論文

査読有り
2018年5月1日

Defibrillator shocks and their effect on objective and subjective patient outcomes: Results of the PainFree SST clinical trial

Heart Rhythm
  • Samuel F. Sears
  • Lindsey Rosman
  • Shingo Sasaki
  • Yusuke Kondo
  • Laurence D. Sterns
  • Edward J. Schloss
  • Takashi Kurita
  • Albert Meijer
  • Judith Raijmakers
  • Bart Gerritse
  • Angelo Auricchio
  • 全て表示

15
5
開始ページ
734
終了ページ
740
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.hrthm.2017.12.026
出版者・発行元
Elsevier B.V.

Background: The effect of implantable cardioverter-defibrillator (ICD) shock on device-measured activity and patient-reported outcomes is unknown. Objective: The purpose of this study was to analyze the acute and long-term effects of ICD shock on objective behavioral data (ie, device-based physical activity) and subjective patient-reported outcomes (eg, quality of life and shock anxiety). Methods: The PainFree Smart Shock Technology (SST) clinical trial included 2770 patients with a single- or dual-chamber ICD or cardiac resynchronization therapy – defibrillator device who were followed for 22 ± 9 months. Participants completed measures of quality of life (EuroQol-5D [EQ-5D] questionnaire) and shock anxiety (Florida Shock Anxiety Scale) at baseline, biannual visits, and monthly for 6 months after an ICD shock. Daily physical activity data were obtained from a built-in device accelerometer. Results: The average daily activity was 185.3 ± 119.4 min/d. Activity was significantly reduced after an ICD shock (P &lt
.0001) and recovered to a normal level after ∼90 days. An ICD shock was also associated with decreased quality of life (EQ5-D health score) and increased EQ-5D anxiety scores, but it did not affect mobility, self-care, activity, or pain. Similarly, shock anxiety (Florida Shock Anxiety Scale) increased in shocked patients and remained significantly elevated at 24 months, regardless of appropriate or inappropriate shock delivery. Conclusion: ICD shocks have a long-lasting adverse effect on both objective, device-measured physical activity and subjective patient-reported outcomes of quality of life and shock anxiety. Successful management of patients with an ICD requires attention to clinically relevant behavioral and psychological outcomes to expedite recovery and return to activities of daily living.

リンク情報
DOI
https://doi.org/10.1016/j.hrthm.2017.12.026
ID情報
  • DOI : 10.1016/j.hrthm.2017.12.026
  • ISSN : 1556-3871
  • ISSN : 1547-5271
  • SCOPUS ID : 85045764215

エクスポート
BibTeX RIS