Impairment of Quality of Life among Patients with Wearable Cardioverter Defibrillator Therapy (LifeVest®): A Preliminary Study
Joint Authors
Kääb, Stefan
Lackermair, Korbinian
Schuhmann, Christoph G.
Kubieniec, Michaela
Riesinger, Lisa M.
Klier, Ina
Stocker, Thomas J.
Estner, Heidi L.
Fichtner, Stephanie
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-06-27
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Wearable cardioverter defibrillator (WCD) therapy is feasible and safe in patients as a transient protection against sudden cardiac death (SCD).
However, the impact of WCD therapy on quality of life (QoL) has not been studied.
Methods.
In our single-centre study, 109 consecutive patients with a prescription of WCD were retrospectively analysed.
Quality of life has been assessed by a standardized questionnaire (EQ-5D-3L, modified).
Additionally, clinical baseline and follow-up data and recorded arrhythmic episodes were evaluated.
Results.
Mean WCD therapy time was 56.2 (± 42.4) days, with a daily wear time of 19.7 (± 5) hours.
A total of 3441 arrhythmia episodes were detected.
Of these, 27 (1%) were adequate but did not require shock therapy.
Likewise, no inadequate shock therapy occurred.
WCD therapy negatively affected quality of life: 43% of patients reported mental health issues.
37% reported pain or discomfort.
Self-care, usual activities, and mobility were restricted in 17%, 48%, and 36%, respectively.
29% were afraid of receiving shock therapy, and 48% suffered from sleep disturbance.
However, 64% indicated having felt safe during WCD therapy.
Accordingly, average quality of life was rated 70/100 points.
Conclusion.
In our cohort, no SCD was prevented by WCD therapy.
In contrast, in this preliminary study quality of life was reduced.
Thus, careful recommendation of WCD therapy for high risk patients should be considered.
American Psychological Association (APA)
Lackermair, Korbinian& Schuhmann, Christoph G.& Kubieniec, Michaela& Riesinger, Lisa M.& Klier, Ina& Stocker, Thomas J.…[et al.]. 2018. Impairment of Quality of Life among Patients with Wearable Cardioverter Defibrillator Therapy (LifeVest®): A Preliminary Study. BioMed Research International،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1127656
Modern Language Association (MLA)
Lackermair, Korbinian…[et al.]. Impairment of Quality of Life among Patients with Wearable Cardioverter Defibrillator Therapy (LifeVest®): A Preliminary Study. BioMed Research International No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1127656
American Medical Association (AMA)
Lackermair, Korbinian& Schuhmann, Christoph G.& Kubieniec, Michaela& Riesinger, Lisa M.& Klier, Ina& Stocker, Thomas J.…[et al.]. Impairment of Quality of Life among Patients with Wearable Cardioverter Defibrillator Therapy (LifeVest®): A Preliminary Study. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1127656
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1127656