Personality traits, ventricular tachyarrhythmias, and mortality in patients with an implantable cardioverter defibrillator: 6 years follow-up of the WEBCARE cohort
| Autor: | Jos Widdershoven, Susanne S. Pedersen, J. P. Herrman, Marco Alings, Johan Denollet, Mirela Habibović, Leon H.R. Bouwels, P. H. Van Der Voort, Damj Theuns, Eva Broers |
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| Přispěvatelé: | Cardiology, Medical and Clinical Psychology |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty media_common.quotation_subject medicine.medical_treatment Population Type D Personality 03 medical and health sciences 0302 clinical medicine Optimism Quality of life QUALITY-OF-LIFE Tachycardia Internal medicine Humans Medicine Personality ESC GUIDELINES 030212 general & internal medicine Mortality education Aged media_common RISK ARRHYTHMIAS education.field_of_study business.industry Type D personality ASSOCIATION Middle Aged Implantable cardioverter defibrillators Implantable cardioverter-defibrillator Ventricular tachyarrhythmia Defibrillators Implantable 030227 psychiatry Pessimism Psychiatry and Mental health CARDIOVASCULAR-DISEASE Cohort CARDIAC RESYNCHRONIZATION THERAPY ICD PATIENTS Female HEALTH business Psychosocial Follow-Up Studies |
| Zdroj: | General Hospital Psychiatry, 62, 56-62. Elsevier Inc. General Hospital Psychiatry: Psychiatry, Medicine and Primary Care, 62, 56-62. Elsevier Inc. Broers, E R, Habibović, M, Denollet, J, Widdershoven, J W M G, Alings, M, Theuns, D A M J, van der Voort, P, Bouwels, L, Herrman, J P & Pedersen, S S 2020, ' Personality traits, ventricular tachyarrhythmias, and mortality in patients with an implantable cardioverter defibrillator : 6 years follow-up of the WEBCARE cohort ', General Hospital Psychiatry, vol. 62, pp. 56-62 . https://doi.org/10.1016/j.genhosppsych.2019.11.009 |
| ISSN: | 0163-8343 |
| Popis: | Objective.Risk stratification within the ICD population warrants the examining of the role of protective- and risk factors. Current study examines the association between Type D personality, pessimism, and optimism and risk of ventricular tachyarrhythmias (VTa's) and mortality in patients with a first-time ICD 6 years post implantation.Methods.A total of 221 first-implant ICD patients completed questionnaires on optimism and pessimism (Life Orientation Test) and Type D personality (Type D scale DS14) 10 to 14 days after implantation. VTa's and allcause mortality 6 years post implant comprised the study endpoints.Results.Ninety (40.7%) patients had experienced VTa's and 37 (16.7%) patients died, 12 (5.4%) due to a cardiac cause. Adjusted logistic regression analysis showed that pessimism was significantly associated with increased risk of VTa's (OR = 1.09; 95% CI = 1.00–1.19; p = .05). Type D personality (OR = 1.05; 95% CI = 0.47–2.32; p = .91) and optimism (OR = 1.00; 95% CI = 0.90–1.12; p = .98) were not associated with VTa's. None of the personality types were associated with mortality.Conclusion.Pessimism was associated with VTa's but not with mortality. No significant association with either of the endpoints was observed for Type D personality and optimism. Future research should focus on the coexistent psychosocial factors that possibly lead to adverse cardiac prognosis in this patient population. |
| Databáze: | OpenAIRE |
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