapie & Elektrophysiologie
JID - 9425873
SB  - IM
MH  - Anxiety
MH  - Cross-Sectional Studies
MH  - *Defibrillators, Implantable
MH  - Depression
MH  - Humans
MH  - Quality of Life
OTO - NOTNLM
OT  - Decision regret
OT  - Education
OT  - HADS Score
OT  - ICD
OT  - Psychology
EDAT- 2020/02/23 06:00
MHDA- 2020/03/04 06:00
CRDT- 2020/02/21 06:00
PHST- 2019/11/19 00:00 [received]
PHST- 2020/01/17 00:00 [accepted]
PHST- 2020/02/23 06:00 [pubmed]
PHST- 2020/03/04 06:00 [medline]
PHST- 2020/02/21 06:00 [entrez]
AID - 10.1007/s00399-020-00675-x [pii]
AID - 10.1007/s00399-020-00675-x [doi]
PST - ppublish
SO  - Herzschrittmacherther Elektrophysiol. 2020 Mar;31(1):77-83. doi: 
      10.1007/s00399-020-00675-x. Epub 2020 Feb 20.