Quality-of-life six months after CABG surgery in patients randomized to ICD versus no ICD therapy: findings from the CABG Patch Trial.
Quality-of-life six months after CABG surgery in patients randomized to ICD versus no ICD therapy: findings from the CABG Patch Trial.
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CABG 手术后 6 个月，随机接受 ICD 治疗与未接受 ICD 治疗的患者的生活质量：CABG 贴片试验的结果。
DOI：
10.1111/j.1540-8159.1999.tb00623.x
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发表时间：
1999
期刊：
影响因子：
--
通讯作者：
Parides,MK
中科院分区：
文献类型：
--
作者：
Namerow,PB;Firth,BR;Heywood,GM;Windle,JR;Parides,MK
ICD会影响患者的感知生活质量(QOL)。本文描述了参与CABG贴片试验的患者的生活质量。这项试验评估了经验性ICD植入的潜在益处，这些患者的心律失常心源性死亡风险增加，这是由射血分数降低(<；0.36)和信号平均异常的心电图确定的。患者被随机分为对照组(无ICD)或治疗组(ICD)。在随访6个月的719名患者中，490名(68%)使用SF-36和其他测量工具对其生活质量进行了测量。对228例对照组(非ICD患者)和262例ICD患者进行了分析。结果：冠脉搭桥术后6个月，ICD组患者的心理幸福感水平低于对照组。此外，与对照组相比，接受过ICD治疗的患者报告说，他们感觉不太健康，身体和情感角色功能降低，心理健康水平也更低。结论：在ICD的预防设置中，应制定旨在缓解患者对ICD的适应的策略，并进行有效性测试。
ICDs can affect a patient's perceived quality‐of‐life (QOL). This article describes the QOL in patients who participated in The CABG Patch Trial. This trial evaluated the potential benefit of empiric ICD implantation in patients with an increased risk of arrhythmic cardiac death as determined by reduced ejection fraction (< 0.36) and an abnormal signal‐averaged ECG. Patients were randomized to control (no ICD) or treatment (ICD) limbs. QOL was measured using the SF‐36 and other measures among 490 (68%) of 719 patients available at 6‐month follow‐up. Analysis was performed on 228 control patients (those without ICDs) and 262 patients with ICDs. Results: Six months after having CABG surgery, patients in the ICD group had lower levels of psychological well‐being than those in the control group. In addition, compared to controls, patients whose ICDs had delivered therapy reported feeling less healthy, had reduced physical and emotional role functioning, and had lower levels of psychological well‐being. Conclusion: Strategies aimed at easing patients' adjustment to ICDs should be developed and tested for efficacy in the setting of ICD prophylaxis.