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Phantom Shocks Associated With a Wearable Cardioverter Defibrillator
Wearable cardioverter defibrillators (WCDs) are external devices capable of continuous cardiac rhythm monitoring as well as automatic detection and defibrillation of potentially life-threatening arrhythmias such as ventricular tachycardia (VT) and ventricular fibrillation (VF). They are an alternati...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elmer Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8383611/ https://www.ncbi.nlm.nih.gov/pubmed/34434428 http://dx.doi.org/10.14740/jmc3606 |
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author | Delle Donna, Paul Petrovic, Luka Nasir, Umair Ahmed, Ahmed Suero-Abreu, Giselle Alexandra |
author_facet | Delle Donna, Paul Petrovic, Luka Nasir, Umair Ahmed, Ahmed Suero-Abreu, Giselle Alexandra |
author_sort | Delle Donna, Paul |
collection | PubMed |
description | Wearable cardioverter defibrillators (WCDs) are external devices capable of continuous cardiac rhythm monitoring as well as automatic detection and defibrillation of potentially life-threatening arrhythmias such as ventricular tachycardia (VT) and ventricular fibrillation (VF). They are an alternative approach for patients when an implantable cardioverter defibrillator (ICD) is not appropriate. Although treatment with ICD is considered highly effective for the primary and secondary prevention of sudden cardiac death (SCD) in high-risk patients susceptible to VT and VF, patients may still experience psychological difficulties such as fear of shock, avoidance of normal behaviors and reduced quality of life. One of these phenomena is phantom shock (PS), which is defined as a perception of having received a shock with no evidence of recorded defibrillation upon device interrogation. While PS has been reported in the ICD literature, to the best of our knowledge, we present the first known case of WCD-related PS. We also present a review of the current literature to explore the prevalence of PS, the factors associated with its pathogenesis and interventional studies aimed at reducing its occurrence. We highlight this case because PS is considered a phenomenon that few recognize, which should be discriminated from real device shocks before clinicians initiate treatment, device reprogramming or device discontinuation. We describe the psychosocial factors associated with PS to emphasize the importance of managing any associated psychiatric disorders and psychosocial factors both before and after initiation of device treatment. |
format | Online Article Text |
id | pubmed-8383611 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elmer Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-83836112021-08-24 Phantom Shocks Associated With a Wearable Cardioverter Defibrillator Delle Donna, Paul Petrovic, Luka Nasir, Umair Ahmed, Ahmed Suero-Abreu, Giselle Alexandra J Med Cases Case Report Wearable cardioverter defibrillators (WCDs) are external devices capable of continuous cardiac rhythm monitoring as well as automatic detection and defibrillation of potentially life-threatening arrhythmias such as ventricular tachycardia (VT) and ventricular fibrillation (VF). They are an alternative approach for patients when an implantable cardioverter defibrillator (ICD) is not appropriate. Although treatment with ICD is considered highly effective for the primary and secondary prevention of sudden cardiac death (SCD) in high-risk patients susceptible to VT and VF, patients may still experience psychological difficulties such as fear of shock, avoidance of normal behaviors and reduced quality of life. One of these phenomena is phantom shock (PS), which is defined as a perception of having received a shock with no evidence of recorded defibrillation upon device interrogation. While PS has been reported in the ICD literature, to the best of our knowledge, we present the first known case of WCD-related PS. We also present a review of the current literature to explore the prevalence of PS, the factors associated with its pathogenesis and interventional studies aimed at reducing its occurrence. We highlight this case because PS is considered a phenomenon that few recognize, which should be discriminated from real device shocks before clinicians initiate treatment, device reprogramming or device discontinuation. We describe the psychosocial factors associated with PS to emphasize the importance of managing any associated psychiatric disorders and psychosocial factors both before and after initiation of device treatment. Elmer Press 2021-02 2020-12-30 /pmc/articles/PMC8383611/ /pubmed/34434428 http://dx.doi.org/10.14740/jmc3606 Text en Copyright 2021, Delle Donna et al. https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution Non-Commercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Delle Donna, Paul Petrovic, Luka Nasir, Umair Ahmed, Ahmed Suero-Abreu, Giselle Alexandra Phantom Shocks Associated With a Wearable Cardioverter Defibrillator |
title | Phantom Shocks Associated With a Wearable Cardioverter Defibrillator |
title_full | Phantom Shocks Associated With a Wearable Cardioverter Defibrillator |
title_fullStr | Phantom Shocks Associated With a Wearable Cardioverter Defibrillator |
title_full_unstemmed | Phantom Shocks Associated With a Wearable Cardioverter Defibrillator |
title_short | Phantom Shocks Associated With a Wearable Cardioverter Defibrillator |
title_sort | phantom shocks associated with a wearable cardioverter defibrillator |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8383611/ https://www.ncbi.nlm.nih.gov/pubmed/34434428 http://dx.doi.org/10.14740/jmc3606 |
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