Parsai Chirine, Bonvini Robert F, Schnetzler Bruno, Sunthorn Henri
Cardiology Center, University Hospital of Geneva (HUG), Rue Micheli-du-Crest 24, 1211 Geneva 14, Switzerland.
Heart Vessels. 2007 Sep;22(5):349-51. doi: 10.1007/s00380-007-0987-8. Epub 2007 Sep 20.
The implantable cardioverter defibrillator (ICD) may be responsible for psychological disorders especially among patients experiencing multiple shocks. An associated hyperadrenergic state (e.g., anger, anxiety) may trigger malignant ventricular arrhythmias repeatedly treated by ICD shocks, entertaining a "vicious circle" often difficult to interrupt. Despite aggressive cardiac and psychological therapeutic efforts, this condition may be refractory, finally leading to heart transplantation, as described in this case report.
植入式心脏复律除颤器（ICD）可能导致心理障碍，尤其是在经历多次电击的患者中。相关的高肾上腺素能状态（如愤怒、焦虑）可能引发恶性室性心律失常，ICD电击会反复对其进行治疗，从而形成一个往往难以中断的“恶性循环”。尽管进行了积极的心脏和心理治疗，但这种情况可能难以治愈，最终导致心脏移植，本病例报告中对此有所描述。
