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CASE SERIES
Year : 2020  |  Volume : 4  |  Issue : 1  |  Page : 21-25

Cardiac rhythm management devices and ablation procedures in psychiatric patients: A case series and review of the literature


1 First Department of Cardiology, National and Kapodistrian University of Athens, Hippokration General Hospital, Athens, Greece
2 Department of Pharmacology, National and Kapodistrian University of Athens, Athens, Greece

Correspondence Address:
Dr. Konstantinos A Gatzoulis
181, Dorieon Street, Mail Box: 175, Drafi Attikis 19009, Athens
Greece
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/hm.hm_74_19

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Psychiatric patients often present with symptoms similar to those indicating the need for a cardiac rhythm management device or even cardiac arrhythmia ablation. However, due to the unreliability of symptom self-reporting, the ability of the underlying neuropsychiatric condition to elicit similar phenomena, and the perceived reduced compliance and increased complication rates among this population, both of the above approaches remain underutilized with often detrimental effects. In the present case series, it is attempted to describe an alternative, electrophysiology study-guided approach to these patients, aiming to both firmly establish the need for invasive intervention (including implantation of pacemakers – three cases, implantable cardioverter-defibrillators – three cases, and electrophysiological ablations – two cases), as well as dispel preconceptions, bordering on stigma, regarding their outcomes.


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