Department of Psychology, East Carolina University, Greenville, NC, USA.
Department of Cardiovascular Sciences, East Carolina University, Greenville, NC, USA.
Curr Cardiol Rep. 2023 Sep;25(9):1029-1039. doi: 10.1007/s11886-023-01924-4. Epub 2023 Jul 24.
This paper reviews the unique processes and treatments of post-traumatic stress in implantable cardioverter-defibrillator (ICD) patients and posits specific clinical management recommendations.
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. 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.
本文回顾了植入式心脏复律除颤器（ICD）患者创伤后应激障碍的独特处理方法，并提出了具体的临床管理建议。
创伤后应激障碍是潜在 ICD 患者的常见问题，也是 ICD 电击后的常见反应。大约 32%的心脏骤停患者报告有明显的创伤后应激障碍症状。电击后，约 20%的患者因电击而出现创伤后应激障碍。然而，从心脏病专家的角度来看，创伤后应激障碍会干扰和破坏临床管理，并给患者及其家属带来重大困扰。一般来说，很少有心脏病学诊所配备了有效地管理心理困扰的能力，更不用说创伤后应激障碍了。通过心脏科诊所的直接护理以及通过多学科咨询和专业知识的间接护理，可以实现对创伤后应激障碍患者的有效管理。在当前的管理中，强调了情感验证、恢复身体活动和家庭参与的重要性。
