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Sudden Cardiac Arrest: A Biopsychosocial Approach to Patient Management of Ventricular Fibrillation and Implantable Cardioverter Defibrillators

  • Kari Kirian
  • Samuel F. Sears
  • Harry DeAntonio
Chapter

Abstract

Sudden cardiac arrest remains the single most common cause of death for adults in the Western world. Sudden cardiac arrest (SCA) affects approximately 350,000 Americans annually and is a significant health concern and risk (The American Heart Association 2007). These potentially life-threatening arrhythmias often begin as ventricular tachycardia (VT), a dangerously fast heart rhythm that originates in one of the ventricles that may decompensate into ventricular fibrillation (VF). Treatment for VF usually includes high-energy defibrillation from either an automatic external defibrillator (AED) or an implantable cardioverter defibrillator (ICD) that restores proper heart rate and rhythm using high-energy electrical shock. Randomized controlled clinical trials have demonstrated superior mortality benefits of ICDs compared to medications for both primary and secondary prevention for patients at risk for VT/VF. The patient experiences of both spontaneous life-threatening arrhythmias and the treatment via high-energy shock from the ICD have prompted significant clinical and research attention to psychosocial factors (Stutts, Cross, Conti, & Sears, 2007). Biopsychosocial approaches to understanding and managing the risk of sudden cardiac arrest have included examination of psychosocial factors both as antecedents and as consequences to the experience of VF and the subsequent treatment by the ICD. The purpose of this chapter is to review the medical manifestation of ventricular fibrillation and the psychosocial factors of ventricular fibrillation and its treatment and suggest psychological intervention approaches for patients with VF/ICDs.

Keywords

Ventricular Tachycardia Ventricular Fibrillation Implantable Cardioverter Defibrillator Sudden Cardiac Arrest Automatic External Defibrillator 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Ahmad, M., Bloomstein, L., Roelke, M., Bernstein, A. D., & Parsonnet, V. (2000). Patients’ attitudes toward implanted defibrillator shocks. Pacing and Clinical Electrophysiology, 23(6), 934–938.PubMedCrossRefGoogle Scholar
  2. Baird, C. L., Murawsi, M. M., & Wu, J. (2010). Efficacy of guided imagery with relaxation for osteoarthritis symptoms and medication intake. Pain Management Nursing, 11(1), 56–65.PubMedCrossRefGoogle Scholar
  3. Bardy, G. H., Lee, K. L., Mark, D. B., et al. (2005). Amiodarone or an implantable cardioverter-defibrillator for congestive heart failure. The New England Journal of Medicine, 352(3), 225–237.PubMedCrossRefGoogle Scholar
  4. Barth, J., Schneider, S., & von Känel, R. (2010). Lack of social support in the etiology and the prognosis of coronary heart disease: A systematic review and meta-analysis. Psychosomatic Medicine, 72(3), 229–238.PubMedCrossRefGoogle Scholar
  5. Beery, T. A., Baas, L. S., Matthews, H., Burroughs, J., & Henthorn, R. (2005). Development of the implanted devices adjustment scale. Dimensions of Critical Care Nursing, 24(5), 242–248.PubMedCrossRefGoogle Scholar
  6. Bilge, A. K., Ozben, B., Demircan, S., Cinar, M., Yilmaz, E., & Adalet, K. (2006). Depression and anxiety status of patients with implantable cardioverter defibrillator and precipitating factors. Pacing and Clinical Electrophysiology, 29(6), 619–626.PubMedCrossRefGoogle Scholar
