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Aikaterini Tsoni, Theodoros Kapadohos

Saturday, October 1, 2022

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Pages: 349-357

DOI: 10.5281/zenodo.8067036


Introduction: Over the past few decades, rates of permanent cardiac pacemaker implantation have rapidly increased mainly due to improvements in the diagnosis of heart disease and advances in technology. The implantation of a pacemaker for the treatment of bradycardia and other arrhythmias has significantly contributed to the improvement of patients’ quality of life. The purpose of this review was to explore factors that influence quality of life in patients with permanent cardiac pacemaker. Methodology: A literature review was carried out mainly from the last decade in the electronic databases PubMed and Google Scholar using the following keywords: "quality of life, pacemaker implantation, bradycardia". The search languages were English and Greek. Results: From the literature review it appears that demographic (age), clinical (frailty), psychological (anxiety, depression) and social factors influence the quality of life in patients after pacemaker implantation. Anxiety and depression are factors that are negatively correlated with quality of life. Education, detailed information, adherence to scheduled reassessment meetings, knowledge of the function of the device and the limitations in the recipient's daily life, exert a positive influence on the quality of life whereas, on the contrary, misconceptions about the pacemaker device, heart disease and about the required lifestyle changes are aggravating factors. Conclusions: In clinical practice, knowledge of factors affecting quality of life is useful in monitoring treatment effectiveness. Moreover, this knowledge is expected to enlighten healthcare professionals in order to provide evidence-based care to this steadily growing population.

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