Implantable cardioverter defibrillator implant-explant-implant case study: addressing the psychological adjustment to multiple shocks

Clin Cardiol. 2006 Jun;29(6):274-6. doi: 10.1002/clc.4960290610.

Abstract

This case study details the multidisciplinary approach to a patient who underwent implantable cardioverter defibrillator (ICD) explantation for psychological reasons. The patient was unable to manage the stress associated with multiple shocks. He had a class I indication for an ICD but initially refused to undergo reimplantation. Treatment included the provision of comprehensive medical, nursing, and psychological care, with emphasis on patient autonomy and respect for the patient's experience.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Cardiomyopathy, Hypertrophic / therapy
  • Defibrillators, Implantable / adverse effects*
  • Defibrillators, Implantable / psychology*
  • Equipment Failure
  • Humans
  • Interdisciplinary Communication
  • Male
  • Patient Care
  • Quality of Life