  7. Burns, J. L., Serber, E. R., Keim, S., & Sears, S. F. (2005). Measuring patient acceptance of implantable cardiac device therapy: Initial psychometric investigation of the Florida Patient Acceptance Survey. Journal of Cardiovascular Electrophysiology, 16(4), 382–390.CrossRefGoogle Scholar
  8. Burstein, B., Comtois, P., & Nattel, S. (2008). Comparisons of substrates responsible for atrial versus ventricular fibrillation. In I. Gussak & C. Antzelevitch (Eds.), Electrical disease of the heart: Genetics, mechanisms, treatment, prevention (pp. 261–280). London: Springer.CrossRefGoogle Scholar
  9. Carlsson, E., Olsson, S. B., & Hertervig, E. (2002). The role of the nurse in enhancing quality of life in patients with an implantable cardioverter-defibrillator: The Swedish experience. Progress in Cardiovascular Nursing, 17(1), 18–25.PubMedCrossRefGoogle Scholar
  10. Chesney, M. A., Black, G. W., Swan, G. E., & Ward, M. M. (1987). Relaxation training for essential hypertension at the worksite: The untreated mild hypertensive. Psychosomatic Medicine, 49(3), 250–263.PubMedGoogle Scholar
  11. Chevalier, P., Cottraux, J., Mollard, E., NanYao, S., Brun, S., Burri, H., Restier, L., & Adeleine, P. (2006). Prevention of implantable defibrillator shocks by cognitive behavioral therapy: A pilot trial. American Heart Journal, 151, 191.e1–191.e6.CrossRefGoogle Scholar
  12. Connolly, S. J., Dorian, P., Roberts, R. S., Gent, M., Bailin, S., Fain, E S., & Hohnloser, S. H. (2006). Comparison of β-blockers, amiodarone plus β-blockers, or sotalol for prevention of shocks from implantable cardioverter defibrillators: the OPTIC Study: A randomized trial. JAMA, 295(2), 165–171.Google Scholar
  13. Dehdari, T., Heidarnia, A., Ramezankhani, A., Sadeghian, S., & Ghofranipour, F. (2009). Effects of progressive muscular relaxation training on quality of life in anxious patients after coronary artery bypass graft surgery. The Indian Journal of Medical Research, 129(5), 603–608.PubMedGoogle Scholar
  14. DeRubeis et al. (2010). Cognitive therapy. In K. S. Dobson (Ed.), Handbook of cognitive-behavioral therapies. New York: Guilford, 277–316.Google Scholar
  15. Domanski, M. J., Zipes, D. P., & Schron, E. (1997). Treatment of sudden cardiac death: Current understandings from randomized trials and future research directions. Circulation, 95(12), 2694–2699.PubMedCrossRefGoogle Scholar
  16. Dougherty, C. M., Johnston, S. K., & Thompson, E. A. (2007). Reliability and validity of the self-efficacy expectations and outcome expectations after implantable cardioverter defibrillator implantation scales. Applied Nursing Research, 20(3), 116–124.PubMedCrossRefGoogle Scholar
  17. Dougherty, C. M., Thompson, E. A., & Lewis, F. M. (2005). Long-term outcomes of a telephone intervention after an ICD. Pacing and Clinical Electrophysiology, 28, 1157–1167.PubMedCrossRefGoogle Scholar
  18. Dunbar, S. B., Langberg, J. J., Reilly, C. M., Viswanathan, B., McCarty, F., Culler, S. D., O’Brien, M. C., & Weintraub, W. S. (2009). Effect of a psychoeducational intervention on depression, anxiety, and health resource use in implantable cardioverter defibrillator patients. Pacing and Clinical Electrophysiology, 32(10), 1259–1271.PubMedCrossRefGoogle Scholar
