植入式心脏转复除颤器电风暴后抑郁自残1例

Electrical storm in the patient with ICD lead to depression and self-mutilation:One case report

1病例资料患者,女,53岁,因胸闷、憋喘3个月,突发意识丧失8h入院,当地医院心肺复苏后转入我院,急诊科再发心室颤动（VF）,给予除颤、心肺复苏。入院体检：血压120/65 mmHg（1 mmHg=0.133kPa,桡动脉有创监测,多巴胺维持）,嗜睡,精神差,颈静脉充盈,肝颈静脉回流征阴性,双肺呼吸音粗,可闻及双下肺湿性啰音,心界大,律不齐,心音低钝,未及病理性杂音及心包摩擦音,

Current definition of electrical storm（ES）is the occurrence of three or more episodes of sustained ventricular tachycardia（VT）or ventricular fibrillation（VF）within 24 h.Current guidelines recommend the ICD implantation in patients who suffered sudden cardiac death（SCD）in survivors of cardiac arrest with no correctable causes and sustained symptomatic VT of different etiology for secondary prevention.25%-33% of patients with an ICD manifest significant levels of anxiety,depression and posttraumatic stress.Detection and adequate treatment of distress in ICD patients remains an important target in order to safeguard health status.