scholarly journals Analysis of Patients’ Perceptions Living with Implantable Cardioverter Defibrillators on Decision-Making, Satisfaction, Quality, and End of Life: Is there a Difference Between Primary and Secondary Prevention?

2021 ◽  
Vol 16 (4) ◽  
Author(s):  
Swaroop Varghese
Keyword(s):  
Decision Making ◽  
Secondary Prevention ◽  
End Of Life ◽  
Psychological Impact ◽  
Secondary Prophylaxis ◽  
Implantable Cardioverter Defibrillators ◽  
Primary And Secondary Prevention ◽  
Psychosocial Impairment ◽  
Similarities And Differences ◽  
Cardioverter Defibrillators

The psychological impact of ICDs results in severe physical and psychosocial impairment. This study attempts to analyze patients’ perceptions on decision making, satisfaction, security and end of life (EOL) as well as explore the similarities and differences between primary and secondary prophylaxis groups.

scholarly journals Implantable cardioverter defibrillators in the prevention of sudden cardiac death

2017 ◽  
Vol 89 (12) ◽  
pp. 103-109
Author(s):  
L A Bockeria ◽  
N M Neminushchiy ◽  
S I Mikhaylichenko ◽  
S A Novichkov ◽  
E E Achkasov
Keyword(s):  
Sudden Cardiac Death ◽  
Secondary Prevention ◽  
Cardiac Death ◽  
Antiarrhythmic Drugs ◽  
Implantable Cardioverter Defibrillators ◽  
Primary And Secondary Prevention ◽  
Multicenter Studies ◽  
Cardioverter Defibrillators

The article highlights the role of implantable cardioverter defibrillators (ICDs) in the primary and secondary prevention of sudden cardiac death. It considers the results of multicenter studies comparing the efficacy of antiarrhythmic drugs and implantable devices in the primary and secondary prevention of sudden cardiac death, including that in patients with nonischemic cardiomyopathy and discusses quality of life in patients with ICDs.

Sex Differences in the Use of Implantable Cardioverter-Defibrillators for Primary and Secondary Prevention of Sudden Cardiac Death

JAMA ◽  
2007 ◽  
Vol 298 (13) ◽  
Author(s):  
Lesley H. Curtis ◽  
Sana M. Al-Khatib ◽  
Alisa M. Shea ◽  
Bradley G. Hammill ◽  
Adrian F. Hernandez ◽  
...  
Keyword(s):  
Sex Differences ◽  
Sudden Cardiac Death ◽  
Secondary Prevention ◽  
Cardiac Death ◽  
Implantable Cardioverter Defibrillators ◽  
Primary And Secondary Prevention ◽  
Cardioverter Defibrillators

Decision-Making of Patients With Implantable Cardioverter-Defibrillators at End of Life: Family Members’ Experiences

2016 ◽  
Vol 34 (6) ◽  
pp. 518-523 ◽  
Author(s):  
Mei Ching Lee ◽  
Daniel P. Sulmasy ◽  
Joseph Gallo ◽  
Joan Kub ◽  
Mark T. Hughes ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
End Of Life ◽  
Health Care Providers ◽  
Family Members ◽  
Implantable Cardioverter Defibrillators ◽  
Care Providers ◽  
End Stage ◽  
Eol Care ◽  
Cardioverter Defibrillators

Introduction: Many patients with advanced heart failure (HF) experience the life-extending benefits of implantable cardioverter-defibrillators (ICD), but at the end stage of HF, patients may experience shocks with increasing frequency and change the plan for end-of-life (EOL) care including the deactivation of the ICD. This report describes family members’ experiences of patients with ICD making decisions at EOL. Understanding the decision-making of patients with ICD at EOL can promote informed decision-making and improve the quality of EOL care. Methods: This pilot study used a mixed methods approach to test the effects of a nurse-guided discussion in decision-making about ICD deactivation (turning off the defibrillation function) at the EOL. Interviews were conducted, audiotaped, and transcribed in 2012 to 2013 with 6 family members of patients with advanced HF and ICDs. Three researchers coded the data and identified themes in 2014. Results: Three main themes described family members’ experiences related to patients having HF with ICDs making health-care decision at EOL: decision-making preferences, patients’ perception on ICD deactivation, and communication methods. Discussion: Health-care providers need to have knowledge of patients’ decision-making preferences. Preferences for decision-making include the allowing of appropriate people to involve and encourages direct conversation with family members even when advance directives is completed. Information of ICD function and the option of deactivation need to be clearly delivered to patients and family members. Education and guidelines will facilitate the communication of the preferences of EOL care.

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