A new "Cardiology Patient Page" published in Circulation describes healthy coping strategies for patients with implantable cardioverter defibrillators (ICDs). Jessica Ford, MA, Sam Sears, PhD, and colleagues at East Carolina University Department of Psychology note that the lifesaving value and improved quality-of-life outcomes of ICD therapy are well established. However, for some patients, having an ICD implanted or receiving a therapy from the device can be considered stressful or traumatic. In fact, the experience and diagnosis of heart problems can be traumatic.
Living with an ICD and heart condition can be stressful and requires healthy coping strategies during potentially traumatic situations. The traumatic events associated with living with an ICD may cause stress and symptoms of post traumatic stress disorder. Having a survivorship mentality, maintaining engagement in activities despite anxiety and fear, and including friends and family in the recovery process can promote good coping. However, patients who continue to experience distressing symptoms such as avoidance, hypervigilance (always being on the lookout or jittery and easily startled), or re-experiencing (constantly thinking or dreaming about the events, having flashbacks), may find it helpful to contact a mental health professional.
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