  19. Edelman, S., Lemon, J., & Kirkness, A. (2007). Educational intervention for patients with automatic implantable cardioverter defibrillators. The Australian Journal of Advanced Nursing, 24(3), 26–32.PubMedGoogle Scholar
  20. Engel, G. (1971). Sudden and rapid death during psychological stress: Folklore or folk wisdom? Annals of Internal Medicine, 74, 771–782.PubMedCrossRefGoogle Scholar
  21. Ezekowitz, J. A., Armstrong, P. W., & McAlister, F. A. (2003). Implantable cardioverter defibrillators in primary and secondary prevention: A systematic review of randomized, controlled trials. Annals of Internal Medicine, 138(6), 445–452.PubMedCrossRefGoogle Scholar
  22. Fitchet, A., Doherty, P. J., Bundy, C., Bell, W., Fitzpatrick, A. P., & Garrat, C. J. (2003). Comprehensive cardiac rehabilitation programme for implantable cardioverter-defibrillator patients: A randomised controlled trial. Heart, 89(2), 155–160.PubMedCrossRefGoogle Scholar
  23. Frizelle, D. J., Lewin, R. J. P., Kaye, G., Hargreaves, C., Hasney, K., Beaumont, N., & Moniz-Cook, E. (2004). Cognitive-behavioural rehabilitation programme for patients with an implanted cardioverter defibrillator: A pilot study. British Journal of Health Psychology, 9, 381–392.PubMedCrossRefGoogle Scholar
  24. Frizelle, D. J., Lewin, B., Kaye, G., & Moniz-Cook, E. D. (2006). Development of a measure of the concerns held by people with implanted cardioverter defibrillators: The ICDC. British Journal of Health Psychology, 11, 293–301.PubMedCrossRefGoogle Scholar
  25. Gehi, A. K., Stein, R. H., Metz, L. D., & Gomes, A. (2005). Microvolt T-wave alternans for the risk stratification of ventricular tachyarrhythmic events. Journal of the American College of Cardiology, 46, 75–82.PubMedCrossRefGoogle Scholar
  26. Hazelton, A. G., Sears, S. F., Kirian, K., Matchett, M., & Shea, J. B. (2009). Cardiac partner page: Coping with cardiac disease and partner’s ICD. Circulation, 120, e73–e76.PubMedCrossRefGoogle Scholar
  27. Hilding, C., & Fridlund, B. (2003). Participation in peer support groups after a cardiac event: A 12-month follow-up. Rehabilitation Nursing, 28(4), 123–128.CrossRefGoogle Scholar
  28. Hildingh, C., & Fridlund, B. (2004). A 3-year follow-up of participation in peer support groups after a cardiac event. European Journal of Cardiovascular Nursing, 3(4), 315–320.PubMedCrossRefGoogle Scholar
  29. Jacq, F., Foulldrin, G., Savore, A., Anselme, F., Baguelin-Pinaud, A., Cribier, A., & Thibaut, F. (2009). A comparison of anxiety, depression and quality of life between device shock and nonshock groups in implantable cardioverter defibrillator recipients. General Hospital Psychiatry, 31, 266–273.PubMedCrossRefGoogle Scholar
  30. Kapa, S., Rotondi-Trevisan, D., Mariono, A., Aves, T., Irvine, J., Dorian, P., & Hayes, D. L. (2010). Psychopathology in patients with ICDs over time: Results of a prospective study. Pacing and Clinical Electrophysiology, 33, 198–208.PubMedCrossRefGoogle Scholar
  31. Kenny, T. (2006). The nuts and bolts of ICD therapy. Malden: Blackwell.CrossRefGoogle Scholar
  32. Kirian, K. B., Sears, S. F., & Shea, J. B. (2009). How to respond to an implantable cardioverter defibrillator recall. Circulation, 119, e189–e191.PubMedCrossRefGoogle Scholar
  33. Kohn, C. S., Petrucci, R. J., Baessler, C., Soto, D. M., & Movsowitz, C. (2000). The effect of psychological intervention on patients’ long-term adjustment to the ICD: A prospective study. Pacing and Clinical Electrophysiology, 23, 450–456.PubMedCrossRefGoogle Scholar
