Department of Cardiology, Seyyed-al-Shohada Heart Center, Urmia University of Medical Science, Urmia, Iran.
Department of Biostatistics and Epidemiology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran.
Pacing Clin Electrophysiol. 2021 Feb;44(2):235-239. doi: 10.1111/pace.14152. Epub 2021 Jan 12.
Anxiety and depression among implantable cardioverter-defibrillator (ICD) recipients can lead to physical or psychological consequences and reduce the quality of life of these patients. Few studies have compared the frequency and severity of depressive and anxiety disorders in the pacemaker (PM) and ICD recipients. The aim of the present study was to compare depression and anxiety among PM and ICD recipients.
This cross-sectional study was performed on 296 patients referred to a specialized cardiology teaching hospital from October 1, 2019 to July 1, 2020. Patients were selected using convenience sampling method.
Regarding anxiety, the results showed that the overall prevalence of anxiety in PM, ICD, and control groups was 23.5%, 28%, and 8%, respectively. Results showed no significant difference between PM and ICD recipients regarding the anxiety prevalence (p = .46). With regard to depression, the results showed that the overall prevalence of depression in the PM, ICD, and control groups was 7.1%, 23%, and 4.1%, respectively. The results showed a significant difference between PM and ICD recipients in terms of depression prevalence (p = .03). The results also showed that the prevalence of depression was significantly higher among PM and ICD recipients than the control group (p = .01).
Considering the results of the present study and the high prevalence of anxiety and depression, it seems necessary to focus more on educating patients about the effectiveness of PM and ICD devices in reducing anxiety and depression.
植入式心脏复律除颤器（ICD）受者的焦虑和抑郁可导致身体或心理后果，并降低这些患者的生活质量。很少有研究比较起搏器（PM）和 ICD 受者抑郁和焦虑障碍的频率和严重程度。本研究旨在比较 PM 和 ICD 受者的抑郁和焦虑情况。
这是一项横断面研究，于 2019 年 10 月 1 日至 2020 年 7 月 1 日在一家专门的心脏病学教学医院对 296 名患者进行了研究。采用便利抽样法选择患者。
关于焦虑，结果显示，PM、ICD 和对照组的总体焦虑患病率分别为 23.5%、28%和 8%。PM 和 ICD 受者的焦虑患病率无显著差异（p=0.46）。关于抑郁，结果显示，PM、ICD 和对照组的总体抑郁患病率分别为 7.1%、23%和 4.1%。PM 和 ICD 受者的抑郁患病率存在显著差异（p=0.03）。结果还显示，PM 和 ICD 受者的抑郁患病率明显高于对照组（p=0.01）。
考虑到本研究的结果以及焦虑和抑郁的高患病率，似乎有必要更加关注教育患者有关 PM 和 ICD 设备在减轻焦虑和抑郁方面的有效性。
