Evidence map›Paper›PMID 41462403›Full record

ArticleBMC psychology2025

High social support is associated with reduced cardiac events in patients following ICD/CRT-D implantation: a one-year follow-up study in China.

Pan Jing, Shaoshan Pang, Lirui Yu, Si Lu, Hongyan Cai, Zhao Hu, Min Zhang

Abstract read
In one paragraph

Article in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Pan Jing *Cardiology Department, the First Affiliated Hospital of Kunming Medical University, 295# Xichang Road, Kunming, 650032, Yunnan, China.
Shaoshan Pang *Cardiology Department, the First Affiliated Hospital of Kunming Medical University, 295# Xichang Road, Kunming, 650032, Yunnan, China.
Lirui YuCardiology Department, the First Affiliated Hospital of Kunming Medical University, 295# Xichang Road, Kunming, 650032, Yunnan, China.
Si LuCardiology Department, the First Affiliated Hospital of Kunming Medical University, 295# Xichang Road, Kunming, 650032, Yunnan, China.
Hongyan CaiCardiology Department, the First Affiliated Hospital of Kunming Medical University, 295# Xichang Road, Kunming, 650032, Yunnan, China.
Zhao HuGeriatric Cardiology Department, the First Affiliated Hospital of Kunming Medical University, 295# Xichang Road, Kunming, 650032, Yunnan, China. huzhao@ydyy.cn.
Min ZhangCardiology Department, the First Affiliated Hospital of Kunming Medical University, 295# Xichang Road, Kunming, 650032, Yunnan, China. zhangm@ydyy.cn.

Funding

the "Xingdian Talents" Support Project from the Program Innovative Research Team in Science and Technology 202305AS350024the Yunnan Health Training Project of High Level Talents H-2019052the Yunnan Health Training Project of High Level Talents L-2018014
6 · The paper itself

Abstract

backgroundFew studies exist on the impact of social support on cardiac events following implantation of implantable cardioverter-defibrillators (ICD) or cardiac resynchronization therapy devices with defibrillators (CRT-D). This study aims to investigate the longitudinal association between social support and adverse cardiac events among ICD/CRT-D recipients during a 1-year follow-up.

methodsThis hospital-based longitudinal study included 101 patients undergoing first ICD/CRT-D implantation. Demographic and clinical data were collected as confounders. Social support, anxiety, and depression scores were assessed at baseline and during follow-ups (1, 3, 6, 12 months). Cardiac events (primary endpoint: all-cause mortality or appropriate ICD shocks; secondary endpoint: primary endpoint events, heart failure hospitalization, or acute coronary syndrome) were documented. Kaplan-Meier analyses and Cox proportional hazards models (adjusted for age, sex, NYHA class, and ICD indication) evaluated associations, while time-dependent Cox models analyzed temporal effects.

resultsPatients with higher baseline social support exhibited a reduced risk of the primary composite endpoint (log-rank χ² = 5.53, p = 0.019) and secondary composite endpoint (log-rank χ² = 14.64, p < 0.001). After multivariable adjustment (age, sex, NYHA class, ICD indication, anxiety/depression scores), high social support was independently linked to 65.6% lower secondary endpoint risk (adjusted HR = 0.344, 95% CI: 0.172–0.688, p = 0.003). The protective association attenuated over time (HR = 0.991 per unit time, p = 0.009) but remained statistically significant. Anxiety and depression showed no baseline association with events but demonstrated a time-dependent risk increase.

conclusionHigher social support is independently associated with a reduced risk of the secondary composite endpoint after ICD/CRT-D implantation. Sustained psychosocial interventions may be warranted to mitigate long-term risk attenuation.

Indexed as

Acute Coronary SyndromeCardiac Resynchronization TherapyCardiac Resynchronization Therapy DevicesDefibrillators, ImplantableHeart FailureSocial SupportAgedAnxietyChinaDepressionFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleMiddle AgedAnxietyComposite cardiovascular outcomesDepressionpost-ICD/CRT-D implantationSocial support

Identifiers

PMID41462403
PMCPMC12857033

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LicenceCC BY
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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.