  34. Kop, W. J., Krantz, D. S., Nearing, B. D., Gottdiener, J. S., Quigley, J. F., O’Callahan, M., DelNegro, A. A., Friehling, T. D., Karasik, P., Suchday, S., Leven, J., & Verrier, R. L. (2004). Effects of acute mental stress and exercise on T-wave alternans in patients with implantable cardioverter defibrillators and controls. Circulation, 109, 1864–1869.PubMedCrossRefGoogle Scholar
  35. Kuhl, E. A., Dixit, N. K., Walker, R. L., Conti, J. B., & Sears, S. F. (2006). Measurement of patient fears about implantable cardioverter defibrillator shock: An initial evaluation of the Florida Shock Anxiety Scale. Pacing and Clinical Electrophysiology, 29(6), 614–618.PubMedCrossRefGoogle Scholar
  36. Kuhl, E. A., Sears, S. F., Vazquez, L. D., & Conti, J. B. (2009). Patient-assisted computerized education for recipients of implantable cardioverter defibrillators: A randomized controlled trial of the PACER program. The Journal of Cardiovascular Nursing, 24(3), 225–231.PubMedCrossRefGoogle Scholar
  37. Kulur, A. B., Haleagrahara, N., Adhikary, P., & Jeganathan, P. S. (2009). Effect of diaphragmatic breathing on heart rate variability in ischemic heart disease with diabetes. Arquivos Brasileiros de Cardiologia, 92(6), 423–429.PubMedCrossRefGoogle Scholar
  38. Ladwig, K. H., Baumert, J., Marten-Mittag, B., Kolb, C., Zrenner, B., & Schmitt, C. (2008). Posttraumatic stress symptoms and predicted mortality in patients with implantable cardioverter-defibrillators: Results from the prospective living with an implanted cardioverter-defibrillator study. Archives of General Psychiatry, 65(11), 1324–1330.PubMedCrossRefGoogle Scholar
  39. Lahmann, C., Henningsen, P., Schulz, C., Schuster, T., Sauer, N., Noll-Hussong, M., Ronel, J., Tritt, K., & Loew, T. (2010). Effects of functional relaxation and guided imagery on IgE in dust-mite allergic adult asthmatics: A randomized, controlled clinical trial. The Journal of Nervous and Mental Disease, 198(2), 125–130.PubMedCrossRefGoogle Scholar
  40. Lampert, R. (2005). Emotion and sudden cardiac death. Expert Review of Cardiovascular Therapy, 7, 723–725.CrossRefGoogle Scholar
  41. Lampert, R. (2010). Anger and ventricular arrhythmias. Current Opinion in Cardiology, 25, 46–52.PubMedCrossRefGoogle Scholar
  42. Lampert, R., Jain, D., Burg, M. M., Batsford, W. P., & McPherson, C. A. (2000). Destabilizing effects of mental stress of ventricular arrhythmias in patients with implantable cardioverter-defibrillators. Circulation, 101, 158–164.PubMedCrossRefGoogle Scholar
  43. Lampert, R., Joska, T., Burg, M. M., Batsford, W. P., McPherson, C. A., & Jain, D. (2002). Emotional and physical precipitants of ventricular arrhythmia. Circulation, 106, 1800–1805.PubMedCrossRefGoogle Scholar
  44. Lampert, R., Shusterman, V., Burg, M., McPherson, C., Batsford, W., Goldberg, A., & Soufer, R. (2009). Anger-induced T-wave alternans predicts future ventricular arrhythmias in patients with implantable cardioverter-defibrillators. Journal of the American College of Cardiology, 53, 774–778.PubMedCrossRefGoogle Scholar
  45. Laoutaris, I. D., Dritsas, A., Brown, M. D., Manginas, A., Kallistratos, M. S., Degiannis, D., Chaidaroglou, A., Panagiotakos, D. B., Alivizatos, P. A., & Cokkinos, D. V. (2007). Immune response to inspiratory muscle training in patients with chronic heart failure. European Journal of Cardiovascular Prevention and Rehabilitation, 14(5), 679–685.PubMedCrossRefGoogle Scholar
