Implantable Cardioverter Defibrillator

Implantable cardioverter defibrillator (ICD) therapy is increasingly a top-choice intervention for life-threatening arrhythmias in pediatric patients. Children undergoing ICD treatment face the challenge of adjusting to a device that emits both appropriate and inappropriate shocks, the latter of which occur at a higher frequency in children than adults (Costa et al. 2007). In addition, these children encounter obstacles familiar to any child who copes with a chronic physical illness, such as school absences, physical limitations, and body scars (DeMaso et al. 2009). The literature is sparse, however, regarding the psychological impact of ICDs on children and adolescents (Blom 2008; DeMaso et al. 2004).

In a study of 16 youngsters who received ICD devices, half of the sample demonstrated symptoms of depression and anxiety (Eicken et al. 2006). Although the ICD devices in this study were successful in preventing sudden cardiac death, a significant occurrence of device complications may have impacted the findings. In contrast, a study of 20 pediatric patients with ICD devices did not find significant depressive and anxiety symptoms, although the patients did experience a significantly lower overall quality of life. Interestingly, the quality of life in this study was more strongly correlated with family functioning and feelings of anxiety and depression than with illness severity (DeMaso et al. 2004).

How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

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