Sep 26, 2006

Home defibrillation: a feasibility study in myocardial infarction survivors at intermediate risk of sudden death

American Heart Journal
Tommaso SannaFulvio Bellocci

Abstract

Out-of-hospital cardiac arrest occurs at home in 65-80% of cases and is often witnessed. We designed a study to explore the feasibility of a home defibrillation program (a) evaluating the retention of cardiopulmonary resuscitation and automated external defibrillators (AED) use skills (BLSD) (b) assessing the impact on anxiety, depression, and quality of life and (c) recording the critical issues emerging from program implementation. Thirty-three post-myocardial infarction patients and their 56 relatives received BLSD training and an AED. Assessment of BLSD skills, levels of anxiety, and depression and quality of life were scheduled every 3 months for 1 year or until a common stopping date. Overall BLSD score was 26 +/- 3 at baseline vs. 22 +/- 5 at 3 months (P < .0001), 21 +/- 6 at 6 months (P < .0001), 22 +/- 4 at 9 months (P < .0001) and 23 +/- 5 at 12 months (P = .001). Conversely, the BLSD component AED use" remained stable throughout the study. Quality of life, anxiety, and depression scores remained constant. Compliance to BLSD retraining sessions and AEDs checks decreased over time and was influenced by a concomitant clinical appointment. BLSD performance of families of post-myocardial infarction patients decreases over...Continue Reading

Mentioned in this Paper

Nervousness
Myocardial Infarction
Myocardial Ischemia
Sudden Cardiac Arrest
Anterior Thoracic Region
Long-Term Survivors
Home Nursing
Chest
Cardiopulmonary
Depressive Symptoms

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