  46. Lemon, J., Edelman, S., & Kirkness, A. (2004). Avoidance behaviors in patients with implantable cardioverter defibrillators. Heart & Lung, 33(3), 176–182.CrossRefGoogle Scholar
  47. Leor, J., Poole, K., & Kloner, R. A. (1996). Sudden cardiac death triggered by an earthquake. The New England Journal of Medicine, 334, 413–419.PubMedCrossRefGoogle Scholar
  48. Lewin, R. J., Coulton, S., Frizelle, D. J., Kaye, G., & Cox, H. (2009). A brief cognitive behavioural preimplantation and rehabilitation programme for patients receiving an implantable cardioverter-defibrillator improves physical health and reduces psychological morbidity and unplanned readmissions. Heart, 95(1), 63–69.PubMedCrossRefGoogle Scholar
  49. Lewis, L. K., Williams, M. T., & Olds, T. (2007). Short-term effects on outcomes related to the mechanism of intervention and physiological outcomes but insufficient evidence of clinical benefits for breathing control: A systematic review. The Australian Journal of Physiotherapy, 53(4), 219–227.PubMedCrossRefGoogle Scholar
  50. Mark, D. B., Anstrom, K. J., Sun, J. L., et al. (2008). Quality of life with defibrillator therapy or amiodarone in heart failure. The New England Journal of Medicine, 359(10), 999–1008.PubMedCrossRefGoogle Scholar
  51. Matchett, M., Kirian, K., Hazelton, A. G., Brumfield, J., & Sears, S. F. (2009). Common presenting psychosocial problems for implantable cardioverter defibrillator patients: A primer for consulting professionals. In L. Sher (Ed.), Psychological factors and cardiovascular disorders. New York: Nova Biomedical Books.Google Scholar
  52. Meisel, S. R., Kutz, I., Dayan, K. I., Pauzner, H., Chetboun, I., Arbel, Y., & David, D. (1991). Effect of Iraqi missile war on incidence of acute myocardial infarction and sudden death in Israeli civilians. Lancet, 338, 660–661.PubMedCrossRefGoogle Scholar
  53. Moss, A. J., et al. (1996). Improved survival with an implanted defibrillator in patients with coronary disease at high risk for ventricular arrhythmia. Multicenter automatic defibrillator implantation trial investigators. The New England Journal of Medicine, 335, 1933–1940.PubMedCrossRefGoogle Scholar
  54. Parry, M., & Watt-Watson, J. (2010). Peer support intervention trials for individuals with heart disease: A systematic review. European Journal of Cardiovascular Nursing, 9(1), 57–67.PubMedCrossRefGoogle Scholar
  55. Passman, R., Subacius, H., Ruo, B., Schaechter, A., Howard, A., Sears, S. F., & Kadish, A. (2007). Implantable cardioverter defibrillators and quality of life: Results from the Defibrillators in Nonischemic Cardiomyopathy Treatment Evaluation Study. Archives of Internal Medicine, 167, 2226–2232.PubMedCrossRefGoogle Scholar
  56. Pastore, J. M., Girouard, S. D., Laurita, K. R., Akar, F. G., & Rosenbaum, D. S. (1999). Mechanism linking T-wave alternans to the genesis of cardiac fibrillation. Circulation, 99, 1385–1394.PubMedCrossRefGoogle Scholar
  57. Pedersen, S. S., Van Den Broek, K., & Sears, S. F. (2007). Psychological intervention following implantation of an implantable defibrillator: A review and future recommendations. Pacing and Clinical Electrophysiology, 30, 1–9.CrossRefGoogle Scholar
  58. Pelletier, D., Gallagher, R., Mitten-Lewis, S., McKinley, S., & Squire, J. (2002). Australian implantable cardiac defibrillator recipients: Quality-of-life issues. International Journal of Nursing Practice, 8(2), 68–74.PubMedCrossRefGoogle Scholar
