EDUCATION IN HEART

Electrophysiology

QUALITY OF LIFE AND PSYCHOLOGICAL FUNCTIONING OF ICD PATIENTS

Samuel F Sears, Jr and Jamie B Conti

Correspondence to:
Correspondence to:
Samuel F Sears Jr, PhD, University of Florida, Department of Clinical & Health Psychology, Box 100165 UF Health Science Center, Gainesville, FL 32610, USA;
ssears@hp.ufl.edu

Keywords: implantable cardioverter-defibrillator patients; quality of life; psychological functioning

The use of the implantable cardioverter-defibrillator (ICD) for life threatening ventricular arrhythmias is standard therapy, in large part because clinical trials data have consistently demonstrated its superiority over medical treatment in preventing sudden cardiac death.¹ This success prompts closer examination and refinement of quality of life (QOL) outcomes in ICD patients. Although no universal definition of QOL exists, most researchers agree that "quality of life" is a generic term for a multi-dimensional health outcome in which biological, psychological, and social functioning are interdependent.² To date, the clinical trials demonstrating the efficacy of the ICD have focused primarily on mortality differences between the ICD and medical treatment. While the majority of the QOL data from these trials is yet to be published, many small studies are available for review and support the concept that ICD implantation results in desirable QOL for most ICD recipients.³ In some patients, however, these benefits . . . [Full text of this article]

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