El-Shirbiny Hassan, Biomy Reda, Haseeb Wael Anwar, Saboukh Islam
Cardiology Department, Faculty of Medicine, Kafrelsheikh University, Kafr El Sheikh, 33155, Egypt.
Egypt Heart J. 2024 Jul 4;76(1):82. doi: 10.1186/s43044-024-00513-2.
Anxiety and depression are potentially harmful outcomes of permanent cardiac pacemakers. Dual-chamber P.P.M. is frequently used to treat life threatening bradycardia. The study aims to estimate the effect of the right ventricular PM lead position on recipients' anxiety and depression before, 6 months, and 1 year after implantation.
A statistically significant correlation was discovered between the studied groups regarding HADS depression score after 6 months (p 0.013) and 1 year (p 0.013). A statistically non-significant difference was found among the studied groups at any point of time regarding baseline (p 0.063), after 6 months (p 0.054), or after 1 year (p 0.099). Significance was found between HADS anxiety score (p 0.015) or depression score after 1 year and the incidence of complications (p 0.001).
A strong relationship was found between the level of depression and the R.V. site of implantation, as patients with the apical group had higher levels of depression post-implantation. The septal position has less stress and depression on the patient's well-being than the apical one.
焦虑和抑郁是永久性心脏起搏器潜在的有害后果。双腔起搏器常用于治疗危及生命的心动过缓。本研究旨在评估右心室起搏器导线位置对植入前、植入后6个月和1年患者焦虑和抑郁的影响。
研究组之间在6个月（p = 0.013）和1年（p = 0.013）后的医院焦虑抑郁量表（HADS）抑郁评分存在统计学显著相关性。在任何时间点，研究组之间在基线（p = 0.063）、6个月后（p = 0.054）或1年后（p = 0.099）均未发现统计学显著差异。1年后的HADS焦虑评分（p = 0.015）或抑郁评分与并发症发生率之间存在显著差异（p = 0.001）。
发现抑郁水平与右心室植入部位之间存在密切关系，因为心尖组患者植入后抑郁水平较高。与心尖位置相比，间隔位置对患者幸福感的压力和抑郁较小。