  59. Salmoirago-Blotcher, E., & Ockene, I. S. (2009). Methodological limitations of psychosocial interventions in patients with an implantable cardioverter-defibrillator (ICD): A systematic review. BMC Cardiovascular Disorders, 9, 56.PubMedCrossRefGoogle Scholar
  60. Sears, S. F., & Conti, J. B. (2003). Understanding ICD shocks and storms: Medical and psychosocial considerations for research and clinical care. Clinical Cardiology, 26, 107–177.PubMedCrossRefGoogle Scholar
  61. Sears, S. F., Conti, J., Curtis, A., Saia, T. L., Foote, R., & Wen, F. (1999). Affective distress and implantable cardioverter defibrillators: Cases for psychological and behavioral interventions. Pacing and Clinical Electrophysiology, 22, 1831–1834.PubMedCrossRefGoogle Scholar
  62. Sears, S. F., Kirian, K., Matchett, M., Benton, C., & Nekkanti, R. (2011). Family matters: Research and clinical management of psychosocial issues for ICD patients and ICD partners. In A. Tsiperfal (Ed.), Practical cardiac arrhythmia management for nurses and associated professionals. Google Scholar
  63. Sears, S. F., Lewis, T. S., Kuhl, E. A., & Conti, J. B. (2005). Predictors of quality of life in implantable cardioverter defibrillator patients. Psychosomatics, 46, 451–457.PubMedCrossRefGoogle Scholar
  64. Sears, S. F., Matchett, M., & Conti, J. B. (2009). Effective management of ICD psychosocial issues and patient critical events. Journal of Cardiovascular Electrophysiology, 20, 1297–1304.PubMedCrossRefGoogle Scholar
  65. Sears, S. F., Shea, J. B., & Conti, J. B. (2005). The cardiology patient page: How to respond to and ICD shock. Circulation, 111, e380–e383.PubMedCrossRefGoogle Scholar
  66. Sears, S. F., Sowell, L. V., Kuhl, E. A., Kovacs, A. H., Serber, E. R., Handberg, E., Kneipp, S. M., Zineh, I., & Conti, J. B. (2007). The ICD shock and stress management program: A randomized trial of psychosocial treatment to optimize quality of life in ICD patients. Pacing and Clinical Electrophysiology, 30, 858–864.PubMedCrossRefGoogle Scholar
  67. Sears, S. F., Todaro, J. F., Saia, T. L., Sotile, W., & Conti, J. B. (1999). Examining the psychosocial impact of implantable cardioverter defibrillators: A literature review. Clinical Cardiology, 22, 481–489.PubMedCrossRefGoogle Scholar
  68. Sears, S. F., Vazquez, L., Matchett, M., & Pitzalis, M. (2008). State of the art: Anxiety management in patients with implantable cardioverter defibrillators. Stress and health.Google Scholar
  69. Shedd, O. L., Sears, S. F., Harvill, J. L., Arshad, A., Conti, J. B., Steinberg, J. S., & Curtis, A. B. (2004). The World Trade Center attack: Increased frequency of defibrillator shocks for ventricular arrhythmias in patients living remotely from New York City. Journal of the American College of Cardiology, 44(6), 1256–1257.CrossRefGoogle Scholar
  70. Shusterman, V., Goldberg, A., & London, B. (2006). Upsurge in T-wave alternans and nonalternating repolarization instability precedes spontaneous initiation of ventricular tachyarrhythmias in humans. Circulation, 113, 2880–2887.PubMedCrossRefGoogle Scholar
  71. Spindler, H., Johansen, J. B., Andersen, K., Mortensen, P., & Pedersen, S. S. (2009). Gender differences in anxiety and concerns about the cardioverter defibrillator. Pacing and Clinical Electrophysiology, 32, 614–621.PubMedCrossRefGoogle Scholar
