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After icd implants, heart patients with a distressed personalityreported worse health by grass lawn





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After icd implants, heart patients with a distressed personalityreported worse health by
Article Posted: 01/24/2013
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After icd implants, heart patients with a distressed personalityreported worse health


 
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People with a distressed (Type D) personality reported worse healththan other patients after having devices implanted to ensure properheart rhythm, according to new research in Circulation: Cardiovascular Quality and Outcomes , an American Heart Association journal. Those reporting worse health within a year of having the internaldefibrillators implanted were assessed before the procedure andfound to have "Type D" personality traits, meaning they tend towardincreased negative emotions but don't share them with others due tofear of rejection. In a study of 383 patients in the Netherlands, researchers alsofound that all implantable cardioverter defibrillator (ICD)patients whose devices shocked their hearts back into normal rhythmwithin a year of the procedure reported poorer health status. ICDsmonitor heart rhythms and deliver electrical shocks to restorenormal rhythm when life-threatening irregular heartbeats occur.

Patients who had both a Type D personality and whose defibrillatorsdelivered a shock within the first year reported the worst healthof all. "The finding is important because it demonstrates that the traumaof experiencing the lifesaving shock isn't the only factorcontributing to a patient's sense of his or her well-being andidentifies a group of patients who may need additional care toimprove survivability," said Susanne S. Pedersen Ph.D., lead authorof the study and professor of cardiac psychology at TilburgUniversity and at the Thoraxcenter at Erasmus Medical Center inRotterdam, the Netherlands. "If we only focus on patients who havereceived a shock, we risk under-diagnosing patients with distressand not providing them with the additional treatment they mayneed." Participants in the study (79 percent men) answered questions toassess their health status and determine if they had a Type Dpersonality. The personality questionnaire required a response to statementssuch as "I often feel unhappy" or "I am a closed kind of person."Patients rated their health on a scale from 0 to 100 the day beforetheir defibrillator was implanted and again at three, six and 12months later.

About 24 percent of the group had a Type Dpersonality while 14 percent had experienced a shock within thefirst year. Other findings about how patients rated their health: Patients who received a shock during the first year rated theirphysical and mental health 3 to 13 points lower than those who didn't. Patients with Type D traits scored themselves 2 to 8 points lowerthan others. Patients who had both Type D personality traits and had received ashock scored themselves up to 30 points lower than others. Researchers did not have information about any changes inmedications during the 12-month study period that may haveinfluenced patients' health.

Pedersen said similar results would be expected among Americanpatients but said the study should be repeated as defibrillatorsmay be programmed more conservatively in the United States leadingto differences in the number of shocks that patients may experiencein Europe and in the United States. Additional References Citations.

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