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KMID : 1011920110120040030
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International Journal of Arrhythmia
2011 Volume.12 No. 4 p.30 ~ p.33
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Tracking of the patients with ICD implanted (Psychological aspect)
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Yun Ji-Hae
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Abstract
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The implantable cardioverter defibrillator (ICD) has proven to be superior to anti-arrhythmia medications in treating life-threatening ventricular tachyarrhythmia. It has been used since 1980 to reduce mortality in patients with a high risk of sudden cardiac death. Patients with ICDs, however, often experience psychological distress and a poor quality of life. This psychological distress manifests in symptoms such as anxiety, depression, and panic disorder. Heller et al. reported that 20~58% of ICD recipients are depressed, and Pycha and Calabrese found that 15~30% of them were anxious and depressed during the first few years following implantation. Experiences of the unpredictable firing of ICDs affect a patient’s psychological and motional state. Therefore, health care providers (e.g., physicians, nurses) have to take these responses into consideration and provide medical care that increases their psychological health and quality of life. This review summarizes the psychological dimension of ICD recipients.
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KEYWORD
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implantable cardioverter defibrillator, psychological distresses, quality of life, ventricular arrhythmia
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