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Quality of life and psychological co-morbidities in children and adolescents with cardiac pacemakers and implanted defibrillators: a cohort study in Eastern Germany

Published online by Cambridge University Press:  13 April 2020

Christian Paech ,
Victoria Ebel Open the ORCID record for Victoria Ebel [Opens in a new window] ,
Franziska Wagner ,
Stephanie Stadelmann ,
Annette M. Klein ,
Mirko Döhnert ,
Ingo Dähnert  and
Roman Antonin Gebauer
Christian Paech
Affiliation:
Department of Paediatric Cardiology, University of Leipzig - Heart Centre, Strümpellstr. 39, 04289Leipzig, Germany
Victoria Ebel*
Affiliation:
Department of Paediatric Cardiology, University of Leipzig - Heart Centre, Strümpellstr. 39, 04289Leipzig, Germany
Franziska Wagner
Affiliation:
Department of Paediatric Cardiology, University of Leipzig - Heart Centre, Strümpellstr. 39, 04289Leipzig, Germany
Stephanie Stadelmann
Affiliation:
Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University of Leipzig, Liebigstraße 20a, 04103Leipzig, Germany; LIFE – Leipzig Research Centre for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Str. 27, 04103Leipzig, Germany
Annette M. Klein
Affiliation:
International Psychoanalytic University, Stromstraße 1, 10555Berlin, Germany
Mirko Döhnert
Affiliation:
Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University of Leipzig, Liebigstraße 20a, 04103Leipzig, Germany; LIFE – Leipzig Research Centre for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Str. 27, 04103Leipzig, Germany
Ingo Dähnert
Affiliation:
Department of Paediatric Cardiology, University of Leipzig - Heart Centre, Strümpellstr. 39, 04289Leipzig, Germany
Roman Antonin Gebauer
Affiliation:
Department of Paediatric Cardiology, University of Leipzig - Heart Centre, Strümpellstr. 39, 04289Leipzig, Germany
*
Author for correspondence: Victoria Ebel, Department of Paediatric Cardiology, University of Leipzig - Heart Centre, Strümpellstr. 39, 04289Leipzig, Germany. Tel: +49-341-8651036; Fax: +49-341-8651143. E-mail: ebel.victoria@yahoo.com
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Abstract

Introduction:

The implantation of a pacemaker or an implantable cardioverter-defibrillator during childhood may reduce quality of life and lead to mental health problems. This study aimed to evaluate potential mental health problems (i.e., depressive and anxiety symptoms) and quality of life in children with cardiac active devices in comparison to healthy peers.

Methods:

We analysed data of children with pacemakers or implantable cardioverter-defibrillators aged 6–18 years. Quality of life, depressive and anxiety symptoms were assessed by standardised questionnaires. The results were compared to age-matched reference groups.

Results:

Children with implantable cardioverter-defibrillator showed significant lower quality of life in comparison to reference group (p = 0.03), but there was no difference in quality of life between children with pacemaker and reference group. There was no significant difference in depressive symptoms between children with a cardiac rhythm device compared to reference group (self-report: p = 0.67; proxy report: p = 0.49). There was no significant difference in anxiety (p = 0.53) and depressive symptoms (p = 0.86) between children with pacemaker and children with implantable cardioverter-defibrillator.

Conclusions:

Living with an implantable cardioverter-defibrillator in childhood seems to decrease the patients’ quality of life. Although children with pacemaker and implantable cardioverter-defibrillator don’t seem to show more depressive and anxiety symptoms in comparison to their healthy peers, there still can be an increased risk for those children to develop mental health problems. Therefore, treating physicians should be aware of potential mental health problems and provide the patients and their families with appropriate therapeutic offers.

Keywords

Childrencardiac pacemakerdepressionquality of lifeimplantable cardioverter-defibrillator
Type
Original Article
Information
Cardiology in the Young , Volume 30 , Issue 4 , April 2020 , pp. 549 - 559
Copyright
© The Author(s) 2020. Published by Cambridge University Press

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Footnotes

*

These authors contributed equally to this project and should be considered co-first authors.

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