Prognostic importance of distressed (Type D) personality and shocks in patients with an implantable cardioverter defibrillator

Prognostic Significance of Implantable Cardioverter-Defibrillator Shocks

Prognostic importance of atrial fibrillation in implantable cardioverter-defibrillator patients.

OBJECTIVES This study aimed to assess the prevalence of different types of atrial fibrillation (AF) and their prognostic importance in implantable cardioverter-defibrillator (ICD) patients. BACKGROUND The prevalence of AF has taken epidemic proportions in the population with cardiovascular disease. The prognostic importance of different types of AF in ICD patients remains unclear. METHODS D...

Improper Implantable Cardioverter Defibrillator Shocks

The second ECG recorded supraventricular tachycardia at the time his hemodynamic status deteriorated and decision was made to perform electrical cardioversion with 120 Joules of biphasic synchronized direct current with follow up ECG that showed atrial paced rhythm (Figure 1B). His condition improved and started on amiodarone 200 mg, anticoagulation, and subsequent follow up for ICD reprogrammi...

Inappropriate Implantable Cardioverter-Defibrillator Shocks

Results A total of 1,544 ICD patients (79% male, age 61 13 years) were included in the analysis. During the follow-up period of 41 18 months, 13% experienced 1 inappropriate shocks. The cumulative incidence steadily increased to 18% at 5-year follow-up. Independent predictors of the occurrence of inappropriate shocks included a history of atrial fibrillation (hazard ratio [HR]: 2.0, p 0.01) and...

Pre-implantation implantable cardioverter defibrillator concerns and Type D personality increase the risk of mortality in patients with an implantable cardioverter defibrillator.

AIMS Little is known about the influence of psychological factors on prognosis in implantable cardioverter defibrillator (ICD) patients. We examined the influence of the distressed personality (Type D) and pre-implantation device concerns on short-term mortality in ICD patients. METHODS AND RESULTS Consecutively implanted ICD patients (N = 371; 79.5% men) completed the Type D Scale and the IC...