Implantable cardioverter defibrillator implant-explant-implant case study: addressing the psychological adjustment to multiple shocks.
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.
Kovacs
Adrienne H
AH
College of Public Health and Health Professions, Department of Clinical Health Psychology; University of Florida, Gainesville 32610, USA.
Feigofsky
Suzanne
S
Goff
J Sean
JS
Saidi
Arwa S
AS
Curtis
Anne B
AB
Conti
Jamie B
JB
Sears
Samuel F
SF
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