Kowalska, M., Kowalik, I., Maciag, A., Przybylski, A., Stepnowska, M. and Tylka, J., Institute of Cardiology, Poland
Strong negative emotions like anxiety and depression are often expected in ICD patients. They are relations not only with severe heart disease lead to life threatening ventricular arrhythmias but also with therapeutic modes of ICD - fast ventricular pacing and cardioversion. We present psychological estimation of exacerbation of anxiety and depression and level of ICD acceptance in patients with life threatening cardiac arrhythmias. We observed 53 pts. (15 women) aged 17-76 (mean 50) with life threatening cardiac arrhythmias (ventricular tachycardia or/and fibrillation) leads to ICD implantation. They had 0-7 (mean 2) reanimations before implantation. 29 (55%) of them had coronary artery disease. We used: Scale of Self J.Tylka, Questionnaire of subjective estimations of ICD J.Tylka tests. In time of follow up we observed 0-24 (pt with VT storm) ICD's intervenitons. There were significant decrease in anxiety and depression level and increase in level of acceptance of ICD in follow up. Analyses revelled high negative correlation between level of depression and level of device's acceptance both at baseline and follow up. There were no statistical differences in gender group, no correlation with among of reanimations and device interventions and anxiety and depression level. After ICD implantation decrease anxiety and depression level that may improve quality of patient's life; Device acceptance increases at time of follow up; High correlation between level of depression and level of device's acceptance may point patients needed psychological help after ICD implantation.