Effect of physical and psychocognitive function and perceived health status on 12-month adverse cardiac events among implantable cardioverter-defibrillator recipients
- Authors
- Kim J.; Choi J.; Shin M.-S.; Park J.-K.; An M.; Kim S.H.; Choi N.; Lee M.O.; Heo S.
- Issue Date
- Sep-2020
- Publisher
- Mosby Inc.
- Keywords
- Anxiety; Cardiac events; Cognitive function; Depressive symptoms; Health perception; Implantable cardioverter-defibrillator; Physical function
- Citation
- Heart and Lung, v.49, no.5, pp.530 - 536
- Journal Title
- Heart and Lung
- Volume
- 49
- Number
- 5
- Start Page
- 530
- End Page
- 536
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/78413
- DOI
- 10.1016/j.hrtlng.2020.04.010
- ISSN
- 0147-9563
- Abstract
- Background: Post-implant recovery in patients with implantable cardioverter-defibrillators (ICDs) is often compromised because of reduced physical and psycho-cognitive function and poor health perception, leading to short event-free survival. Objectives: To examine the effects of psychocognitive function, health perception, and ICD-related factors on 12-month cardiac events among ICD patients. Methods: Using a prospective study design, ICD patients underwent baseline assessment and were followed for 12 months to assess cardiac events. Results: Cardiac events occurred in 14 patients (18.9%) (N = 74: age, 58 years; primary ICDs, 45.9%). Time after ICD implant (odds ratio [OR] = 1.002; p = .028) and executive function (OR = 1.021; p = .027) were significant predictors of 12-month cardiac events, while other physical and psychological indices were not. Conclusions: Reduced executive function and longer time after implant predicted the events. Healthcare professionals need to assess executive function and provide treatment and support to improve executive function. © 2020 Elsevier Inc.
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