Leosdottir Margret, Sigurdsson Engilbert, Reimarsdottir Gudrun, Gottskalksson Gizur, Torfason Bjarni, Vigfusdottir Margret, Eggertsson Sveinn, Arnar David O
Department of Medicine, Landspitali University Hospital, Hringbraut, 101 Reykjavik, Iceland.
Europace. 2006 Mar;8(3):168-74. doi: 10.1093/europace/euj052. Epub 2006 Feb 7.
Studies indicate a poorer quality of life (QoL) for implantable cardioverter defibrillator (ICD) patients than for the general population. However, studies comparing the QoL of ICD patients with that of patients with other implantable cardiac devices are scarce. We hypothesized that ICD patients had a poorer QoL than pacemaker patients.
All ICD patients living in Iceland at the beginning of 2002 (44 subjects), and a comparison group of 81 randomly selected patients with pacemakers were invited to participate. The Icelandic Quality of Life Questionnaire (IQL), the General Health Questionnaire (GHQ), the Beck Anxiety Inventory (BAI), and the Beck Depression Inventory (BDI) were submitted to measure QoL, psychiatric distress, and symptoms of anxiety and depression. The ICD and pacemaker groups did not differ on IQL, BAI, BDI, or GHQ scores. ICD patients were as a group more fearful of death (P = 0.056) and showed more concerns about returning to work (P = 0.072), although these items fell just short of statistical significance.
Contrary to our expectations, ICD patients had a comparable QoL with pacemaker recipients and were not more likely to suffer from anxiety, depression, or general psychiatric distress. These findings are encouraging in view of expanding ICD indications.
研究表明，植入式心脏复律除颤器（ICD）患者的生活质量（QoL）低于普通人群。然而，将ICD患者的生活质量与其他植入式心脏设备患者的生活质量进行比较的研究很少。我们假设ICD患者的生活质量比起搏器患者差。
邀请了2002年初居住在冰岛的所有ICD患者（44名受试者），以及一个由81名随机选择的起搏器患者组成的对照组参与研究。采用冰岛生活质量问卷（IQL）、一般健康问卷（GHQ）、贝克焦虑量表（BAI）和贝克抑郁量表（BDI）来测量生活质量、精神痛苦以及焦虑和抑郁症状。ICD组和起搏器组在IQL、BAI、BDI或GHQ评分上没有差异。ICD患者总体上更害怕死亡（P = 0.056），对重返工作也表现出更多担忧（P = 0.072），尽管这些项目的差异未达到统计学显著性。
与我们的预期相反，ICD患者与起搏器接受者的生活质量相当，且患焦虑、抑郁或一般精神痛苦的可能性并不更高。鉴于ICD适应症的扩大，这些发现令人鼓舞。
