title: Quality-of-life six months after CABG surgery in patients randomized to ICD versus no ICD therapy: findings from the CABG Patch Trial.
abstract: ICDs can affect a patient's perceived quality-of-life (QOL). This article describes the QOL in patients who participated in The CABG Patch Trial. This trial evaluated the potential benefit of empiric ICD implantation in patients with an increased risk of arrhythmic cardiac death as determined by reduced ejection fraction (<0.36) and an abnormal signal-averaged ECG. Patients were randomized to control (no ICD) or treatment (ICD) limbs. QOL was measured using the SF-36 and other measures among 490 (68%) of 719 patients available at 6-month follow-up. Analysis was performed on 228 control patients (those without ICDs) and 262 patients with ICDs.
  
  
  RESULTS
  Six months after having CABG surgery, patients in the ICD group had lower levels of psychological well-being than those in the control group. In addition, compared to controls, patients whose ICDs had delivered therapy reported feeling less healthy, had reduced physical and emotional role functioning, and had lower levels of psychological well-being.
  
  
  CONCLUSIONS
  Strategies aimed at easing patients' adjustment to ICDs should be developed and tested for efficacy in the setting of ICD prophylaxis.
authors.affiliation: Columbia University, New York, New York 10032, USA.
authors.forename: P B
authors.initials: PB
authors.lastname: Namerow
authors.forename: B R
authors.initials: BR
authors.lastname: Firth
authors.forename: G M
authors.initials: GM
authors.lastname: Heywood
authors.forename: J R
authors.initials: JR
authors.lastname: Windle
authors.forename: M K
authors.initials: MK
authors.lastname: Parides
mesh_terms: D001145:Arrhythmias, Cardiac / Q000175:diagnosis / Q000628:therapy*; D001026:Coronary Artery Bypass; D016757:Death, Sudden, Cardiac / Q000517:prevention & control; D017147:Defibrillators, Implantable; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011788:Quality of Life; D012307:Risk Factors; D012959:Socioeconomic Factors; D013318:Stroke Volume; D011795:Surveys and Questionnaires