[Comorbid anxiety disorders and quality of life in patients with an artificial cardiac pacemaker].

AIM

To investigate correlations between anxiety disorders, quality of life (QoL) and patient's age, mode, duration and course of cardiac pacing (CP).

MATERIAL AND METHODS

Examination covered 134 patients (75 females and 59 males) with artificial pacemaker (APM). It included psychological testing with Hospital Anxiety and Depression Scale (HADS), QoL study with questionnaire MOS-SF-36.

RESULTS

APM implantation caused anxiety disorders in 80.6% patients, 51.5% had clinical symptoms of anxiety. An physiological and frequency-adaptive modes of PC, at the age under 50, in the absence of ECS complications frequency and severity of anxiety disorders are the lowest. Staged changes in the course of anxiety disorders were seen after primary APM implantation and in uncomplicated PC. APM implantation, irrespective of PC mode, significantly increased physical and mental parameters of QoL in patients under 50 years of age as well as mental health parameters in patients over 70.

CONCLUSION

It is necessary to conduct psychological testing in APM patients and their psychic rehabilitation for improvement of QoL.