Anxiety disorders and quality of life in patients with an implanted pacemaker
Abstract
Aim. To study clinical and psycho-pathological features of anxiety disorders (AD), as well as quality of life (QoL) in the patients with implanted pacemakers (PM). Material and methods. In total, 75 patients underwent psychological testing with the Hospital Anxiety and Depression Scale (HADS) before and after the PM implantation. QoL was assessed with a short-form health survey instrument MOS-SF-36. Results. In 70,7% of PM patients, various AD forms were observed. Their prevalence and severity correlated with the duration and regimen of electrocardiostimulation (ECS), age, somatic pathology, and ECS complications. The highest summary QoL scores were registered in the patients with heart rate-adapting ECS, no manifested chronic heart failure, and those aged under 50 years. Conclusion. PM patients require additional psychological rehabilitation measures.
About the Authors
B. G. Iskenderov
Penza Institute of Medical Continuous Education, Penza
Russian Federation
Russian Federation
E. V. Petrova
Penza Institute of Medical Continuous Education, Penza
Russian Federation
Russian Federation
D. B. Maksimov
Penza Institute of Medical Continuous Education, Penza
Russian Federation
Russian Federation
O. A. Kameneva
Penza Institute of Medical Continuous Education, Penza
Russian Federation
Russian Federation
References
1. Смулевич А.Б., Сыркин А.Л. Психокардиология. Москва "МИА" 2005; 141-221.
2. Оганов Р.Г., Погосова Г.В., Шальнова С.А., Деев А.Л. Депрессивные расстройства в общемедицинской практике по данным исследования КОМПАС: взгляд кардиолога. Кардиология 2005; 8: 38-44.
3. Ustun Т.В., Sartorius N. Mental illness in General Health Care: An International Study. Chichester: Willey 1995.
4. Penninx B.W., Beekman A.T., Honig A., et al. Depression and cardiac mortality. Arch Gen Psychiatry 1998; 155: 4-11.
5. Нужный В.П., Шмаков Д.Н., Азаров Я.Э. и др. Качество жизни пациентов с имплантированными кардиостимуляционными системами. Анн аритмол 2008; 1: 75-82.
6. Искендеров Б.Г., Татарченко И.П. Некоторые аспекты лечебной реабилитации больных с искусственным водителем ритма сердца. Тер архив 1998; 8: 60-3.
7. Ольхин В.А., Олейникова Л. Г., Колпаков Е.В. и др. Качество жизни и выживаемость больных с имплантированным электрокардиостимулятором (результаты длительного наблюдения). Тер архив 1996; 9: 55-9.
8. Ware J.E.Jr., Sherbourne C.D. The MOS 36-item Short-Form Health Survey (SF-36). Medical outcomes Study -Short-Form. J Concept Framew Item Selec Med Care 1992; 30: 473-93.
9. Kerr C.R., Connolli S.J., Abdollah H., et al. for the Canadian trail of physiological pacing (CTOPP) investigators. Canadian trail of physiological pacing. Effects of physiological pacing during long-term follow up. Circulation 2004; 109: 357-62.
10. 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 ascompared with dual chamber pacing. N Engl J Med 1998; 16: 1097-104.
Review
For citations:
Iskenderov B.G., Petrova E.V., Maksimov D.B., Kameneva O.A. Anxiety disorders and quality of life in patients with an implanted pacemaker. Cardiovascular Therapy and Prevention. 2010;9(1):69-73. (In Russ.)
Views:
551
Email this article 
