Implantation of cardioverter-defibrillator: Effects on shoulder function

Autor: Giuseppe Boriani, Matteo Ziacchi, Angelo Branzi, Claudio Tentoni, Elia Foschi, Mauro Biffi, Giuseppe Porcellini, Cristian Martignani, Igor Diemberger, Francesco Grigioni, Andrea Mazzotti, Francesco Pegreffi, Guido Belli, Pasqualino Maietta Latessa
Přispěvatelé: Diemberger I, Pegreffi F, Mazzotti A, Foschi E, Martignani C, Belli G, Biffi M, Ziacchi M, Branzi A, Grigioni F, Maietta Latessa P, Porcellini G, Tentoni C, Boriani G.
Rok vydání: 2013
Předmět:
Zdroj: International Journal of Cardiology. 168:294-299
ISSN: 0167-5273
DOI: 10.1016/j.ijcard.2012.09.071
Popis: BACKGROUND: Subcutaneous almost substituted subpectoral approach of implantable cardioverter-defibrillator (ICD) implantation as a less invasive surgical technique. However, the impact of this change in placement site on procedure-related shoulder impairment is poorly understood. METHODS: Candidates for ICD implantation were prospectively evaluated at baseline, 2-weeks and 3-months after the procedure. Assessment of shoulder function included: Constant Score, Numeric Rating Scale (NRS) for pain and the Disability of the Arm, Shoulder and Hand (DASH) scoring method. The Short Form-36 (SF-36) questionnaire was adopted for quality of life. RESULTS: Fifty consecutive patients were enrolled (21 single-chamber, 5 dual-chamber and 24 biventricular ICD). Significant changes in the short term were observed: physical component summary (regarding SF-36) decreased from 44.5±9.1 to 41.8±11.4 (p=0.016), patients with NRS >1 increased from 14% to 44% (p
Databáze: OpenAIRE