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Quality of Life of Patients Over 80 Years Old with Implantable Cardioverter-Defibrillators

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Psychological, Emotional, Social and Cognitive Aspects of Implantable Cardiac Devices

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Abstract

Implantable cardioverter-defibrillators (ICD) are frequently used to prevent sudden cardiac death. ICDs are underutilized in the elderly population. Though randomized trials included few elderly patients over the age of 80, ICDs should not be withheld on the basis of age alone as the available evidence shows a mortality benefit in this population. Complication rates in the elderly are slightly higher in the early post-implantation period but late complications are significantly lower. Elderly patients more likely to have complications can be identified prior to implantation through use of a validated risk score. There is a paucity of evidence regarding quality of life after ICD implantation but current evidence suggests it is comparable to patients who did not receive a device. Younger patients were more likely to experience psychological distress though elderly patients who experienced complications also experienced distress. Psychological distress can be well managed with cognitive-behavioral therapy. There is no conclusive evidence to suggest worse psychological well-being after ICD shocks and further evidence is needed in this field.

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Author information

Authors and Affiliations

  1. McGill University Health Center, 1650 Cedar Avenue, Montreal, QC, Canada

    Ahmed AlTurki M.D.

  2. Department of Cardiology, Ospedale Luigi Sacco, Milan, Italy

    Riccardo Proietti

  3. Cardiac Center, Morriston Hospital, University of Swansea, Swansea, UK

    Riccardo Proietti

  4. Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy

    Francesco Borgia

Authors
  1. Ahmed AlTurki M.D.
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  2. Riccardo Proietti
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  3. Francesco Borgia
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Correspondence to Ahmed AlTurki M.D. .

Editor information

Editors and Affiliations

  1. Cardiac Center, Morriston Hospital, University of Swansea, Swansea, United Kingdom

    Riccardo Proietti

  2. eCampus University Faculty of Psychology, Novedrate (Como), Italy

    Gian Mauro Manzoni

  3. Department of Psychology, Università Cattolica del Sacro Cuore, Milano, Italy

    Giada Pietrabissa

  4. Department of Psychology, Università Cattolica del Sacro Cuore, Milano, Italy

    Gianluca Castelnuovo

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AlTurki, A., Proietti, R., Borgia, F. (2017). Quality of Life of Patients Over 80 Years Old with Implantable Cardioverter-Defibrillators. In: Proietti, R., Manzoni, G., Pietrabissa, G., Castelnuovo, G. (eds) Psychological, Emotional, Social and Cognitive Aspects of Implantable Cardiac Devices. Springer, Cham. https://doi.org/10.1007/978-3-319-55721-2_12

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  • DOI: https://doi.org/10.1007/978-3-319-55721-2_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-55719-9

  • Online ISBN: 978-3-319-55721-2

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