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- Title
Prospective survey of implantable defibrillator shock anxiety in Japanese patients: Results from the DEF‐Chiba study.
- Authors
Miyazawa, Kazuo; Kondo, Yusuke; Ueda, Marehiko; Kajiyama, Takatsugu; Nakano, Masahiro; Inagaki, Masayuki; Schwab, Joerg O.; Sears, Samuel F.; Kobayashi, Yoshio
- Abstract
Abstract: Background: Patient‐reported outcomes of implantable cardioverter defibrillator (ICD), such as those with shock anxiety, have emerged as important endpoints that are related to quality of life (QOL), but they have not been well studied in a sample of the Japanese population. Therefore, we prospectively examined changes in shock anxiety in a large sample of Japanese patients with an ICD. Methods: We recruited 214 consecutive patients with an ICD who visited the outpatient clinic. At registration and 12 months later, all patients completed the Florida Shock Anxiety Scale (FSAS) questionnaire to allow us to examine changes in shock anxiety over the course of the first year after registration. Results: During the 12‐month follow‐up period, 10.5% of the patients received ICD shock therapy. Female sex, secondary prevention, and experience of ICD shock therapy were associated with high FSAS scores at registration. The FSAS scores in both patients with appropriate and inappropriate shock were significantly higher at the 12‐month follow‐up interval than at registration, and there was no significant difference in the extent of changes in FSAS scores (Δ = 5.2 ± 5.1 and Δ = 6.3 ± 9.9, respectively, P = 0.62). Conclusions: Female sex, secondary prevention, and experience of ICD shock therapy are important risk factors affecting shock anxiety in Japanese patients. Attention should be paid to the after‐effects of ICD shock in these patients, regardless of the shock type, with particular attention to women and patients who require secondary prevention.
- Subjects
JAPAN; CARDIAC arrest prevention; CARDIAC arrest; ANXIETY; ELECTROCONVULSIVE therapy; IMPLANTABLE cardioverter-defibrillators; LONGITUDINAL method; QUESTIONNAIRES; SHOCK (Pathology); SURVEYS; CARDIOVASCULAR diseases risk factors
- Publication
Pacing & Clinical Electrophysiology, 2018, Vol 41, Issue 9, p1171
- ISSN
0147-8389
- Publication type
Article
- DOI
10.1111/pace.13442