Page 94 - JCBP-2-3

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

can be used to treat anxiety and depression by changing for ICD shocks, which is particularly evident in this case. To
the unreasonable cognition of patients. Most of the remote improve the prognosis of patients with ICD implantation,
interventions are both feasible and convenient as they can early cognitive behavioral therapy, appropriate physical
be administered through WiFi-accessible smartphones. exercise, and pharmacological intervention should be
Previous studies have also shown that cognitive behavioral considered to alleviate their mental health problems.
therapy is effective in treating ICD-implanted patients with
symptoms of depression and anxiety. As a complementary Acknowledgments
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intervention employed to treat issues such as anxiety, The author would like to thank Dr. Zhang of the
mindfulness has been shown to be effective in controlling Department of Cardiology, Wuxi People’s Hospital, who
cardiovascular disease, promoting greater emotional provided us with the clinical data and prepared the figures
stability, and helping to improve the mood of individuals presented in this case report.
with heart disease Aditee et al. showed that meditation
16
.
reduced atrial fibrillation episodes and sustained ventricular Funding
tachycardia after conducting a pilot study of the effects of
meditation on 25 patients with ICD implantation for heart This work was supported by the Health Commission of
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failure. Besides, it is safe and feasible to use smartphones Jiangsu Province (Grant: LKM2023031) and “TAIHU”
to deliver mindfulness intervention to patients with ICD talent program (Grant: 2023XSMZL-GD-YZM-2023).
implantation to improve their anxiety. Conflict of interest
Other non-drug therapies, including aerobic exercise, The authors declare that they have no competing interests.
have also been linked to significant reductions in anxiety
and depression in patients with ICD implantation. Exercises Author contributions
have been proved for their intervening effects on many
mental health problems. For instance, a study found that Conceptualization: Zhiming Yu
aerobic exercise can improve general psychological distress Investigation: Yue Sun
and anxiety, while resistance training can improve disease- Writing – original draft: Yue Sun
specific symptoms, anxiety sensitivity, pain tolerance, and Writing – review & editing: Zhiming Yu
tolerance to uncertainty. In the study, about 50% of the Ethics approval and consent to participate
18
patients with ICD implantation chose to avoid committing
daily household activities, sexual activities, and physical The consent of the patient has been obtained, before his
exercise of moderate-to-high intensity to prevent the participation, to use his clinical data and psychological
occurrence of ICD shock. A study suggests that moderate- assessment results.
to-vigorous exercise training is safe to patients with ICD
and effective in controlling their physical health and Consent for publication
cardiopulmonary outcomes, with no increase in adverse The patient has consented to publishing his clinical data in
events such as ICD shock or SCD. For patients with ICD, this case report. The authors have implemented the necessary
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we recommend practicing aerobic exercise as the main measures to ensure the anonymity of the patient by removing
exercise but avoid climbing, swimming, and other forms of the easily distinguishable, patient-specific information.
exercise that require excessive arm extension. The exercise
intensity can be gradually increased from low to moderate Availability of data
intensity while ensuring that the real-time heart rate during
exercise is 20 beats lower than the heart rate at which ICD All demographic characteristics, clinical data, and
shock is induced. The duration of exercise can also be laboratory test results of the patient can be obtained from
gradually increased from 10 – 15 min to 30 – 60 min. It this case report. The patient’s ICD programming data were
is necessary to adjust the intensity, time, and frequency of obtained from the review of the ICD work diary of the
outpatient return visit.
aerobic exercise according to individual differences.
4. Conclusion References
1. Bourier F, Denis A, Cheniti G, et al. Early repolarization
In summation, frequent ICD shocks due to VF attacks syndrome: Diagnostic and therapeutic approach. Front
can negatively affect the psychological state of patients. Cardiovasc Med. 2018;5:169.
Conversely, post-traumatic stress disorder, anxiety, or
depression that occur after shock can in turn increase the doi: 10.3389/fcvm.2018.00169
risk of ventricular arrhythmia and may become the trigger 2. Antzelevitch C, Yan GX. J wave syndromes. Heart Rhythm.

Volume 2 Issue 3 (2024) 6 doi: 10.36922/jcbp.2848