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Beitrag von kardialen elektronischen Implantaten zur gesundheitsbezogenen Lebensqualität

  • Salma HajKheder
  • Anja Haase-FielitzEmail author
  • Christian Butter
Schwerpunkt
  • 19 Downloads

Zusammenfassung

Patienten, Wissenschaftler und Leistungserbringer sind zunehmend daran interessiert, Interventionen zu identifizieren, die nicht nur die Mortalität reduzieren, sondern auch Symptome, Funktion und gesundheitsbezogene Lebensqualität verbessern. Die gesundheitsbezogene Lebensqualität ist ein starker, unabhängiger Prädiktor für Mortalität, kardiovaskuläre Ereignisse, Krankenhausaufenthalte und Behandlungskosten bei Patienten mit kardialen Erkrankungen. Eine Fernüberwachung von Schrittmachern hat einen positiven Effekt auf die gesundheitsbezogene Lebensqualität und funktionelle Kapazität und ist der Überwachung dieser Patienten in Krankenhäusern gleichwertig. Eine ICD(implantierbarer Kardioverter-Defibrillator)-Implantation hat Auswirkungen auf das psychische Befinden der Patienten, wobei ein Großteil der Patienten die Angst vor ICD-Schockabgabe als für die Lebensqualität besonders beeinträchtigend empfindet. Variablen wie Alter, Geschlecht und Implantationsdauer sollten in der Beurteilung und der Planung von Strategien zur Verbesserung der Lebensqualität von Patienten mit kardialen elektronischen Implantaten beachtet werden.

Schlüsselwörter

Herzschrittmacher Implantierbarer Kardioverter-Defibrillator Kardiale Resynchronisationstherapie Herzinsuffizienz Linksventrikuläre Hilfssysteme 

Cardiac implantable electronic devices and health-related quality of life

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

Pacemaker, artificial Implantable cardioverter defibrillator Cardiac resynchronization therapy Heart insufficiency Left ventricular assist system 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

S. HajKheder, A. Haase-Fielitz und C. Butter geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  • Salma HajKheder
    • 1
  • Anja Haase-Fielitz
    • 1
    Email author
  • Christian Butter
    • 1
  1. 1.Abteilung für Kardiologie, Immanuel Klinikum Bernau Herzzentrum BrandenburgHochschulklinikum der Medizinischen Hochschule Brandenburg (MHB) Theodor FontaneBernau bei BerlinDeutschland

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