Evidence map›Paper›PMID 40557790›Full record

ArticlePacing and clinical electrophysiology : PACE2025

Depression and Anxiety in Patients Who Received a CRT Device and Did Not Have Shock Therapy During a 12-Month Follow-Up.

Elizabeth Florou, Dimitrios Sfairopoulos, Sofia Plakoutsi, Aris Bechlioulis, Konstantinos Zekios, Haralampos Milionis, Petros Skapinakis, Panagiotis Korantzopoulos

Abstract read
In one paragraph

Article in Pacing and clinical electrophysiology : PACE, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Elizabeth FlorouFirst Department of Cardiology, University of Ioannina Medical School, Ioannina, Greece.
Dimitrios SfairopoulosFirst Department of Cardiology, University of Ioannina Medical School, Ioannina, Greece.
Sofia PlakoutsiFirst Department of Cardiology, University of Ioannina Medical School, Ioannina, Greece.
Aris BechlioulisSecond Department of Cardiology, University of Ioannina Medical School, Ioannina, Greece.
Konstantinos ZekiosFirst Department of Cardiology, University of Ioannina Medical School, Ioannina, Greece.
Haralampos MilionisFirst Division of Internal Medicine, University of Ioannina Medical School, Ioannina, Greece.
Petros SkapinakisDepartment of Psychiatry, University of Ioannina Medical School, Ioannina, Greece.
Panagiotis KorantzopoulosFirst Department of Cardiology, University of Ioannina Medical School, Ioannina, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCardiac resynchronization therapy (CRT) may affect the patients' psychological status differently in various populations. There are limited data regarding depression and anxiety in this setting, while there are no data regarding Greek patients.

methodsWe studied heart failure with reduced ejection fraction (HFrEF) patients, without conditions affecting psychological status, undergoing CRT. We used the Minnesota Living with Heart Failure Questionnaire (MLHFQ), the 9-item Patient Health Questionnaire (PHQ-9), and the 7-item Generalized Anxiety Disorder Scale (GAD-7) at baseline and 6- and 12-month postimplantation.

resultsAfter excluding seven patients who experienced defibrillator shocks, we analyzed 99 patients (median age: 72 years, 77% men). The baseline MLHFQ score was 37 (interquartile range [IQR]: 36); at 6 months, 1 (IQR: 8); and at 12 months, 0.5 (IQR: 10); p < 0.01. The baseline PHQ-9 score was 9 (IQR: 11); at 6 months, 0 (IQR: 2); and at 12 months, 0 (IQR: 2); p < 0.01. The baseline GAD-7 score was 8 (IQR: 16); at 6 months, 0 (IQR: 1.5); and at 12 months, 0 (IQR: 3); p <0.01. At baseline, 44% of patients had clinically significant depression (PHQ-9 score ≥10), and 45% clinically significant anxiety (GAD-7 score ≥10). The baseline PHQ-9 and GAD-7 scores correlated with the MLHFQ score. The logistic regression analysis revealed that clinically substantial depression at baseline (PHQ-9 ≥ 10) had a negative association with chronic kidney disease [OR: 0.55; p < 0.01].

conclusionsDepression and anxiety markedly improved during the 12-month follow-up period after CRT device implantation in HFrEF patients who did not receive shock therapy.

Indexed as

AnxietyCardiac Resynchronization TherapyCardiac Resynchronization Therapy DevicesDepressionHeart FailureAgedDefibrillators, ImplantableFemaleFollow-Up StudiesGreeceHumansMaleanxietycardiac resynchronization therapydepressionheart failurequality of life

Identifiers

PMID40557790
PMCPMC12336630

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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.