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Addressing PTSD in Implantable Cardioverter Defibrillator Patients: State-of-the-Art Management of ICD Shock and PTSD

  • Psychological Aspects of Cardiovascular Diseases (IM Kronish, Section Editor)
  • Published:
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Abstract

Purpose of Review

This paper reviews the unique processes and treatments of post-traumatic stress in implantable cardioverter-defibrillator (ICD) patients and posits specific clinical management recommendations.

Recent Findings

PTSD is a common presenting problem for a prospective ICD patient and is a common response to ICD shocks. Approximately 32% of patients with sudden cardiac arrest report significant PTSD symptoms. Following ICD shock, approximately 20% experience PTSD from the shocks. Regardless, PTSD can interrupt and undermine clinical management from a cardiologist perspective and create significant disturbance in patients and families. Few cardiology clinics are outfitted to effectively manage psychological distress, in general, and PTSD, in particular.

Summary

Effective management of PTSD patients can be achieved with both direct care in the cardiac clinic, as well as indirect care via multidisciplinary consultation and expertise. The importance of emotional validation, return to physical activity, and family engagement is emphasized in current management.

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Authors and Affiliations

  1. Department of Psychology, East Carolina University, Greenville, NC, USA

    Sears S. F., Harrell R., Sorrell A., Jordan E. & Anthony S.

  2. Department of Cardiovascular Sciences, East Carolina University, Greenville, NC, USA

    Sears S. F., Hashmath Z. & Nekkanti R.

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Samuel F. Sears, PhD: Honoraria/Consulting Fees: Medtronic, Abbott, Zoll Medical, and Biotronik. The other authors declare that they have no conflict of interest.

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F., S.S., R., H., A., S. et al. Addressing PTSD in Implantable Cardioverter Defibrillator Patients: State-of-the-Art Management of ICD Shock and PTSD. Curr Cardiol Rep 25, 1029–1039 (2023). https://doi.org/10.1007/s11886-023-01924-4

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  • DOI: https://doi.org/10.1007/s11886-023-01924-4

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