Dubin A M, Batsford W P, Lewis R J, Rosenfeld L E
Section of Cardiovascular Medicine, Yale University School of Medicine, New Haven, Connecticut 06510, USA.
Pacing Clin Electrophysiol. 1996 Nov;19(11 Pt 1):1555-9. doi: 10.1111/j.1540-8159.1996.tb03180.x.
As the use of ICDs increases, more young patients will be eligible to receive these devices. Such patients may have different concerns than older patients who more commonly receive ICDs. We investigated quality-of-life issues in patients followed by the Yale electrophysiology service who were < or = 40 years old (mean = 28) at the time of ICD implant. Mean time since ICD placement was 3.3 years. Each patient received a modified SF-36 health questionnaire; 16 (88%) of 18 responded. Nine were women; ten were married. The highest education level attained was high school for 6 (37%), and college or beyond for 10 (63%). Ten patients were employed; eight held the same job before and after ICD placement. Four women conceived after ICD implantation; one experienced ICD discharge during pregnancy. All delivered healthy infants. All patients felt their health was good to excellent, with 6 (38%) reporting an improvement in health since ICD placement. All felt capable of performing the activities of daily living, while 68% engaged freely in moderate physical activities. All patients felt they were average to very attractive. However, 63% worried about how their clothes fit with the ICD. Three quarters of the patients felt the ICD interfered with social interactions, while 50% were concerned about sexual encounters. Thus, even though these young patients have body image concerns and may limit their activities to some degree, they are productive, active members of society who have benefitted from ICD placement.
随着植入式心脏除颤器（ICD）的使用增加，越来越多的年轻患者将有资格接受这些装置。这类患者可能有与更常接受ICD的老年患者不同的担忧。我们调查了耶鲁大学电生理服务所随访的ICD植入时年龄≤40岁（平均28岁）的患者的生活质量问题。自ICD植入后的平均时间为3.3年。每位患者都收到了一份改良的SF - 36健康问卷；18名患者中有16名（88%）做出了回应。9名是女性；10名已婚。最高学历达到高中的有6名（37%），大学及以上学历的有10名（63%）。10名患者有工作；8名在ICD植入前后从事相同工作。4名女性在ICD植入后怀孕；1名在怀孕期间发生ICD放电。所有患者均产下健康婴儿。所有患者都感觉自己的健康状况良好至极佳，6名（38%）报告自ICD植入后健康状况有所改善。所有人都觉得自己有能力进行日常生活活动，同时68%的人自由参与适度的体育活动。所有患者都觉得自己外表普通至非常有吸引力。然而，63%的人担心自己的衣服与ICD是否合身。四分之三的患者觉得ICD干扰了社交互动，而50%的人担心性生活。因此，尽管这些年轻患者有身体形象方面的担忧，并且可能在一定程度上限制了他们的活动，但他们是社会中有生产力、积极活跃的成员，并且从ICD植入中受益。
