Implantable Cardioverter-Defibrillators in Poland Compared with other European Countries from the Patient’s Perspective: Insights from the EHRA Patient Survey

Łukasz Januszkiewicz (), Marcin Grabowski, Michał Mirosław Farkowski, Paweł Życiński, Tomasz Jędrychowski, Mariusz Pytkowski, Julian K. R. Chun, Jose M. Guerra, Giulio Conte, Sérgio Barra, Serge Boveda and Maciej Kempa
Additional contact information
Łukasz Januszkiewicz: 1st Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland
Marcin Grabowski: 1st Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland
Michał Mirosław Farkowski: II Department of Heart Arrhythmia, National Insitute of Cardiology, 04-628 Warsaw, Poland
Paweł Życiński: 1st Department of Cardiology, Medical University of Lodz, 91-347 Lodz, Poland
Tomasz Jędrychowski: Department of Cardiology, Voivodship Specialist Hospital, 06-400 Ciechanow, Poland
Mariusz Pytkowski: II Department of Heart Arrhythmia, National Insitute of Cardiology, 04-628 Warsaw, Poland
Julian K. R. Chun: CCB, Cardiology, Med. Klinik III, Markuskrankenhaus, 60431 Frankfurt, Germany
Jose M. Guerra: Department of Cardiology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, IIB SANT PAU, CIBERCV, 08025 Barcelona, Spain
Giulio Conte: Cardiology Department, Fondazione Cardiocentro Ticino, 6900 Lugano, Switzerland
Sérgio Barra: Cardiology Department, Hospital da Luz Arrabida, 4400-346 Vila Nova de Gaia, Portugal
Serge Boveda: Heart Rhythm Department, Clinique Pasteur, 31076 Toulouse, France
Maciej Kempa: Department of Cardiology and Electrotherapy, Medical University of Gdansk, 80-214 Gdansk, Poland

IJERPH, 2023, vol. 20, issue 6, 1-9

Abstract: Background: The aim of this study was to compare differences between Polish ICD recipients and ICD recipients from other European countries in terms of quality of life, information provision before ICD implantation, and end-of-life issues. Methods: This is a sub-analysis of the “Living with an ICD” patient survey (25-item questionnaire) organized by the European Heart Rhythm Association between 12 April 2021 and 5 July 2021 in ten European countries. Results: There were 410 (22.7%) patients from Poland and 1399 (77.3%) from other European countries. A total of 51.0% of Polish patients reported improvement in their quality of life compared with 44.3% in other countries ( p = 0.041). Remote monitoring was three times more often utilized in other countries than in Poland (66.8% vs. 21.0%, p < 0.001). While 78.1% of Poles felt well informed before ICD implantation compared with 69.6% of subjects from other countries ( p = 0.001), they were less familiar with the ICD deactivation process than others (38.9% vs. 52.5%, p < 0.001). Conclusions: Despite the less frequent use of remote monitoring and gaps in end-of-life issues, Polish ICD recipients reported more favorable quality of life and a higher level of information received before device placement than patients in other European countries.

Keywords: quality of life; ventricular arrhythmias; sudden cardiac death (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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