Page 93 - JCBP-2-3

Journal of Clinical and
Basic Psychosomatics Psychological changes in patient with ICD

Figure 4. Somatic Self-rating Scale, Generalized Anxiety Disorder-7, and the Patient Health Questionnaire-9 results

the same time, baseline anxiety and depression are often Moreover, ERS is more common in young and middle-
associated with poor cardiovascular outcomes. Lindekilde aged men, especially among athletes. Therefore, more
et al. discovered that anxiety and depression have obvious attention should be diverted to dissecting the psychology
connection with increased risk of mortality in patients of this group.
implanted with ICD, but not with the occurrence of To improve the prognosis and quality of life of the
ICD shock. They also recommended that anxiety and
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depression should be included in the risk stratification of ERS patients, it is necessary to identify the psychological
mortality. Moreover, compared with anxiety, depression problems of these patients with ICD implantation
has higher risk coefficient. 5 and consider corresponding treatment that includes
pharmacotherapy and non-pharmacological cognitive
It is worth noting that younger patients are more behavioral therapy. In terms of medication, benzodiazepines
prone to experience anxiety and depressive disorder. and 5-HT1A receptor agonists are commonly used to
Fumagalli et al. found that cardiac implantable electronic treat anxiety disorders Selective serotonin reuptake
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devices, including ICDs, are more widely utilized in the inhibitors are first-line antidepressants, but sertraline has
.
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elderly population, but young patients tend to face more been reported to cause cardiac events such as ventricular
difficulties (P = 0.035) and more severe psychological tachycardia, sinus arrest, and even SCD, which may be
burdens (mainly in their professional [P < 0.001] and related to QT prolongation. 14
private life [P = 0.033]). Pedersen et al. also found that
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older age was associated with lower risk of new anxiety Non-pharmacological therapy mainly consists of
disorder in patients with ICD implantation (hazard ratio cognitive behavioral therapy, mindfulness emotion
[HR]: 0.54), as well as depression disorder (HR: 0.57). therapy, and exercise therapy. Cognitive behavioral therapy
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Volume 2 Issue 3 (2024) 5 doi: 10.36922/jcbp.2848