Document Detail

Folie à deux: an old diagnosis with a new technology.
MedLine Citation:
PMID:  14760445     Owner:  NLM     Status:  MEDLINE    
The implantable cardioverter defibrillator (ICD) is the treatment of choice for life-threatening ventricular tachyarrhythmias. Despite this, indications for explantation have been described. Psychiatric complications have been considered in the decision to not re-implant a previously explanted device but never as a primary indication for explantation. The case of a woman who requested ICD explantation amidst concerns that the titanium used in its construction was absorbing harmful negative electromagnetic field energy from the environment resulting in intermittent bouts of fatigue, diaphoresis and an overall sense of impending doom is presented. She and her husband had significant psychosocial impairment because of this belief system. The present case is the first known report of a psychiatric complication as the primary indication for ICD explantation. It is illustrative of diagnostic dilemmas, competency and the importance of quality of life.
Patrick Cervini; David Newman; Paul Dorian; Janet Edwards; Mary Greene; Shree Bhalerao
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  19     ISSN:  0828-282X     ISO Abbreviation:  Can J Cardiol     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2004-02-04     Completed Date:  2004-02-19     Revised Date:  2008-04-09    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  1539-40     Citation Subset:  IM    
Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
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MeSH Terms
Defibrillators, Implantable / psychology*
Middle Aged
Shared Paranoid Disorder* / diagnosis
Tachycardia, Ventricular / therapy

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