[Cardiac implantable electronic devices and health-related quality of life]

Herzschrittmacherther Elektrophysiol. 2019 Jun;30(2):160-167. doi: 10.1007/s00399-019-0619-x. Epub 2019 Apr 10.
[Article in German]

Abstract

Patients, scientists and healthcare providers are increasingly interested in identifying interventions that not only reduce mortality but also improve symptoms, function and health-related quality of life. Health-related quality of life is a strong, independent predictor of mortality, cardiovascular events, hospitalization and treatment costs in patients with cardiac diseases. Remote monitoring of pacemakers has a positive effect on health-related quality of life and functional capacity and is equivalent to monitoring these patients in hospitals. Implantation of an implantable cardioverter defibrillator has a major impact on mental health, with the majority of patients experiencing the fear of ICD shocks as particularly detrimental to the quality of life. Variables, such as age, gender and duration of implantation should be considered in the assessment and planning of strategies for improving the quality of life of patients with electronic implantable cardiac devices.

Keywords: Cardiac resynchronization therapy; Heart insufficiency; Implantable cardioverter defibrillator; Left ventricular assist system; Pacemaker, artificial.

Publication types

  • Review

MeSH terms

  • Cardiac Resynchronization Therapy Devices
  • Defibrillators, Implantable*
  • Heart Diseases*
  • Humans
  • Pacemaker, Artificial*
  • Quality of Life