What question did this study set out to answer?

To assess the psychological impact and health-related quality of life in patients with Brugada syndrome with and without an implantable cardioverter defibrillator.

March 21, 2011EP EuropaceOpen Access

The psychological impact of implantable cardioverter defibrillator implantation on Brugada syndrome patients

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Why the study?

Does implantable cardioverter defibrillator (ICD) implantation reduce quality of life in patients with Brugada syndrome?

Population

190 patients with Brugada syndrome, including symptomatic implanted patients, asymptomatic implanted…

Comparison

Implantable cardioverter defibrillator… vs No ICD implantation

Design

Cross-sectional

Authors

VPVincent ProbstElectrophysiology DPD. Plassard-KerdoncufInserm JMJacques MansouratiElectrophysiology

Discussion

Member takes

Implication

May warrant discussing career and insurance risks before ICD implantation in Brugada syndrome; leaves open validated quality-of-life effects in prospective studies.

Key Points

To assess the psychological impact and health-related quality of life in patients with Brugada syndrome with and without an implantable cardioverter defibrillator.
Analyzed 190 survey responses from a hereditary arrhythmia center database in Nantes, France, categorized into symptomatic patients with an ICD (G1, n=60), asymptomatic patients with an ICD (G2, n=78), and asymptomatic patients without an ICD (G3, n=52).
Assessed health-related quality of life using the 36-item Short-Form Health Survey (SF-36) alongside supplementary questions evaluating ICD tolerance, professional life, and insurance access.
SF-36 scores showed no significant differences among the three patient groups and were comparable to normative French population scores.
ICD-specific questions indicated that while patients viewed the device as reassuring, implantation caused significant negative impacts on professional careers and access to insurance.

Structured PICO

Does implantable cardioverter defibrillator (ICD) implantation reduce quality of life in patients with Brugada syndrome?

Population

190 patients with Brugada syndrome (BrS), including symptomatic implanted patients (n=60), asymptomatic implanted patients (n=78), and asymptomatic patients without ICD (n=52), selected from a reference centre database in Nantes, France.

Intervention

Implantable cardioverter defibrillator (ICD) implantation

Comparator

No ICD implantation (asymptomatic patients without ICD)

Outcome

Quality of life assessed by the 36-item short-form health survey (SF-36) and subsidiary questionspatient reported

While ICD implantation in Brugada syndrome patients does not reduce overall quality of life, it creates significant challenges for professional careers and obtaining insurance.

Cite This Study

Probst et al. (2011) studied this question.

synapsesocial.com/papers/6a71a849e5469ee92be214cc https://doi.org/10.1093/europace/eur060

Topics

Cardiac device therapy

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Implication

May warrant discussing career and insurance risks before ICD implantation in Brugada syndrome; leaves open validated quality-of-life effects in prospective studies.

The psychological impact of implantable cardioverter defibrillator implantation on Brugada syndrome patients

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

The psychological impact of implantable cardioverter defibrillator implantation on Brugada syndrome patients

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider