心脏骤停和植入式心脏除颤器电击对心理健康的影响：综述与管理指南

Impact of Sudden Cardiac Arrest and Implantable Cardiac Defibrillator Shocks on Mental Health: Review and Management Guidance.

作者信息

Torbey Estelle, Mena-Hurtado Carlos, Jackson Jamie L, Samaan Zainab, Sears Samuel F, Pedersen Susanne S, Lala Anurada, Thachil Rosy, Steiner Jill, Ilonze Onyedika J, Jones Davis, Watson Karol, Price Andrea, Knoepke Christopher, Cheung Jim W, Smolderen Kim

机构信息

Department of Internal Medicine, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.

Department of Internal Medicine, Yale University, New Haven, Connecticut, USA.

出版信息

JACC Adv. 2025 May 14;4(6 Pt 1):101797. doi: 10.1016/j.jacadv.2025.101797.

DOI:10.1016/j.jacadv.2025.101797

PMID:40373523

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12144438/

Abstract

Survivors of sudden cardiac arrest (SCA) and those who experience shocks from an implantable cardiac defibrillator (ICD-S) are at risk of developing unrecognized and untreated mental health (MH) symptoms. MH sequelae can include anxiety, depression, or post-traumatic stress symptoms which hinder one's ability to return to usual life and activity, impeding follow-up, health care seeking, and adherence to care plans. Addressing MH as part of a whole person care in such scenarios could lead to improved wellness and recovery. This review examines the MH sequelae of SCA and ICD-S, explores potential therapies for managing these issues, proposes strategies to improve MH post-SCA or defibrillator shock, and identifies areas for future research.

摘要

心脏骤停（SCA）幸存者以及接受植入式心脏除颤器电击（ICD-S）的患者有出现未被识别和未得到治疗的心理健康（MH）症状的风险。MH后遗症可能包括焦虑、抑郁或创伤后应激症状，这些症状会妨碍患者恢复正常生活和活动的能力，阻碍后续治疗、医疗求助以及对护理计划的依从性。在这种情况下，将MH作为整体护理的一部分加以解决，可能会改善健康状况和促进康复。本综述研究了SCA和ICD-S的MH后遗症，探讨了管理这些问题的潜在疗法，提出了改善SCA或除颤器电击后MH的策略，并确定了未来的研究领域。