Baker B, Kazarian S S, Dorian P, Lanphier C
University of Toronto, Ontario, Canada.
Int J Psychiatry Med. 1993;23(1):43-53. doi: 10.2190/VQM9-MTXN-RTA3-UWFP.
This article describes the development of a protocol specifically designed for the psychiatric assessment of patients with life-threatening ventricular arrhythmias.
Psychiatric assessment occurs in the context of a team approach in which the cardiologist has a pivotal role. Initial findings and one-year follow-up data on the first twenty-five patients evaluated psychiatrically are presented.
Findings tend to confirm that psychiatric complaints are common on initial assessment and suggest that patients with life-threatening ventricular arrhythmias who do not use the psychological mechanism of denial and volunteer psychological complaints may constitute a subgroup of patients who would be more amenable to psychiatric intervention compared to those denying psychological complaints at initial psychiatric interview.
Psychiatrists and associated professionals should become more involved with patients with life-threatening cardiac arrhythmias.
本文描述了一种专门为对有危及生命的室性心律失常患者进行精神评估而设计的方案的制定过程。
精神评估是在团队协作的背景下进行的，心脏病专家在其中发挥关键作用。文中呈现了对首批25例接受精神评估患者的初步评估结果及一年随访数据。
研究结果倾向于证实，在初次评估时精神方面的主诉很常见，并且表明，那些没有采用否认心理机制且主动诉说精神方面主诉的有危及生命的室性心律失常患者，与那些在初次精神访谈时否认精神方面主诉的患者相比，可能构成一个更适合接受精神干预的患者亚组。
精神科医生及相关专业人员应更多地参与到有危及生命的心律失常患者的治疗中。
