Key result
Primary prevention ICDs face a ~23% decline rate driven by trust, social influences, and health state.
Why the study?
What factors influence patients' decision-making process when offered an implantable cardioverter defibrillator for primary prevention of sudden cardiac death?
Population
44 patients offered an implantable cardioverter defibrillator for primary prevention of sudden cardiac…
Design
Other
Follow-up
first month after implant for acceptors; at convenience…
Authors
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Trust and physician input shape ICD acceptance; extends qualitative insights but leaves open intervention trials.
What factors influence patients' decision-making process when offered an implantable cardioverter defibrillator for primary prevention of sudden cardiac death?
Patients' decisions to accept or decline an ICD for primary prevention are heavily influenced by trust, social factors, and physician recommendations, highlighting the need for thorough pre-implant discussions.
Carroll et al. (2011) studied Sudden cardiac death risk (ICD candidacy) (n=44). Implantable cardioverter defibrillator (ICD) offer was evaluated on Patients' decision-making process of whether or not to accept an ICD. When offered an ICD for primary prevention of sudden cardiac death, 34 patients accepted and 10 (23%) declined, with decision-making influenced by trust, social influences, and health state.
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