{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,7]],"date-time":"2026-06-07T17:27:15Z","timestamp":1780853235877,"version":"3.54.1"},"reference-count":44,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2012,6,26]],"date-time":"2012-06-26T00:00:00Z","timestamp":1340668800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:p><jats:italic>\n            <jats:bold>Background:<\/jats:bold> Patients receive education before implantable cardioverter defibrillator (ICD) implantation. Patients\u2019 understanding of ICD therapy requires investigation.<\/jats:italic><\/jats:p><jats:p><jats:italic>\n            <jats:bold>Methods:<\/jats:bold> A retrospective cohort study was carried out at two implant centers where patients are educated during a consenting process pre\u2010ICD implantation. Questionnaires examining understanding of ICD therapy were completed during telephone interviews of patients with ICDs.<\/jats:italic><\/jats:p><jats:p><jats:italic>\n            <jats:bold>Results:<\/jats:bold> Of 75 patients interviewed, 62 (83%) were male. The median age at time of ICD implantation was 64 years (standard deviation [SD] = 9.4; range: 29\u201382 years). The median interval from implantation to interview was 3 years (SD = 1.9; range: 0.1\u20139.0 years). Despite 83% (62 of 75) claiming to understand the reason for ICD implantation, no patient suggested arrhythmia termination when describing the indication.<\/jats:italic><\/jats:p><jats:p>Of shock recipients, 60% (12 of 20) felt poorly prepared for shock therapy. Of patients who experienced a device\u2010related complication, 83% (10 of 12) reported feeling inadequately forewarned of complications. Excluding patients with cardiac resynchronization therapy defibrillators (n = 6), 65% (45 of 69), 52% (36 of 69), 50% (35 of 69), and 61% (42 of 69) believe their ICD reduces risk of heart attack and improves breathing, exercise capacity, and heart function, respectively. Ninety\u2010three percent (70 of 75) are satisfied with their decision to accept ICD therapy. Only 12% (9 of 75) believe they will want to inactivate therapies in setting of terminal illness.<\/jats:p><jats:p><jats:bold>\n            <jats:italic>Conclusions:<\/jats:italic>\n          <\/jats:bold> Despite preimplantation education, patient comprehension of the risks and benefits of ICD therapy is poor. Patients\u2019 expectations of ICD therapy may be inappropriate. Education strategies before and after implantation require improvement. <jats:italic>(PACE 2012; 35:1097\u20131102)<\/jats:italic><\/jats:p>","DOI":"10.1111\/j.1540-8159.2012.03448.x","type":"journal-article","created":{"date-parts":[[2012,6,27]],"date-time":"2012-06-27T03:00:28Z","timestamp":1340766028000},"page":"1097-1102","source":"Crossref","is-referenced-by-count":29,"title":["Deficiencies in Patients\u2019 Comprehension of Implantable Cardioverter Defibrillator 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