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Contributions

Patient and spouse acceptance and adaptation to implantable cardioverter defibrillators

Colette Pycha, RN, MSN, Joseph R. Calabrese, MD, A. Dale Gulledge, MD and James D. Maloney, MD
Cleveland Clinic Journal of Medicine July 1990, 57 (5) 441-444;
Colette Pycha
Department of Psychiatry, University Hospitals, Cleveland, Ohio.
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Joseph R. Calabrese
Affective Disorders Program, University Hospitals, Cleveland, Ohio.
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A. Dale Gulledge
Department of Psychiatry, Cleveland Clinic Florida, Ft. Lauderdale
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James D. Maloney
Department of Cardiology, The Cleveland Clinic Foundation
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ABSTRACT

Although electrophysiologic devices have been available since 1932 for managing sudden cardiac death, it was not until 1980 that the predecessor to the automatic implantable cardioverter defibrillator was introduced. Subsequently, questions about psychosocial adaptation have prevented wide acceptance of these devices. To study this issue, 69 patients with treatment-resistant ventricular arrhythmias were sent a questionnaire following cardioverter implantation; spouses also received questionnaires. Of these, 42 patients and 38 spouses completed and returned questionnaires. The questionnaire was designed to elucidate psychosocial adaptation. Results suggest that patients and couples adapt to the automatic implantable cardioverter defibrillators adequately, but not without some specific reservations.

INDEX TERMS
  • Cardioversion
  • Ventricular Arrhythmia
  • Copyright © 1990 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 57 (5)
Cleveland Clinic Journal of Medicine
Vol. 57, Issue 5
1 Jul 1990
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Patient and spouse acceptance and adaptation to implantable cardioverter defibrillators
Colette Pycha, Joseph R. Calabrese, A. Dale Gulledge, James D. Maloney
Cleveland Clinic Journal of Medicine Jul 1990, 57 (5) 441-444;

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Patient and spouse acceptance and adaptation to implantable cardioverter defibrillators
Colette Pycha, Joseph R. Calabrese, A. Dale Gulledge, James D. Maloney
Cleveland Clinic Journal of Medicine Jul 1990, 57 (5) 441-444;
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Keywords

  • Cardioversion
  • Ventricular Arrhythmia

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