Left Ventricular Ejection Fraction Predicts Severity of Posttraumatic Stress Disorder in Patients With Implantable Cardioverter-Defibrillators.

Autor:	Sawatari H; Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan., Ohkusa T; Center for Clinical and Translational Research, Kyushu University, Fukuoka, Japan., Rahamawati A; Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan., Ishikawa K; Institutional Research Office for Education, Education Promotion Center, Prefectural University of Kumamoto, Kumamoto, Japan., Tsuchihashi-Makaya M; Department of Nursing, Kitasato University, Sagamihara, Japan., Ohtsuka Y; Department of Cardiology, Tokyo Metropolitan Hiroo Hospital, Tokyo, Japan., Nakai M; Tokyo Metropolitan Health and Medical Treatment Corporation Ookubo Hospital, Tokyo, Japan., Miyazono M; School of Nursing, Fukuoka Prefectural University, Fukuoka, Japan., Hashiguchi N; Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan., Chishaki H; Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.; Department of Healthcare Management, College of Healthcare Management, Fukuoka, Japan., Sakurada H; Tokyo Metropolitan Health and Medical Treatment Corporation Ookubo Hospital, Tokyo, Japan., Mukai Y; Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan., Inoue S; Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan., Sunagawa K; Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan., Chishaki A; Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.; Department of Healthcare Management, College of Healthcare Management, Fukuoka, Japan.
Jazyk:	angličtina
Zdroj:	Clinical cardiology [Clin Cardiol] 2016 May; Vol. 39 (5), pp. 263-8. Date of Electronic Publication: 2016 May 06.
DOI:	10.1002/clc.22521
Abstrakt:	Background: Implantable cardioverter-defibrillators (ICD) have provided effective therapy for fatal arrhythmia. However, ICD patients are known to develop psychological problems, such as posttraumatic stress disorder (PTSD), if they have experienced potentially fatal arrhythmia and ICD shocks. Little is known about the factors influencing PTSD in ICD patients. Hypothesis: Echocardiographic cardiac-function parameters might relate to psychological problems, especially PTSD, in ICD patients. Methods: A total of 128 outpatients with ICD implantation completed the Impact of Event Scale Revised (IES-R) questionnaire as a measurement of PTSD. Demographic and clinical characteristic data were collected from medical records. Results: The mean age of the ICD patients was 59 ± 16 years; 103 were male; and the mean left ventricular ejection fraction (LVEF) by echocardiography was 52.4% ± 18.3%. In the ICD patients, female sex and impaired LVEF were related to lower IES-R scores or led to PTSD (P = 0.01 and P = 0.03, respectively). Impaired LVEF also worsened 2 symptoms of PTSD, intrusion (P = 0.02) and hyperarousal (P = 0.03). In patients with LVEF <35%, there was a significant negative correlation between LVEF level and IES-R score (P = 0.045). Conclusions: This study showed that LVEF was related to the severity of PTSD, especially in the ICD patients with LVEF of <35%. We should pay more attention to ICD patients with severely impaired left ventricular function to prevent psychological problems. (© 2016 Wiley Periodicals, Inc.)
Databáze:	MEDLINE
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