ArticleESC heart failure2021
Changes in quality of life, depression, general anxiety, and heart-focused anxiety after defibrillator implantation.
Article in ESC heart failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 29 citations in OpenAlex.
- Article
- Device-related events do not alter long-term psychological distress after implantable cardioverter-defibrillator implantation: A 24-month prospective cohort study.Heart rhythm O2 · 2026Article
- At the Intersection of Psychiatry and Cardiology: Assessment of Depressive, Anxiety and Cognitive Disorders in Patients Before and After the Implantation of Cardiac Implantable Electronic Devices.Medicina (Kaunas, Lithuania) · 2026Review
- Article
- Quality of life in patients with heart failure and implantable cardioverter defibrillators: results from 9274 patients in 42 outpatient heart failure clinics in the National Norwegian Heart Failure Registry.European heart journal. Quality of care & clinical outcomes · 2025Article
- Depression and Anxiety in Patients Who Received a CRT Device and Did Not Have Shock Therapy During a 12-Month Follow-Up.Pacing and clinical electrophysiology : PACE · 2025Article
- Quality of life in heart failure. The heart of the matter. A scientific statement of the Heart Failure Association and the European Association of Preventive Cardiology of the European Society of Cardiology.European journal of heart failure · 2025Article
- Depression and anxiety in patients receiving an implantable cardioverter defibrillator with or without cardiac resynchronization therapy.Journal of geriatric cardiology : JGC · 2025Article
- The impact of shock therapy on depression development and remote prognosis in cardiac resynchronization therapy recipients.Cardiology journal · 2025Observational
- The importance, consequences and treatment of psychosocial risk factors in heart disease: less conversation, more action!Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2024Review
- Psychological factors associated with exercise self-efficacy in the recipients of an implantable cardioverter defibrillator.PloS one · 2024Article
- Associations of fear of physical activity, coping style and self-reported exercise behavior in patients with chronic heart failure.PloS one · 2024Observational
- Neuropsychiatric disorders in patients with heart failure: not to be ignored.Heart failure reviews · 2023Review
- [Long-term course of heart disease: How can psychosocial care be improved?]Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2022Review
- Association of time-varying changes in physical activity with cardiac death and all-cause mortality after ICD or CRT-D implantation.Journal of geriatric cardiology : JGC · 2022Article
- Heart-Focused Anxiety, General Anxiety, Depression and Health-Related Quality of Life in Patients with Atrial Fibrillation Undergoing Pulmonary Vein Isolation.Journal of clinical medicine · 2022Article
- Changes in quality of life, depression, general anxiety, and heart-focused anxiety after defibrillator implantation.ESC heart failure · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThe Anxiety-CHF (Anxiety in patients with Chronic Heart Failure) study investigated heart-focused anxiety (HFA, with the dimensions fear, attention, and avoidance of physical activity), general anxiety, depression, and quality of life (QoL) in patients with heart failure. Psychological measures were assessed before and up to 2 years after the implantation of an implantable cardioverter defibrillator (ICD) with or without cardiac resynchronization therapy defibrillator (CRT-D). METHODS AND
resultsOne hundred thirty-two patients were enrolled in this monocentric prospective study (44/88 CRT-D/ICD, mean age 61 ± 14 years, mean left ventricular ejection fraction 31 ± 9%, and 29% women). Psychological assessment was performed before device implantation as well as after 5, 12, and 24 months. After device implantation, mean total HFA, HFA-fear, HFA-attention, general anxiety, and QoL improved significantly. Depression and HFA-related avoidance of physical activity did not change. CRT-D patients compared with ICD recipients and women compared with men reported worse QoL at baseline. Younger patients (<median of 63 years) had higher levels of general anxiety and lower levels of HFA-avoidance at baseline than older patients. After 24 months, groups no longer differed from each other on these scores. Patients with a history of shock or anti-tachycardia pacing (shock/ATP; N = 19) reported no improvements in psychological measures and had significantly higher total HFA and HFA-avoidance levels after 2 years than participants without shock/ATP.
conclusionsAnxiety and QoL improved after device implantation, and depression and HFA-avoidance remained unchanged. HFA may be more pronounced after shock/ATP. Psychological counselling in these patients to reduce HFA and increase physical activity should be considered.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.