Morris P L, Badger J, Chmielewski C, Berger E, Goldberg R J
Department of Psychiatry, Brown University.
Psychosomatics. 1991 Winter;32(1):58-64. doi: 10.1016/S0033-3182(91)72112-9.
The automatic implantable cardioverter defibrillator (AICD) has found a place in the treatment of sustained ventricular tachycardia and in survivors of sudden arrhythmic death. However, little is known about the psychological impact of this device on patients and their families. In a group of 20 AICD recipients, examined between 3 and 21 months post-implantation, the prevalence of psychiatric disorder was 50%. Following implantation, six patients suffered from adjustment disorder; three suffered from major depression; and one developed panic disorder. Psychiatric morbidity in patients was associated with psychopathology in family members, peri-operative AICD shocks, and social support that was perceived to be inadequate.
植入式自动心脏复律除颤器（AICD）已在持续性室性心动过速的治疗以及心律失常性猝死幸存者的治疗中占据一席之地。然而，关于该设备对患者及其家人的心理影响，人们知之甚少。在一组20名AICD植入者中，于植入后3至21个月进行检查，发现精神障碍患病率为50%。植入后，6名患者患有适应障碍；3名患者患有重度抑郁症；1名患者患上惊恐障碍。患者的精神疾病发病率与家庭成员的精神病理学、围手术期AICD电击以及被认为不足的社会支持有关。