  72. Steinberg, J. S., Arshad, A., Kowalski, M., Kukar, A., Suma, V., Bloka, M., Ehlert, F., Herweg, B., Donnelly, J., Philip, J., Reed, G., & Rozanski, A. (2004). Increased incidence of life-threatening ventricular arrhythmias in implantable defibrillator patients after the World Trade Center attack. Journal of the American College of Cardiology, 44(6), 1261–1264.PubMedCrossRefGoogle Scholar
  73. Stutts, L. A., Cross, N. J., Conti, J. B., & Sears, S. F. (2007). Examination of research trends on patient factors in implantable cardioverter defibrillator patients. Clinical Cardiology, 30, 64–68.PubMedCrossRefGoogle Scholar
  74. The American Heart Association. (2007). Heart disease and stroke statistics – 2007 update: A report from the American Heart Association. Dallas: The American Heart Association.Google Scholar
  75. Turhakia, M., & Tseng, Z. H. (2007). Sudden cardiac death: Epidemiology, mechanisms, and therapy. Current Problems in Cardiology, 32(9), 501–546.CrossRefGoogle Scholar
  76. Urech, C., Fink, N. S., Hoesli, I., Wilhelm, F. H., Bitzer, J., & Alder, J. (2010). Effects of relaxation on psychobiological wellbeing during pregnancy: A randomized controlled trial. Psychoneuroendocrinology, 35(9), 1348–1355.PubMedCrossRefGoogle Scholar
  77. Vazquez, L. D., Conti, J. B., & Sears, S. F. (2010). Female-specific education, management, and lifestyle enhancement for implantable cardioverter defibrillator patients: The FEMALE-ICD Study. Pacing and Clinical Electrophysiology, 33(9), 1131–1140.PubMedCrossRefGoogle Scholar
  78. Wang, P. J., Al-Ahmad, A., Hsia, H. H., & Zei, P. C. (2008). Advances in implantable defibrillator therapy and technologies. In P. Wang, H. Hsia, A. Al-Ahmad, & P. Zei (Eds.), Ventricular arrhythmias and sudden cardiac death: Mechanism, ablation, and defibrillation (pp. 312–326). Malden: Blackwell.CrossRefGoogle Scholar
  79. Whang, W., Albert, C. M., Sears, S. F., Lampert, R., Conti, J. B., Wang, P. J., Singh, J. P., Ruskin, J. N., Muller, J. E., & Mittleman, M. A. (2005). Depression as a predictor for appropriate shocks among patients with implantable cardioverter-defibrillators: Results from the Triggers of Ventricular Arrhythmias (TOVA) Study. Journal of the American College of Cardiology, 45(7), 1090–1095.PubMedCrossRefGoogle Scholar
  80. Wilkoff, B. L., & Thal, S. G. (2008). The implantable cardioverter defibrillator: Technical and clinical considerations. In I. Gussak & C. Antzelevitch (Eds.), Electrical disease of the heart: Genetics, mechanisms, treatment, prevention (pp. 772–780). London: Springer.CrossRefGoogle Scholar
  81. Wright, J. H., Basco, M. R., & Thasco, M. E. (2006). Learning cognitive-behavioral therapy. Arlington: American Psychiatric Publishing.Google Scholar
  82. Yu, D. S. F., Lee, D. T. F., & Woo, J. (2009). Improving health-related quality of life patients with chronic heart failure: Effects of relaxation therapy. Journal of Advanced Nursing, 66(2), 392–403.CrossRefGoogle Scholar
  83. Zimetbaum, P. J., & Josephson, M. E. (2009). Practical clinical electrophysiology. Philadelphia: Lippincott Williams & Wilkins.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Kari Kirian
    • 1
  • Samuel F. Sears
    • 1
    • 2
  • Harry DeAntonio
    • 2
  1. 1.Department of PsychologyEast Carolina UniversityGreenvilleUSA
  2. 2.Department of Cardiovascular Sciences, East Carolina Heart InstituteEast Carolina UniversityGreenvilleUSA

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