Page 92 - JCBP-2-3

Journal of Clinical and
Basic Psychosomatics Psychological changes in patient with ICD

Figure 3. Ventricular fibrillation (VF) events in patients reviewed at the time of ICD programming. On October 23, 2022, one episode of VF lasting about
12 s (heart rate = 324 bpm) was detected, and the sinus rhythm was restored following one “shock” triggered by ICD implanted. On November 19, 2022,
November 30, 2022, and December 10, 2022, the patient separately experienced episodes of VF that was terminated with ICD shock therapy.

ICD implantation is a recommended therapeutic strategy suicide; (3) sexual dysfunction; (4) forced braking and
to prevent SCD for ERS patients who have experienced limb weakness on one side of the device; and (5) frequent
cardiac arrest. ICD implantation is also considered for ventricular tachycardia attacks. After analyzing the
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symptomatic family members of ERS patients, who manifest emotional symptoms of ICD-implanted patients, Ghezzi
ST elevation ≥1 mm in two or more inferior or lateral leads et al. found that 22.58% of the patients had clinically
and have a history of syncope. For asymptomatic ERS relevant anxiety (95% CI: 18.26 – 26.91), 15.42% of the
patients, ICD implantation is also recommended if they patients had depression (95% CI: 11.90 – 18.94), and the
exhibit high-risk ECG (such as a high-amplitude J wave, prevalence of post-traumatic stress disorder was 12.43%
horizontal or descending ST segment) and have strong (95% CI: 6.90 – 17.96). ICD-implanted patients who
family history of sudden juvenile death (regardless of the experienced shock were more likely to experience clinically
disease-causing gene mutations). 6 relevant anxiety and depression (anxiety: odds ratio = 3.92

Patients with ICD implantation are often accompanied [95% CI: 1.67 – 9.19]; depression: odds ratio = 1.87 [95%
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by more conspicuous physiological and psychological CI: 1.34 – 2.59]). The MADIT-RIT study, which followed
issues compared with general heart disease patients. patients with ICD implantation for 9 months, found
Some of the main clinical symptoms attributable to the that ≥2 appropriate or inappropriate ICD shocks and
physiological and psychological issues are as follows: (1) ≥2 appropriate antitachycardia pacing treatments were
anxiety and depression; (2) behavioral confrontation and associated with more anxiety at 9 months of follow-up. At
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Volume 2 Issue 3 (2024) 4 doi: 10.36922/jcbp.2848