Key result
Secondary prevention ICD or CRT-D linked to ~41% lower rates of post-implant active lifestyle.
Why the study?
The study aimed to evaluate quality of life, depression, anxiety levels, and physical activity in patients after the implantation of an ICD or CRT-D.
Does ICD or CRT-D implantation for secondary prevention compared to primary prevention affect quality of life, depression, anxiety, and physical activity in patients with congestive heart failure?
Cohort (n=111)
No
Does ICD or CRT-D implantation for secondary prevention compared to primary prevention affect quality of life, depression, anxiety, and physical activity in patients with congestive heart failure?
Patients receiving an ICD or CRT-D for secondary prevention experience greater reductions in physical activity and lower quality of life in social and household domains compared to those receiving devices for primary prevention, highlighting a need for targeted psychological support.
Secondary prevention ICD/CRT-D linked to lower activity; hypothesis-generating for targeted support, prospective trials required.
STUDY OBJECTIVES: The aim of the study was to evaluate of the quality of life, depression, anxiety levels, and physical activity in the groups after the implantation of an ICD or CRT-D. METHODS: All subjects (111 CHF patients) underwent tests to assess the quality of life (NHP), the level of physical activity (IPAQ), the level of perceived stress (PSS), and the incidence of depression (BDI). RESULTS: After the implantation, physical activity (PA) of the patients from the primary prevention (PP) group remains unchanged, whereas in the secondary prevention (SP) group, it decreases noticeably. Physical activity is lower in the SP group in comparison with the PP group. There are no statistically significant differences in the level of depression. The scores in the second part of the NHP questionnaire indicate that the SP group significantly more often declare problems with housework and with social life than the PP group. CONCLUSIONS: 1. The type of prevention does not have an influence on the level of anxiety, stress, or depression. 2. The patients after implantation as SP are physically less active; lower PA is associated additionally with the higher NYHA class and chronic kidney disease. 3. The quality of life of the patients from SP group is at a lower level than patients from PP group.
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Krauze et al. (2022) conducted a cohort in Congestive heart failure (n=111). ICD or CRT-D for secondary prevention vs. ICD or CRT-D for primary prevention was evaluated on Self-reported active lifestyle after implantation (p=0.0006). Patients receiving an ICD or CRT-D for secondary prevention were less likely to report an active lifestyle after implantation compared to those for primary prevention (47.2% vs 79.4%, p=0.0006).
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