Shock and patient preimplantation type D personality are associated with poor health status in patients with implantable cardioverter-defibrillator

Circulation. Cardiovascular Quality and Outcomes
Susanne S PedersenDominic A M J Theuns

Abstract

Implantable cardioverter-defibrillator (ICD) shock is a critical event to patients associated with well-being after implantation, although other factors may play an equally important role. We compared the association of shock and the patient's preimplantation personality with health status, using a prospective study design. Consecutively implanted ICD patients (n=383; 79% men) completed the Type D Scale at baseline and the Short-Form Health Survey 36 (SF-36) at baseline and 3, 6, and 12 months. Of all patients, 23.5% had a Type D personality and 13.8% received a shock during follow-up. Shocked patients reported significantly poorer health status, as did Type D patients. Health status patterns were poorest in patients with combined Type D personality and shock during follow-up. Shock during follow-up was a significant independent associate of poorer health status for 4 of 8 subscales of the SF-36 and the Mental Component Summary (all P<.05), with shocked patients scoring between 2.60 to 13.30 points lower than nonshocked patients. Type D personality was an independent associate of poor postimplantation health status for 6 of 8 of the SF-36 subscales and the Mental Component Summary, with Type D patients scoring between 2.12 to 8...Continue Reading

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Citations

Feb 6, 2013·BMC Psychiatry·Chia-Ying WengFloortje Mols
Mar 16, 2013·The American Journal of Cardiology·Susanne S PedersenDominic A M J Theuns
Nov 15, 2012·Journal of Psychosomatic Research·John P A Ioannidis
Jun 26, 2015·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Deirdre A LaneJodie Hurwitz
Mar 14, 2013·International Journal of Cardiology·Susanne S PedersenDominic A M J Theuns
Jan 31, 2013·The American Journal of Cardiology·Madelein T HoogwegtSusanne S Pedersen
Apr 30, 2013·Progress in Cardiovascular Diseases·James Peacock, William Whang
Jan 21, 2015·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Samuel F SearsBruce Gunderson
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Jun 24, 2019·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·W H EmonsS S Pedersen

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