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Clin Cardiol. 2006 Jun;29(6):274-6.

Implantable cardioverter defibrillator implant-explant-implant case study: addressing the psychological adjustment to multiple shocks.

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College of Public Health and Health Professions, Department of Clinical Health Psychology; University of Florida, Gainesville 32610, USA.


This case study details the multidisciplinary approach to a patient who underwent implantable cardioverter defibrillator (ICD) explantation for psychological reasons. The patient was unable to manage the stress associated with multiple shocks. He had a class I indication for an ICD but initially refused to undergo reimplantation. Treatment included the provision of comprehensive medical, nursing, and psychological care, with emphasis on patient autonomy and respect for the patient's experience.

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