title: Implantable cardioverter defibrillator implant-explant-implant case study: addressing the psychological adjustment to multiple shocks.
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.
authors.affiliation: College of Public Health and Health Professions, Department of Clinical Health Psychology; University of Florida, Gainesville 32610, USA.
authors.forename: Adrienne H
authors.initials: AH
authors.lastname: Kovacs
authors.forename: Suzanne
authors.initials: S
authors.lastname: Feigofsky
authors.forename: J Sean
authors.initials: JS
authors.lastname: Goff
authors.forename: Arwa S
authors.initials: AS
authors.lastname: Saidi
authors.forename: Anne B
authors.initials: AB
authors.lastname: Curtis
authors.forename: Jamie B
authors.initials: JB
authors.lastname: Conti
authors.forename: Samuel F
authors.initials: SF
authors.lastname: Sears
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D002312:Cardiomyopathy, Hypertrophic / Q000628:therapy; D017147:Defibrillators, Implantable / Q000009:adverse effects* / Q000523:psychology*; D004868:Equipment Failure; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D005791:Patient Care; D011788:Quality of Life