Psychiatric assessment of patients with life-threatening cardiac arrhythmias.
OBJECTIVE
This article describes the development of a protocol specifically designed for the psychiatric assessment of patients with life-threatening ventricular arrhythmias.


METHODS
Psychiatric assessment occurs in the context of a team approach in which the cardiologist has a pivotal role. Initial findings and one-year follow-up data on the first twenty-five patients evaluated psychiatrically are presented.


RESULTS
Findings tend to confirm that psychiatric complaints are common on initial assessment and suggest that patients with life-threatening ventricular arrhythmias who do not use the psychological mechanism of denial and volunteer psychological complaints may constitute a subgroup of patients who would be more amenable to psychiatric intervention compared to those denying psychological complaints at initial psychiatric interview.


CONCLUSIONS
Psychiatrists and associated professionals should become more involved with patients with life-threatening cardiac arrhythmias.
University of Toronto, Ontario, Canada.
B
B
Baker
S S
SS
Kazarian
P
P
Dorian
C
C
Lanphier
D000223:Adaptation, Psychological; D001293:Attitude to Death; D016757:Death, Sudden, Cardiac / Q000517:prevention & control; D003717:Denial, Psychological; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D012803:Sick Role; D017180:Tachycardia, Ventricular / Q000523:psychology*