Improving Medication Compliance in Pacemaker Patients with Depression and Anxiety: Insights from a 2023 Study

2023-06-25 14:30:00

“Medications help control symptoms and prevent further heart problems, so compliance is important,” says Ole Skov, psychologist and author of a study presented at the 2023 European Society of Cardiology Scientific Congress. l’ACNAP. Pacemaker patients who feel depressed or anxious should be encouraged to express their concerns, thoughts and feelings and to contact a healthcare professional who [dépistera ces signes pour déterminer la meilleure prise en charge].”

Less observant depressed or anxious patients

According to this study, patients with a pacemaker, in particular due to cardiac arrhythmia, who feel depressed or anxious are less observant when it comes to taking their treatment, i.e. they do not wouldn’t follow them well. Cardiac arrhythmias, or heart rhythm disorders, are characterized by the existence of irregular beats, either too slow or too fast, at rest.

One in five pacemaker carriers suffers from depression or anxiety according to Press release. The researchers therefore wanted to understand whether these psychological states had a link with treatment compliance. For this, they analyzed data from 322 patients who completed questionnaires to assess their compliance both at the time of pacemaker insertion and 12 months.

Better assess psychological health before inserting a pacemaker

Results: Patients who had higher levels of depressive symptoms at the time of initiation were less likely to take their heart medications a year later.

“Statistically, the effect of depression was small, but this is not surprising given the complexity and multitude of factors involved in medication adherence, concludes Ole Skov. These results underline the importance of taking into account the psychological state of people [se faisant poser un pacemaker]. Those with symptoms of depression at the time of insertion might be at risk of stopping heart medications, even if they are taking them initially, and may need additional support.”

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