(LifeWire) - Although automatic implantable cardioverter defibrillators (AICDs) are lifesaving devices, many people experience anxiety after having them surgically implanted.
Studies report that patients worry about the devices malfunctioning, the shock being painful and that psychological distress could trigger a shock. One review of several studies, published in the American Journal of Critical Care, reported that up to 38% of patients with AICDs fit the criteria for "clinically diagnostic anxiety."
It's important that patients address these anxiety issues. According to the American Heart Association, research suggests a relationship between psychological stress and heart disease and stroke, and suggests that psychosocial therapies may help prevent second heart attacks.
Here are some tips on how to cope with anxiety related to AICDs:
- Become Informed Studies have shown that people experience less anxiety if they know how to care for their device, know what to expect from device shocks and know what to do if a problem is suspected.
- Involve Family and Friends Let family and friends know about the device and what to expect. Let your loved one know about your worries as well -- they can help you handle the burden.
- Find a Support Group Many hospitals and other organizations host support groups for people with AICDs. It can be helpful to learn from others and share your concerns.
- Go Online for Support In addition to local support groups, there are online forums available. The ICD Support Group website is one such option.
- Talk to Your Doctor Don't be afraid to talk to your doctor about your anxiety. He or she can provide ways to cope and also provide you with additional information that might ease your concerns.
- Get Professional Help If your anxiety affects your ability to enjoy life and your family, you should seek professional help. A counselor or therapist can provide you with coping techniques.
Read more here about the arrhythmias treated by the AICD.
Sources:
"Automatic Implantable Cardioverter Defibrillator (AICD)." mssm.edu. 2008. The Mount Sinai Medical Center. 31 Oct. 2008. <http://www.mssm.edu/cvi/aicd.shtml>.
Dunbar, Sandra. "Psychosocial Issues of Patients With Implantable Cardioverter Defibrillators." American Journal of Critical Care. 14:9(2005): 294-303. 31 Oct. 2008. <http://ajcc.aacnjournals.org/cgi/content/full/14/4/294>.
"Implantable Cardioverter Defibrillator." nmh.org. Nov. 2004. Northwestern Memorial Hospital. 31 Oct. 2008. <http://www.nmh.org/nmh/heart/heartfailure/treatments/icd.htm>.
"Stress and Heart Disease." americanheart.org. 2008. American Heart Association. 31 Oct. 2008. <http://www.americanheart.org/presenter.jhtml?identifier=4750>.
