| Abstract: | Among recent technologic advances in cardiology is the implantable cardioverter-defibrillator, introduced to control otherwise malignant tachyarrhythmia. This article describes psychological aspects of its use in 18 patients. Despite pre-implant anxiety, most eventually adapted well and accepted the device, with the level of adaptation relating primarily to severity of illness and the ability to return to work. Common problems that decreased over time included emotional lability, depression, fear, and hyperarousal with night wakefulness. Helpful treatment interventions included education, individual and family counseling, and relaxation techniques. |
