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. 2006 Dec 5;29(6):274–276. doi: 10.1002/clc.4960290610

Implantable cardioverter defibrillator implant‐explant‐implant case study: Addressing the psychological adjustment to multiple shocks

Adrienne H Kovacs 1, Suzannef Eigofsky 2, J Sean Goff 2, Arwa S Saidi 3, Anne B Curtis 4,, Jamie B Conti 2,, Samuel F Sears 1,†,
PMCID: PMC6654638  PMID: 16796079

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 indicationfor 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 forthe patient's experience.

Keywords: implantable cardioverter defibrillator, case study, psychological, explantation, shock anxiety, therapy

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