Comorbid anxiety disorders and quality of life in patients with an artificial cardiac pacemaker
- Authors: Iskenderov B.G.1, Petrova E.V.1, Maksimov D.B.1, Kameneva O.A.1, Iskenderov BG2, Petrova EV2, Maximov DB2, Kameneva OA2
-
Affiliations:
- Institute of Advanced Medical Training, Penza
- Issue: Vol 83, No 10 (2011)
- Pages: 54-58
- Section: Editorial
- URL: https://ter-arkhiv.ru/0040-3660/article/view/30941
Cite item
Full Text
Abstract
Material and methods. Examination covered 134 patients (75 females and 59 males) with artificial pacemaker (APM). It included psychological testing with Hospital Anxiety and Depression Scale (HADS), QoL study with questionnaire MOS-SF-36.
Results. APM implantation caused anxiety disorders in 80.6% patients, 51.5% had clinical symptoms of anxiety. An physiological and frequency-adaptive modes of PC, at the age under 50, in the absence of ECS complications frequency and severity of anxiety disorders are the lowest. Staged changes in the course of anxiety disorders were seen after primary APM implantation and in uncomplicated PC. APM implantation, irrespective of PC mode, significantly increased physical and mental parameters of QoL in patients under 50 years of age as well as mental health parameters in patients over 70.
Conclusion. It is necessary to conduct psychological testing in APM patients and their psychic rehabilitation for improvement of QoL.
About the authors
Bakhram Guseynovich Iskenderov
Email: giuv@sura.ru
Elena Vladimirovna Petrova
Dmitriy Borisovich Maksimov
Oksana Aleksandrovna Kameneva
B G Iskenderov
Institute of Advanced Medical Training, PenzaInstitute of Advanced Medical Training, Penza
E V Petrova
Institute of Advanced Medical Training, PenzaInstitute of Advanced Medical Training, Penza
D B Maximov
Institute of Advanced Medical Training, PenzaInstitute of Advanced Medical Training, Penza
O A Kameneva
Institute of Advanced Medical Training, PenzaInstitute of Advanced Medical Training, Penza
References
- Galtes L., Lamas G. A. Cardiac pacing for bradycardia support: evidence-based approach to pacemaker selection and reprogramming. Curr. Treat. Options Cardiovasc. Med. 2004; 6(5): 385-395.
- Нужный B. П., Шмаков Д. Н., Азаров Я. Э. и др. Качество жизни пациентов с имплантированными кардиостимуляционными системами. Анналы аритмол. 2008; 1: 75-82.
- Lamas G. A., Lee К., Sweeney М. Ventricular pacing or dual-chamber pacing for sinus-node dysfunction. N. Engl. J. Med. 2002; 346: 1854-1862.
- Kerr C. R., Connolly S. J., Abdollah H. et al. For the Canadian Trial of Physiological Pacing Investigators. Effects of physiological pacing during long-term follow up. Circulation 2004; 109: 357-362.
- Lamas G. A., Gray E. G., Stambler B. S. et al. for the Pacemaker Selection in the Elderly: Investigators Quality of life and clinical outcomes in elderly patients treated with ventricular pacing as compared with dual chamber pacing. N. Engl. J. Med. 1998; 16: 1097-1104.
- Лебедева У. В., Лебедев Д. С. Психологические аспекты и качество жизни пациентов при хирургическом лечении аритмий. Вестн. аритмол. 2005; 38: 23-28.
- Mlynarski R., Wlodyka A., Kargul W. Changes in the mental and physical components of the quality of life for patients six months after pacemaker implantation. Am. Cardiol. J. 2009; 16(3): 250-253.
- Hoijer C. J., Brandt J., Willenheimer R. et al. Improved cardiac function and quality for life following upgrade to dual chamber pacing after long-term ventricular stimulation. Eur. Heart J. 2002; 23: 490-497.
- Оганов Р. Г., Погосова Г. В., Шальнова C. A., Деев А. Л. Депрессивные расстройства в общемедицинской практике по данным исследования КОМПАС: взгляд кардиолога. Кардиология 2005; 8: 38-44.
- Sheps D. S., Sheffield D. Depression, anxiety and the cardiovascular system: the cardiologist's perspective. J. Clin. Psychiatry 2001; 8: 12-16.
- Frasure-Smith N., Lesperance F. Depression and anxiety as predictors of 2-year cardiac events in patients with stable coronary artery disease. Arch. Gen. Psychiatry 2008; 65: 62-71.
- Jiang W., Kuchibhatla M., Cuffe M. S. et al. Prognostic value of anxiety and depression in patients with chronic heart failure. Circulation 2004; 110: 3452-3456.
- Graham I. European guidelines on cardiovascular disease prevention in clinical practice: executive summary. Eur. Heart J. 2007; 28: 2375-2414.
- Zigmond A. S., Snaith R. P. The Hospital Anxiety and Depression scale (HADS): some psychometric data for a Swedish sample. Acta Psychiatr. Scand. 1983; 67: 361-370.
- Аронов Д. М., Зайцев В. П. Методика оценки качества жизни больных сердечно-сосудистыми заболеваниями. Кардиология 2002; 5: 92-95.
- Ellenbogen К. A., Stambler B. S., Orav E. J. et al. Clinical characteristics of patients intolerant to VVIR pacing. Am. J. Cardiol. 2000; 86: 59-63.
- Минаков Э. В., Ковалев C. A., Белов B. H. Качество жизни у больных с постоянным водителем ритма в режиме VVIR и DDDR после радиочастотной абляции атриовентрикулярного узла. Вестн. аритмол. 2007; 47: 34-37.
