Quality of life and psycho-emotional status of patients with heart failure under cardiac resynchronization therapy
Keywords:
Anxiety, biventricular pacing, cardiac resynchronisation therapy, depression, quality of lifeAbstract
Introduction: Patients with heart failure (HF) are confronted with important changes at their daily routine and their lifestyle, because of the clinical manifestations of their disease and the demanding therapeutic interventions. Psychosocial disturbances (amxiety, depression) and worsening of quality of life, are being observed as well.
Aim: The systematic review of the international literature about the quality of life and psycho-emotional status (anxiety, depression) of patients, after the implantation of biventricular pacemaker.
Material & Methods: Articles were searched in the “PubMed” online database from March 2024 until April 2024, using the following keywords: "anxiety", "depression", "quality of life", "biventricular pacing","cardiac resynchronisation". The selection criteria of articles were the following: a) published articles in English, b) adult patient population, c) patients with HF undergone biventricular pacing placement and d) published articles after 2000.
Results: A total of 527 studies were found from the literature search, of which 6 were finally selected. From the analysis of the studies it was found that implantation of biventricular pacemaker in patients with HF led to improvement of quality of life and reduction of anxiety and depression levels. Additionally, in most cases, the observed changes, were obvious for up to 6 months after the implantation. Only in one study found that depression symptoms didn’t recede after cardiac resynchronisation therapy. Finally, an important finding in one study, was that the implantation of biventricular pacemaker improved the sleep quality of patients with Cheyne Stokes respiration and the same happened with their quality of life.
Conclusions: Implantation of biventricular pacemaker in patients with heart failure improves the quality of life and the psychosocial status of these patients. More studies are required in order to extract safer conclusions.
