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Treatment of phantom shocks: A case report
Danielle R Hairston1, Ralph H de Similien2, Seth Himelhoch3
11 Department of Psychiatry, University of Maryland, Baltimore, MD, USA.
International Journal of Psychiatry in Medicine
|September 25, 2018
Summary
Implantable cardioverter-defibrillators (ICDs) can cause psychological distress, including "phantom shocks." This review explores these events and their impact on patient mental health.
Area of Science:
- Cardiology
- Psychiatry
Background:
- Implantable cardioverter-defibrillators (ICDs) are standard for preventing sudden cardiac death.
- Despite their efficacy, ICDs can lead to adverse psychological outcomes.
Observation:
- Patients may experience apprehension, anxiety, and fear of shocks.
- "Phantom shocks" are reported shocks without device discharge evidence.
- A case of a patient with ischemic cardiomyopathy experiencing phantom shocks is presented.
Findings:
- Phantom shocks can significantly impact patient mental health.
- Associated symptomatology and psychological consequences are reviewed.
Implications:
- Understanding phantom shocks is crucial for managing ICD patients.
- Addressing psychological sequelae improves patient well-being and device acceptance.
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