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Cardiac transplantation in a patient with emotionally triggered implantable cardioverter defibrillator storms

Parsai, Chirine ; Bonvini, Robert F. ; Schnetzler, Bruno ; Sunthorn, Henri

In: Heart and Vessels, 2007, vol. 22, no. 5, p. 349-351

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    Titre
    • Cardiac transplantation in a patient with emotionally triggered implantable cardioverter defibrillator storms
    Auteur
    • Parsai, Chirine. Cardiology Center, University Hospital of Geneva (HUG), Rue Micheli-du-Crest 24, 1211, Geneva 14, Switzerland
    • Bonvini, Robert F.. Cardiology Center, University Hospital of Geneva (HUG), Rue Micheli-du-Crest 24, 1211, Geneva 14, Switzerland
    • Schnetzler, Bruno. Cardiology Center, University Hospital of Geneva (HUG), Rue Micheli-du-Crest 24, 1211, Geneva 14, Switzerland
    • Sunthorn, Henri. Cardiology Center, University Hospital of Geneva (HUG), Rue Micheli-du-Crest 24, 1211, Geneva 14, Switzerland
    Type de document
    • Postprint
    Identifiant OAI-PMH
    • oai:doc.rero.ch:316056
    Summary
    The implantable cardioverter defibrillator (ICD) may be responsible for psychological disorders especially among patients experiencing multiple shocks. An associated hyperadrenergic state (e.g., anger, anxiety) may trigger malignant ventricular arrhythmias repeatedly treated by ICD shocks, entertaining a "vicious circle” often difficult to interrupt. Despite aggressive cardiac and psychological therapeutic efforts, this condition may be refractory, finally leading to heart transplantation, as described in this case report