In order to bring you the best possible user experience, this site uses Javascript. If you are seeing this message, it is likely that the Javascript option in your browser is disabled. For optimal viewing of this site, please ensure that Javascript is enabled for your browser.
Did you know that your browser is out of date? To get the best experience using our website we recommend that you upgrade to a newer version. Learn more.

We use cookies to optimise the design of this website and make continuous improvement. By continuing your visit, you consent to the use of cookies. Learn more

Psychological issues in ICD patients - State of the Art

Summary and slides presented by Susanne S. Pedersen, Professor of Cardiac Psychology, affiliated with CoRPS-Center of Research on Psychology in Somatic diseases, Tilburg University, and the Thoraxcenter, the Erasmus Medical Center Rotterdam, The Netherlands

View the corresponding slides from the 11th Annual Spring Meeting of Cardiovascular Nursing

Cardiovascular Nursing

The implantable cardioverter defibrillator (ICD) is the mainstay of treatment for the prevention of sudden cardiac death, but is associated with a number of treatment-related challenges to patients, including expanding indications, device malfunctioning, and ICD shocks.

The majority of ICD patients seem to cope well with these challenges and preserve their pre-implantation level of functioning. The subset of patients (i.e., 25%) who face adjustment difficulties need to be identified via standardised screening, as psychological distress not only influences quality of life but also increases the risk of ventricular tachyarrhythmias and mortality in ICD patients. These patients are likely to benefit from a multi-factorial intervention that includes a combination of cardiac rehabilitation, psycho education, stress management, and counselling.